Imaging prices at Holy Cross Hospital
Fort Lauderdale, FL · every code in this section with a posted price and a Medicare benchmark.
378 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $4,261.40 | $6,556 | 2.9× |
| Abdomen 1 View (74018) | $456.95 | $703 | 5.0× |
| Abdomen 2 views (74019) | $412.75 | $635 | 3.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,766.70 | $2,718 | 4.2× |
| Angio internal mammary (75756) | $3,303.95 | $5,083 | 1.0× |
| Angio pulmonary bilat (75743) | $4,603.95 | $7,083 | 1.4× |
| Angiography extremity bilateral rs&i (75716) | $11,434.15 | $17,591 | 3.5× |
| Angiography extremity unilateral rs&i (75710) | $35,566.78 | — | 10.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,069.30 | $4,722 | 0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,795 | $4,300 | 0.8× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$570.70–$735.80 | — | varies |
| Aortography thoracic serialography rs&i (75605) | $5,693.35 | $8,759 | 1.0× |
| Artery X-Rays Abdomen (75726) | $7,706.40 | $11,856 | 1.3× |
| Artery X-Rays Adrenal Gland (75731) | $2,860 | $4,400 | 0.9× |
| Artery X-Rays Pelvis (75736) | $8,562.45 | $13,173 | 1.5× |
| Artery X-Rays Spine (75705) | $8,992.10 | $13,834 | 1.5× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$1,186.25–$1,779.70 | $1,825–$2,738 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,174.55–$1,762.15 | $1,807–$2,711 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$967.20–$1,450.80 | $1,488–$2,232 | varies |
| Basic radiation dosimetry calculation (77300) | $1,112.15 | $1,711 | 7.9× |
| Bone age studies (77072) | $343.20 | $528 | 3.1× |
| Bone Imaging 3 Phase (78315) | $2,144.74 | — | 5.1× |
| Bone Imaging Limited Area (78300) | $1,014 | $1,560 | 2.4× |
| Bone Imaging Multiple Areas (78305) | $1,079 | $1,660 | 2.6× |
| Bone Imaging Whole Body (78306) | $1,863.55 | $2,867 | 4.5× |
| Bone marrow imaging limited area (78102) | $988 | $1,520 | 2.4× |
| Bone marrow imaging; whole body (78104) | $1,144 | $1,760 | 2.7× |
| Bone survey infant (77076) | $542.75 | $835 | 5.0× |
| Brachytx isodose complex (77318) | $1,151.80 | $1,772 | 2.9× |
| Brachytx isodose intermed (77317) | $811.85 | $1,249 | 2.1× |
| Brachytx Isodose Plan Simple (77316) | $789.10 | $1,214 | 2.0× |
| Brain Flow Imaging Only (78610) | $1,313 | $2,020 | 2.3× |
| Brain Image W/Flow < 4 Views (78601) | $1,085.50 | $1,670 | 2.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,501.50 | $2,310 | 2.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,967.95 | $7,643 | 3.3× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $766.35 | $1,179 | 1.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $654.55 | $1,007 | 1.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,909.05 | $2,937 | 2.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,319.50 | $2,030 | 2.3× |
| Cerebrospinal Fluid Scan (78630) | $1,550.25 | $2,385 | 2.7× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$328.25–$6,584.50 | — | varies |
| Chest 2 views (71046) | $359.45 | — | 4.0× |
| Chest 3 views (71047) | $365.30 | $562 | 4.0× |
| Chest 4 or more views (71048) | $370.50 | $570 | 3.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$566.80–$1,522.30 | — | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,554.15 | $2,391 | 14.2× |
| Continuing medical physics consltj pr wk (77336) | $654.55 | $1,007 | 4.7× |
| Contrast Exam Abdominl Aorta (75625) | $7,746.70 | $11,918 | 2.3× |
| Contrast X-Ray Bladder (74430) | $1,272.05 | $1,957 | 3.5× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$1,101.10–$1,651.65 | $1,694–$2,541 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,149.85–$1,725.10 | $1,769–$2,654 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $7,086.30 | $10,902 | 19.5× |
| CT abdomen and pelvis without contrast (74176) | $5,712.20 | — | 22.9× |
| CT abdomen w contrast (74160) | $3,497 | $5,380 | 19.1× |
| CT abdomen w wo contrast (74170) | $4,194.45 | $6,453 | 22.9× |
| CT abdomen w/o contrast (74150) | $3,268.20 | $5,028 | 29.9× |
| CT Angio Abdomen and Pelvis (74174) | $4,323.15 | $6,651 | 11.9× |
| CT Angio Chest (71275) | $3,046.55 | $4,687 | 16.6× |
