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.

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ProcedureCash priceGross charge× Medicare
Acute gi blood loss imaging (78278) $3,464.02 $3,464.02 8.3×
Angio extremity unilateral (75710) $3,589.37 $3,589.37 1.1×
Angio pulmonary unilateral (75741) $8,802.72 $8,802.72 2.7×
Angiogram extremity bilateral (75716) $3,589.37 $3,589.37 1.1×
Angiography pulmonary bilateral slctv rs&i (75743) $8,130.31 $8,130.31 2.5×
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×
Arthrography knee lt (73580) $3,216.86 $3,216.86 8.8×
Barium enema (74270) $2,776.23 $2,776.23 15.2×
Bilat selctv renal venogram (75833) $10,624.23 $10,624.23 3.2×
Bone age studies (77072) $243.07 $243.07 2.2×
Bone imaging limited area (78300) $3,138.11 $3,138.11 7.5×
Bone marrow imaging whole body (78104) $4,774.20 $4,774.20 11.4×
Bone survey complete (77075) $1,025.69 $1,025.69 9.4×
Bowel imaging (78290) $3,806.28 $3,806.28 9.1×
Brain flow imaging only - nm brain flow only brain death (78610) $1,741.82 $1,741.82 3.1×
Brain image w/flow 4 + views (78606) $1,438.58 $1,438.58 2.5×
Cerebrospinal fluid leakage (78650) $4,905 $4,905 3.6×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $2,261.75 $2,261.75 12.3×
Cisternogram (78630) $2,166.92 $2,166.92 3.8×
Clavicle complete (73000) $537.37 $537.37 5.9×
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) $8,873.37 $8,873.37 48.4×
Contrast exam abdominl aorta (75625) $4,414.50 $4,414.50 1.3×
Contrast exam thoracic aorta (75605) $6,314.37 $6,314.37 1.1×
CT - st neck w&wo contr (70492) $9,896.91 $9,896.91 54.0×
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 wo contrast (74170) $11,461.62 $11,461.62 62.6×
CT abdomen w/contrast (74160) $8,534.33 $8,534.33 46.6×
CT abdomen w/o contrast (74150) $6,851.03 $6,851.03 62.8×
CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) $5,820.45 $5,820.45 16.0×
CT angio abdom w/o & w/dye (74175) $7,861.85 $7,861.85 42.9×
CT angio abdominal arteries (75635) $7,807.14 $7,807.14 42.6×
CT angio hrt w/3d image (75574) $4,620.51 $4,620.51 12.7×
CT angiograph pelv w/o&w/dye (72191) $9,550.80 $9,550.80 52.1×
CT cervical spine w/contrast (72126) $7,667.06 $7,667.06 21.0×
CT cervical spine w/o contrast (72125) $8,908.59 $8,908.59 81.6×
CT chest w/contrast (71260) $9,061.58 $9,061.58 49.5×
CT extremity upper w & w/o contrast (73202) $6,242.93 $6,242.93 34.1×
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 limited/localized follow up study (76380) $1,883.52 $1,883.52 20.7×
CT lower ext w/wo contrast (73702) $7,941.74 $7,941.74 43.4×
CT lower extremity w contrast (73701) $5,395.50 $5,395.50 29.5×
CT lower extremity w/o contrast unilateral (73700) $6,382.67 $6,382.67 58.5×
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 lumbar spine w/o then w/ con (72133) $11,222.64 $11,222.64 61.3×
CT maxillofacial area w/o contrast (70486) $8,200.16 $8,200.16 75.1×
CT maxillofacial w/contrast (70487) $8,274.33 $8,274.33 45.2×
CT maxillofacial w/o then w/ con (70488) $13,672.96 $13,672.96 74.6×
CT orbit sella ear w/o con (70480) $8,605.15 $8,605.15 78.8×
CT orbit/ear/fossa w/o then w/ con (70482) $14,227.40 $14,227.40 77.7×
CT pelvis w & w/o contrast (72194) $17,023.62 $17,023.62 92.9×
CT pelvis w/o contrast (72192) $7,633.43 $7,633.43 69.9×
CT soft tissue neck w/contrast (70491) $9,277.18 $9,277.18 50.6×
CT soft tissue neck w/o contrast (70490) $8,103.70 $8,103.70 74.2×
CT spine cervical w/wo contrast (72127) $7,512.28 $7,512.28 41.0×
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/o then w/ con (72130) $13,154.12 $13,154.12 71.8×
CT thorax lung cancer scr c- (71271) $1,591.40 $1,591.40 14.6×
CT thorax w/o contrast (71250) $6,306.61 $6,306.61 57.8×
CT thorax w/o then w/ contrast (71270) $7,768.43 $7,768.43 42.4×
CT upper extremity w/dye (73201) $5,439.25 $5,439.25 14.9×
CT upper extremity w/o contrast rt (73200) $6,268.74 $6,268.74 57.4×
CTA chest w/wo contrast (71275) $8,828 $8,828 48.2×