| CT Angio Head (70496) | $5,937.10 | — | 32.4× |
| CT angio hrt w/3d image (75574) | $2,111.85 | — | 5.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$3,680.95–$5,521.75 | $5,663–$8,495 | varies |
| CT Angio Neck (70498) | $5,937.10 | — | 32.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,680.95 | $5,663 | 20.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $2,980.90 | $4,586 | 16.3× |
| CT cervical spine w/ contrast (72126) | $3,300.05 | $5,077 | 9.1× |
| CT cervical spine w/o contrast (72125) | $3,212.30 | $4,942 | 29.4× |
| CT cervical spine w/wo cont (72127) | $3,480.75 | $5,355 | 19.0× |
| CT chest w contrast (71260) | $10,836.80 | — | 59.2× |
| CT chest w/wo contrast (71270) | $3,706.95 | $5,703 | 20.2× |
| CT colonography screening (74263) | $634.40 | $976 | 2.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $640.90 | $986 | 5.9× |
| CT head/brain with contrast (70460) | $2,895.75 | $4,455 | 15.8× |
| CT head/brain without and with contrast (70470) | $3,329.95 | $5,123 | 18.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,552.85 | $2,389 | 4.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $540.80 | $832 | 6.0× |
| CT iac w contrast (70481) | $3,630.90 | — | 19.8× |
| CT l-spine w&w/o contrast (72133) | $3,480.75 | $5,355 | 19.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,050.10–$3,075.15 | $3,154–$4,731 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,178.80–$3,268.20 | $3,352–$5,028 | varies |
| CT lumbar spine w contrast (72132) | $3,300.05 | $5,077 | 9.1× |
| CT lumbar spine w/o contrast (72131) | $3,212.30 | $4,942 | 29.4× |
| CT maxillofacial w contrast (70487) | $2,978.95 | $4,583 | 16.3× |
| CT maxillofacial wo contrast (70486) | $2,538.90 | $3,906 | 23.3× |
| CT neck tissue combo (70492) | $3,337.75 | $5,135 | 18.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,143.10 | $6,374 | 22.6× |
| CT orbits w/o contrast (70480) | $2,661.10 | — | 24.4× |
| CT pelvis w&w/o contrast (72194) | $3,894.80 | $5,992 | 21.3× |
| CT pelvis w/o contrast (72192) | $3,145.35 | $4,839 | 28.8× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,198.30–$3,297.45 | $3,382–$5,073 | varies |
| CT scans face/jaw combo (70488) | $3,010.15 | $4,631 | 16.4× |
| CT soft tissue neck w contrast (70491) | $3,301.35 | — | 18.0× |
| CT soft tissue neck w/o contrast (70490) | $2,791.75 | $4,295 | 25.6× |
| CT thoracic spine w contrast (72129) | $3,300.05 | $5,077 | 18.0× |
| CT thoracic spine w/o contrast (72128) | $2,859.35 | $4,399 | 26.2× |
| CT thoracic spine w/wo cont (72130) | $3,480.75 | $5,355 | 19.0× |
| CT thorax w/o contrast (71250) | $3,046.55 | $4,687 | 27.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,050.10–$3,075.15 | $3,154–$4,731 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$2,198.30–$3,297.45 | $3,382–$5,073 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,178.80–$3,268.20 | $3,352–$5,028 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,390.40 | $5,216 | 18.5× |
| Cta Abdomen (74175) | $3,376.10 | $5,194 | 18.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,980.90 | $4,586 | 8.2× |
| CTA pelvis (72191) | $3,615.30 | $5,562 | 19.7× |
| Dilation ureters/urethra rs&i (74485) | $1,836.25 | $2,825 | 0.8× |
| Diskography lumbar (72295) | $3,766.75 | $5,795 | 1.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $223.60 | $344 | 2.0× |
| Dxa Bone Density Axial (77080) | $835.90 | $1,286 | 7.7× |
| Dxa bone density study (77085) | $308.10 | $474 | 2.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $131.30 | $202 | 1.4× |
| Echo exam uterus (76831) | $830.05 | $1,277 | 3.3× |
| Echo Guide For Artery Repair (76936) | $1,182.35 | $1,819 | 5.2× |
| Esophagram (74220) | $1,537.90 | — | 8.4× |
| Fetal Biophys Profile W/Nst (76818) | $682.50 | $1,050 | 6.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $650 | $1,000 | 6.0× |
| Fluoroscopy up to 1 hr (76000) | $1,866.15 | — | 7.5× |
| Follow-Up Angiography (75898) | $2,925 | $4,500 | 0.9× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$443.95–$666.25 | $683–$1,025 | varies |
| Forearm 2 views (73090) | $797.55 | — | 8.8× |
| Gastric emptying imaging study (78264) | $1,592.50 | $2,450 | 3.8× |
| Gated Heart Planar Single (78472) | $1,118 | $1,720 | 2.7× |
| Gated Heart, Multiple (78473) | $1,157 | $1,780 | 2.8× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,194.05 | $1,837 | 2.1× |
| Hand 2 views (73120) | $1,326.65 | — | 12.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $7,176.65 | $11,041 | 9.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,539.20 | $2,368 | 2.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $865.80 | $1,332 | 1.2× |
| Heart Image (Pet) Multiple (78492) | $3,380 | $5,200 | 2.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,547.05 | $5,457 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $2,401.10 | $3,694 | 4.2× |
| Hepatobiliary System Imaging (78226) | $2,152.15 | $3,311 | 5.2× |
| Ht Musc Image Planar Mult (78454) | $2,392 | $3,680 | 1.8× |
| Ht Muscle Image Spect Sing (78451) | $2,366 | $3,640 | 1.8× |
| Hysterosalpingogram (74740) | $1,242.15 | $1,911 | 5.0× |
| Interstitial radiation source applic complex (77778) | $1,539.20 | $2,368 | 2.1× |
| Joint Survey Single View (77077) | $414.70 | $638 | 3.8× |
| K Flow/Funct Image Multiple (78709) | $1,560 | $2,400 | 2.8× |
| K Flow/Funct Image W/Drug (78708) | $1,480.05 | $2,277 | 2.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,495 | $2,300 | 2.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,072.50 | $1,650 | 2.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$406.25–$488.80 | — | varies |
| Leveen/Shunt Patency Exam (78291) | $1,131 | $1,740 | 2.7× |
| Liver & Spleen Imaging Static Only (78215) | $1,027 | $1,580 | 2.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $975 | $1,500 | 2.3× |
| Lung Perf&Ventilat Diferentl (78598) | $1,932.45 | $2,973 | 3.4× |
| Lung perfusion differential (78597) | $1,053 | $1,620 | 2.5× |
| Lung Ventilat&Perfus Imaging (78582) | $2,133.30 | $3,282 | 3.8× |
| Lung Ventilation Imaging (78579) | $1,040 | $1,600 | 2.5× |
| Lymph System Imaging (78195) | $42,935.65 | — | 75.7× |
| Magnetic Image Jaw Joint (70336) | $1,471.60 | $2,264 | 5.9× |
| Meckels Divert Exam (78290) | $1,163.50 | $1,790 | 2.8× |
| Mlc imrt design & construction per imrt plan (77338) | $1,389.05 | $2,137 | 3.6× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$3,132.22–$4,564.56 | — | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$4,409.60–$4,735.77 | — | varies |
| MRA head with contrast (70545) | $2,678 | $4,120 | 7.4× |
| MRA neck w contrast (70548) | $2,670.20 | $4,108 | 7.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,051.10 | $4,694 | 8.4× |
| MRA neck w/o contrast (70547) | $1,767.35 | $2,719 | 7.1× |
| MRI abdomen w contrast (74182) | $2,467.40 | $3,796 | 6.8× |
| MRI abdomen w/o contrast (74181) | $1,542.45 | $2,373 | 6.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,936.70–$4,405.05 | $4,518–$6,777 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$3,315–$4,972.50 | $5,100–$7,650 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$2,936.70–$4,405.05 | $4,518–$6,777 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $2,696.85 | $4,149 | 10.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,797.90 | $2,766 | 7.2× |
| MRI cardiac w/o contrast (75557) | $475.15 | $731 | 1.9× |
| MRI cervical spine w contrast (72142) | $3,456.70 | $5,318 | 9.5× |
| MRI cervical spine w/o cont (72141) | $3,151.20 | $4,848 | 12.6× |
| MRI chest w/o contrast (71550) | $2,282.15 | $3,511 | 9.2× |
| MRI chest wo w contrast (71552) | $2,544.10 | $3,914 | 7.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,936.70–$4,405.05 | $4,518–$6,777 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,260.40–$4,890.60 | $5,016–$7,524 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$2,678–$4,017 | $4,120–$6,180 | varies |
| MRI lumbar spine w contrast (72149) | $3,456.70 | $5,318 | 9.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,422.30 | $8,342 | 14.9× |
| MRI orbit face &/neck w/o contrast (70540) | $2,440.10 | $3,754 | 9.8× |
| MRI orbit face neck w contrast (70542) | $2,650.05 | $4,077 | 7.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,755.35 | $4,239 | 7.6× |
| MRI pelvis w contrast (72196) | $3,116.10 | $4,794 | 8.6× |