CTA head w contrast (70496) $6,118.78 $6,118.78 33.4×
CTA lower extremity w/wo contrast unilateral (73706) $7,112.25 $7,112.25 38.8×
Cta Neck (70498) $6,782.25 $6,782.25 37.0×
CTA upper extremity w/wo contrast unilateral (73206) $6,147.98 $6,147.98 33.6×
Dilation ureters/urethra rs&i (74485) $4,092.95 $4,092.95 1.9×
Esophogram (74220) $1,697.13 $1,697.13 9.3×
Fetal biophysical profile non-stress testing (76818) $2,038.30 $2,038.30 18.7×
Fetal biophysical profile w/o nst (76819) $1,803.95 $1,803.95 16.5×
Fluoroscopy up to 1 hour physician/qhp time (76000) $1,970.72 $1,970.72 7.9×
Gastric emptying study (78264) $3,777.94 $3,777.94 9.0×
Gated heart planar single (78472) $3,607.90 $3,607.90 8.6×
Hepatobil syst image w/drug (78227) $2,789.31 $2,789.31 4.9×
Hepatobiliary system imaging (78226) $2,789.31 $2,789.31 6.7×
Humerus min 2 views (73060) $1,232.79 $1,232.79 13.6×
Hysterosalpingography (74740) $1,438.80 $1,438.80 5.8×
Ivp (74400) $2,191.99 $2,191.99 12.0×
Ivp w tomography (74415) $1,664.43 $1,664.43 9.1×
Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) $3,498.90 $3,498.90 6.2×
Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) $4,111.48 $4,111.48 7.3×
Kidney w vascular flow (78701) $4,333.84 $4,333.84 10.4×
Liver & spleen; static only (78215) $3,813.91 $3,813.91 9.1×
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×
Lung ventilat&perfus imaging (78582) $8,233.86 $8,233.86 14.5×
Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) $8,411.53 $8,411.53 23.1×
Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) $18,931.12 $18,931.12 52.0×
Mammary ductogram multiple ducts (77054) $2,751.16 $2,751.16 11.0×
Mammary ductogram 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/contrast (70545) $8,158.65 $8,158.65 22.4×
MRA head w/o contrast (70544) $6,823.40 $6,823.40 27.4×
MRA neck w/contrast (70548) $8,810.47 $8,810.47 24.2×
MRA neck w/o contrast (70547) $5,581.89 $5,581.89 22.4×
MRA neck w/wo contrast (70549) $10,637.31 $10,637.31 29.2×
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 jnt lwr ext with con lt (73722) $16,683.54 $16,683.54 20.4×
MRI cervical spine w/o contrast (72141) $5,069.59 $5,069.59 20.3×
MRI cervical spine with contrast (72142) $4,490.80 $4,490.80 12.3×
MRI chest w/contrast (71551) $5,299.58 $5,299.58 6.5×
MRI joint upper ext w/contrast (73222) $10,518.50 $10,518.50 12.8×
MRI joint upr extr w/o&w/dye (73223) $5,632.03 $5,632.03 15.5×
MRI joint upr extrem w/o dye (73221) $3,258.01 $3,258.01 13.1×
Mri Lower Extremity W/O Dye (73718) $5,736.67 $5,736.67 23.0×
MRI lumbar spine with contrast (72149) $5,908.89 $5,908.89 16.2×
MRI lumbar w/wo contrast (72158) $9,588.73 $9,588.73 26.3×
MRI lwr ext w/o jnts with con rt (73719) $5,179.68 $5,179.68 14.2×
MRI orbit/face/neck w/contrast (70542) $6,392.85 $6,392.85 17.5×
MRI orbit/face/neck w/o & w/contrast (70543) $6,837.57 $6,837.57 18.8×
MRI orbit/face/neck w/o contrast (70540) $4,475.54 $4,475.54 18.0×
MRI pelvis w/ contrast (72196) $9,423.05 $9,423.05 25.9×
MRI pelvis w/o contrast (72195) $1,602.30 $1,602.30 6.4×
MRI pelvis w/wo contrast (72197) $3,122.85 $3,122.85 8.6×
MRI spine cervical wo/w contrast (72156) $10,687.45 $10,687.45 29.3×
MRI spine thoracic w/contrast (72147) $5,350.81 $5,350.81 14.7×
MRI thoracic spine w wo contrast (72157) $9,794.74 $9,794.74 26.9×
MRI thoracic spine w/o contrast (72146) $3,886.94 $3,886.94 15.6×
MRI tmj (70336) $4,077.69 $4,077.69 16.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $4,073.33 $4,073.33 16.3×
Mri Upper Extremity W/Dye (73219) $5,028.17 $5,028.17 13.8×
MRI upr ext w/o jnts w/o-w/con rt (73220) $11,568.17 $11,568.17 31.8×
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×
Nm bone 3 phase (78315) $5,596.06 $5,596.06 13.4×
Nm bone imaging whole body (78306) $2,987.69 $2,987.69 7.2×
Nm bone marrow scan multiple (78103) $7,352.05 $7,352.05 17.6×
Nm heart perfusion spect stress rest (78452) $7,330.25 $7,330.25 5.4×