| MRI pelvis w/o & w contrast (72197) | $3,463.20 | $5,328 | 9.5× |
| MRI pelvis w/o contrast (72195) | $2,724.15 | $4,191 | 10.9× |
| MRI spectroscopy (76390) | $609.70 | $938 | 6.7× |
| MRI thoracic spine w/o contrast (72146) | $3,151.20 | $4,848 | 12.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,678 | — | 10.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$3,260.40–$4,890.60 | $5,016–$7,524 | varies |
| MRI, abdomen, combo (74183) | $3,614 | $5,560 | 9.9× |
| MRI, dorsal spine combo (72157) | $5,422.30 | $8,342 | 14.9× |
| MRI, dorsal spine contrast (72147) | $3,456.70 | $5,318 | 9.5× |
| MRI, joint upper extrem (73221) | $2,774.20 | — | 11.1× |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,315–$4,972.50 | $5,100–$7,650 | varies |
| MRI, lumbar spine combo (72158) | $5,649.15 | $8,691 | 15.5× |
| Myelogram cervical (72240) | $1,752.40 | $2,696 | 2.1× |
| Myelogram Lumbar (72265) | $1,550.25 | $2,385 | 1.9× |
| Myelography thoracic (72255) | $1,752.40 | $2,696 | 2.1× |
| Myelograpy 2/more regions rs&i (72270) | $8,898.79 | — | 10.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,185 | $4,900 | 2.4× |
| Myocardial Spect Multiple Studies (78452) | $3,809 | $5,860 | 2.8× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $3,250 | $5,000 | 2.2× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $6,101.55 | $9,387 | 2.7× |
| N-invas est c ffr sw aly CTA (75580) | $2,286.70 | $3,518 | 2.5× |
| Neck soft tissue (70360) | $278.20 | $428 | 3.1× |
| Nm csf leak detection (78650) | $2,366 | $3,640 | 1.8× |
| Nm myocard infarct spect (78469) | $2,340 | $3,600 | 4.1× |
| Nonvascular Shunt X-Ray (75809) | $501.15 | $771 | 4.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,937.10 | $9,134 | 4.1× |
| Nuclear Rx Intra-Arterial (79445) | $499.20 | $768 | 2.0× |
| Nuclear Rx Oral Admin (79005) | $1,170 | $1,800 | 4.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,275 | $3,500 | 4.0× |
| Parathyroid Planar Imaging (78070) | $1,267.50 | $1,950 | 3.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,300 | $2,000 | 3.1× |
| Pelvis 1 or 2 views (72170) | $694.20 | — | 6.4× |
| Peritoneogram Rs&I (74190) | $1,795.95 | $2,763 | 3.1× |
| Pet Image W/Ct Lmtd (78814) | $4,312.10 | $6,634 | 2.9× |
| PET image w/CT, full body (78816) | $5,792.15 | $8,911 | 3.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,597.95 | — | 5.1× |
| Pet Myocardial Sngl Study (78491) | $3,250 | $5,000 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,105 | $1,700 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $655.20 | $1,008 | 6.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $774.15 | $1,191 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$406.25–$488.80 | — | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$443.95–$666.25 | $683–$1,025 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$488.80–$570.70 | — | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $196.95 | $303 | 1.8× |
| Radex fingr minimum 2 views (73140) | $434.85 | — | 4.8× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$406.25–$488.80 | — | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$947.70–$1,030.25 | — | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$165.10–$247.65 | $254–$381 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$223.60–$335.40 | $344–$516 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $113.10 | $174 | 1.2× |
| Radex Ribs Unilateral 2 Views (71100) | $333.45 | $513 | 3.7× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$632.45–$1,025.05 | — | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $111.80 | $172 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $340.60 | $524 | 3.7× |
| Radex Sternum Minimum 2 Views (71120) | $487.50 | $750 | 5.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $514.80 | $792 | 5.7× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$443.30–$664.95 | $682–$1,023 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$351–$526.50 | $540–$810 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$488.80–$527.15 | — | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $780 | $1,200 | 7.1× |
| Radiation treatment delivery level 1 (77402) | $230.10 | $354 | 2.2× |
| Radiation treatment delivery level 2 (77407) | $871 | $1,340 | 2.2× |
| Radiation treatment delivery level 3 (77412) | $1,247.35 | $1,919 | 2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $222.30 | $342 | 2.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $646.10 | $994 | 5.9× |
| Radiologic exam colon double contrast study (74280) | $1,354.60 | $2,084 | 7.4× |
| Radiologic exam colon single contrast study (74270) | $1,119.30 | $1,722 | 6.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $472.94 | — | 2.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$468–$581.75 | — | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,337.70 | — | 12.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $965.25 | $1,485 | 5.3× |
| Radiologic exam swallow function contrast study (74230) | $787.15 | $1,211 | 4.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $824.85 | $1,269 | 4.5× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$131.95–$198.25 | $203–$305 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$406.25–$488.80 | — | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$685.75–$44,508.07 | — | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $536.25 | $825 | 4.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $570.70 | — | 6.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $752.70 | $1,158 | 1.9× |
| Ribs bilateral 3 views (71110) | $499.85 | $769 | 4.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,066 | $1,640 | 2.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,641.25 | $2,525 | 3.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,815.50 | $5,870 | 6.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,353 | $3,620 | 4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,699.10 | $2,614 | 3.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,187.25 | $3,365 | 1.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,828.80 | $4,352 | 1.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,809.60 | $2,784 | 1.3× |
| Salivary Gland Function Study (78232) | $963.30 | $1,482 | 2.3× |
| Salivary Gland Imaging (78230) | $1,001 | $1,540 | 2.4× |
| Salivary Gland Imaging Serial Images (78231) | $963.30 | $1,482 | 2.3× |
| Scapula (73010) range across 3 matching MRF lines |
$436.15–$654.55 | $671–$1,007 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$626.60–$672.10 | — | varies |
| Shoulder 1 view (73020) | $58,481.40 | — | 643.5× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,049.75–$1,574.95 | $1,615–$2,423 | varies |
| Skull less than 4 views (70250) | $278.20 | — | 2.5× |
| Special dosimetry (77331) | $331.50 | $510 | 2.4× |
| Special Physics Consult (77370) | $979.55 | $1,507 | 7.0× |
| Special teletherapy port plan (77321) | $1,259.05 | $1,937 | 3.2× |
| Special treatment procedure (77470) | $2,795 | $4,300 | 4.8× |
| Stereotactic Body Radiation Delivery (77373) | $10,908.30 | $16,782 | 5.8× |
| Sternoclavicular joints (71130) | $249.60 | $384 | 2.7× |
| Superior sagittal sinus venogram (75870) | $3,494.40 | $5,376 | 1.1× |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $230.10 | $354 | 2.2× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $230.10 | $354 | 2.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $923 | $1,420 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,953.90 | $3,006 | 5.0× |
| Ther rad simulaj-aided field setting simple (77280) | $986.05 | $1,517 | 7.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $555.75 | $855 | 3.0× |
| Thoracic spine 2 views (72070) | $732.55 | $1,127 | 6.7× |
| Thoracic spine 3 views (72072) | $735.80 | $1,132 | 6.7× |
| Thoracolumbar 2 views (72080) | $344.50 | $530 | 3.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,059.50 | $1,630 | 2.5× |
| Thyroid Met Imaging Body (78018) | $2,076.75 | $3,195 | 3.7× |
| Thyroid Uptake Measurement (78012) | $503.10 | $774 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,537.25 | $2,365 | 3.7× |
| Tx Devices Design & Construction Complex (77334) | $1,252.55 | $1,927 | 3.2× |
| Tx devices design & construction simple (77332) | $786.50 | $1,210 | 5.6× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$388.70–$583.05 | $598–$897 | varies |