Nm liver image static only (78201) $2,970.25 $2,970.25 5.2×
Nm lymph system (78195) $3,735.43 $3,735.43 6.6×
Nose to rectum for fb child (76010) $1,397.38 $1,397.38 15.4×
Nuclear rx IV admin (79101) $10,850.95 $10,850.95 44.5×
Ob us < 14 wks single fetus (76801) $1,528.18 $1,528.18 14.0×
Oral radiopharm rx (79005) $3,254.74 $3,254.74 13.4×
Parathyrd planar w/spect&CT (78072) $1,438.58 $1,438.58 2.5×
Parathyroid 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×
Pulmonary perfusion imaging particulate (78580) $4,831.97 $4,831.97 11.6×
Radex abscess/fistula/sinus tract rs&i (76080) $447.99 $447.99 0.8×
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 hip unilateral with pelvis 1 view (73501) $295.39 $295.39 3.3×
Radex hip unilateral with pelvis 2-3 views (73502) $1,335.25 $1,335.25 14.7×
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 spine cervical 2 or 3 views (72040) $737.93 $737.93 8.1×
Radex spine cervical 4 or 5 views (72050) $1,442.07 $1,442.07 13.2×
Radex spine cervical 6 or more views (72052) $1,314.54 $1,314.54 12.0×
Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) $2,901.58 $2,901.58 31.9×
Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) $1,495.48 $1,495.48 13.7×
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 - Xr Femur 1 Vw Right (73551) $688.88 $688.88 7.6×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $860.01 $860.01 9.5×
Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) $2,416.53 $2,416.53 22.1×
Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) $1,499.84 $1,499.84 13.7×
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×
Saline infused sonohysterogram (76831) $2,060.10 $2,060.10 8.3×
Shoulder arthrogram (73040) $3,364.83 $3,364.83 9.2×
Small bowel series (74250) $2,294.45 $2,294.45 12.5×
Testicular imaging w/flow (78761) $1,411.55 $1,411.55 3.4×
Thyroid met imaging body (78018) $5,281.05 $5,281.05 9.3×
Thyroid uptake single/multiple quant 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×
Ultrasound breast limited (76642) $259.08 $259.08 2.9×
Ultrasound, abdomen limited (76705) $3,251.47 $3,251.47 29.8×
Ultrasound, elastography; first target lesion (76982) $686.70 $686.70 6.3×
Ureteral reflux study (78740) $3,339.76 $3,339.76 8.0×
Urethrocystography retrograde rs&i (74450) $1,112.89 $1,112.89 4.5×
Urethrocystography voiding (74455) $1,613.20 $1,613.20 6.5×
Urography antegrade (74425) $2,771.87 $2,771.87 7.6×
Urography retrograde w/wo kub (74420) $2,038.30 $2,038.30 5.6×
Urography, infusion, drip technique and/or bolus technique; Other Diagnostic Radiology FS (74410) $2,134.22 $2,134.22 11.7×
Us abdominal aorta real time screen study aaa (76706) $703.05 $703.05 6.4×
Us breast uni real time with image complete (76641) $722.67 $722.67 6.6×
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 inft hips r-t img dynamic req phys/qhp manj (76885) $805.51 $805.51 8.9×
Us inft hips r-t img lmtd static phys/qhp manj (76886) $780.44 $780.44 8.6×
Us kidney transplanted (76776) $3,801.92 $3,801.92 34.8×
Us lmtd jt/fcl eval 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 followup per fetus (76816) $2,283.55 $2,283.55 20.9×
Us ob limited 1 or more fetuses (76815) $1,972.90 $1,972.90 18.1×
Us obstetric transvaginal (76817) $1,650.26 $1,650.26 15.1×
Us pelvic limited or f/u non-ob (76857) $2,604.01 $2,604.01 23.9×
Us pelvis complete (76856) $3,886.94 $3,886.94 35.6×
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 (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 (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×
Vein X-ray liver w/hemodynam (75885) $8,789.76 $8,789.76 2.7×
Venogram extremity bilateral (75822) $10,532.67 $10,532.67 6.4×
Venogram ivc w serialography (75825) $5,647.29 $5,647.29 1.7×
Venogram svc w serialography (75827) $3,106.50 $3,106.50 1.9×
Venography ext unilateral (75820) $7,098.08 $7,098.08 4.3×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $1,265.49 $1,265.49 13.9×
X-ray aorta leg arteries (75630) $8,729.81 $8,729.81 2.6×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $3,300.52 $3,300.52 18.0×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $1,620.83 $1,620.83 17.8×
X-ray exam hips bi 3-4 views (73522) $348.71 $348.71 3.2×
X-ray exam of finger(s) (73140) $1,058.39 $1,058.39 11.6×
X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) $572.13 $572.13 3.1×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $364.06 $364.06 4.0×
X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) $1,058.39 $1,058.39 11.6×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $1,818.12 $1,818.12 20.0×
X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) $1,197.91 $1,197.91 11.0×
X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) $1,943.47 $1,943.47 21.4×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $826.22 $826.22 9.1×
X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) $1,204.45 $1,204.45 13.3×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $1,124.88 $1,124.88 10.3×
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 Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) $734.66 $734.66 6.7×
X-ray perineogram (74775) $2,800.21 $2,800.21 11.2×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $620.21 $620.21 6.8×
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 Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $2,398 $2,398 26.4×
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 Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $572.25 $572.25 6.3×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $900.34 $900.34 9.9×
X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) $1,055.12 $1,055.12 11.6×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $1,400.65 $1,400.65 15.4×
Xr abdomen 1 view (74018) $1,192.46 $1,192.46 13.1×
Xr abdomen 2 views (74019) $1,836.65 $1,836.65 16.8×
Xr abdomen 3 views (74021) $839.30 $839.30 7.7×
Xr arthrogram hip (73525) $1,970.72 $1,970.72 5.4×
Xr bone density appendicular (77081) $860.01 $860.01 9.5×
Xr bone density axial (77080) $764.09 $764.09 7.0×
Xr bone length study (77073) $1,232.79 $1,232.79 11.3×
Xr bone survey infant (77076) $1,197.91 $1,197.91 11.0×
Xr bone survey limited (77074) $903.61 $903.61 8.3×
Xr chest 1 view (71045) $1,228.43 $1,228.43 13.5×
Xr chest 2 views (71046) $1,407.19 $1,407.19 15.5×
Xr chest 3 views (71047) $743.38 $743.38 8.2×
Xr cystogram 3+ views (74430) $1,983.80 $1,983.80 5.4×
Xr eye foreign body (70030) $1,837.74 $1,837.74 20.2×
Xr facial bones 3 views (70150) $788.07 $788.07 7.2×
Xr lumbar spine 4 views w/ flex ext (72120) $2,063.37 $2,063.37 18.9×
Xr mandible 4 views (70110) $591.87 $591.87 5.4×
Xr nasal bones (70160) $518.84 $518.84 5.7×
Xr pelvis 3 views (72190) $417.47 $417.47 3.8×
Xr spine 1 view (72020) $601.68 $601.68 6.6×
Xr sternum 2 views (71120) $440.36 $440.36 4.8×
Xr surgical specimen (76098) $837.12 $837.12 1.5×
Xr upper extremity 2 views infant (73092) $466.52 $466.52 4.3×
Xray elbow 2 views (73070) $1,249.14 $1,249.14 13.7×
Xray forearm 2 views (73090) $1,218.62 $1,218.62 13.4×
Xray knee 1 or 2 views rt (73560) $1,132.51 $1,132.51 12.5×
Xray neck soft tissue (70360) $919.96 $919.96 10.1×
Xray orbits complete min 4 views (70200) $853.47 $853.47 7.8×
Xray pelvis 1 or 2 views (72170) $1,425.72 $1,425.72 13.1×
Xray ribs bilateral 3 views (71110) $1,038.77 $1,038.77 9.5×
Xray ribs unilat w/ pa chest 3v rt (71101) $883.99 $883.99 8.1×
Xray scapula complete (73010) $995.17 $995.17 9.1×
Xray shoulder 1 view (73020) $951.57 $951.57 10.5×
Xray sinuses paranasal <3 views (70210) $259.08 $259.08 2.9×
Xray spine thoracic 2 views (72070) $1,059.48 $1,059.48 9.7×
Xray spine thoracic 3 views (72072) $1,448.61 $1,448.61 13.3×
Xray tibia-fibula 2 views bil (73590) $1,874.80 $1,874.80 20.6×
Xray tmj open - closed unilat (70328) $259.08 $259.08 2.9×
Xray tmj's bilateral open-clsc (70330) $681.25 $681.25 7.5×