| Ultrasound Exam Aaa Screen (76706) | $404.95 | $623 | 3.7× |
| Ultrasound, abdomen limited (76705) | $291.85 | — | 2.7× |
| Umbilical-artery Doppler (OB) (76820) | $195 | $300 | 1.8× |
| Unlisted Dx Radiographic Procedure (76499) | $206.70 | $318 | 2.3× |
| Unlisted us procedure (76999) | $507 | $780 | 5.6× |
| Upper gi w/o kub (74240) | $771.55 | $1,187 | 4.2× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $29.90 | $46 | 2.7× |
| Urea breath test c-14 isotopic analysis (78268) | $237.90 | $366 | 2.5× |
| Ureteral Reflux Study (78740) | $58.50 | $90 | 0.1× |
| Urethrocystogram voiding (74455) | $1,032.85 | $1,589 | 4.1× |
| Urethrocystography retrograde (74450) | $1,354.60 | $2,084 | 5.4× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$452.40–$678.60 | $696–$1,044 | varies |
| Us chest (76604) | $798.85 | $1,229 | 7.3× |
| Us complete joint (76881) | $718.90 | $1,106 | 6.6× |
| Us exam, pelvic, limited (76857) | $536.90 | $826 | 4.9× |
| Us head (76506) | $877.50 | $1,350 | 8.0× |
| Us kidney transplant (76776) | $651.30 | $1,002 | 6.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$577.85–$715 | — | varies |
| Us ob detailed single fetus (76811) | $822.90 | $1,266 | 3.3× |
| Us ob limited 1 or more fetuses (76815) | $472.55 | $727 | 4.3× |
| Us ob transvaginal (76817) | $703.95 | $1,083 | 6.4× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$981.50–$1,965.60 | — | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $746.85 | $1,149 | 6.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $507 | $780 | 4.6× |
| Us retroperitoneal complete (76770) | $1,119.30 | $1,722 | 10.3× |
| Us retroperitoneal limited (76775) | $952.90 | — | 8.7× |
| Us scrotum and contents (76870) | $890.50 | $1,370 | 8.2× |
| Us spinal canal and contents (76800) | $612.95 | $943 | 5.6× |
| Us thyroid (76536) | $851.50 | $1,310 | 7.8× |
| Us transrectal (76872) | $422.50 | $650 | 3.9× |
| Vascular Flow Imaging (78445) | $1,014 | $1,560 | 2.4× |
| Vein X-Ray Chest (75827) | $3,512.60 | $5,404 | 2.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,332.50 | $2,050 | 0.4× |
| Venogram Sinus/Jugular (75860) | $3,564.60 | $5,484 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $3,529.50 | $5,430 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $3,493.75 | $5,375 | 2.1× |
| Venography extremity unilateral rs&i (75820) | $2,328.95 | $3,583 | 1.4× |
| Venography Renal Unilateral (75831) | $3,547.05 | $5,457 | 1.1× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$772.20 | $1,188 | 0.1× |
| Vertebral fracture assessment via dxa (77086) | $167.70 | $258 | 1.8× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$445.90–$668.85 | $686–$1,029 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $316.55 | $487 | 3.5× |
| X-ray antegrade pyelogram tube (74425) | $1,235 | $1,900 | 3.4× |
| X-Ray Aorta Leg Arteries (75630) | $7,037.55 | $10,827 | 2.1× |
| X-Ray Bend Only L-S Spine (72120) | $597.35 | $919 | 5.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 9 matching MRF lines |
$453.05–$679.90 | $697–$1,046 | varies |
| X-Ray Exam Breast Specimen (76098) | $26,195.62 | — | 45.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $234 | $360 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $720.85 | $1,109 | 6.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $747.50 | $1,150 | 6.8× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$54,636.21–$56,289.19 | — | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$406.25–$9,770.81 | — | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $235.30 | $362 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $219.70 | $338 | 2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $235.30 | $362 | 2.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $366.60 | $564 | 3.4× |
| X-Ray Exam L-S Spine Bending (72114) | $828.75 | $1,275 | 7.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,218.75 | — | 13.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $686.40 | $1,056 | 6.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $536.90 | $826 | 4.9× |
| X-ray eye for foreign body (70030) range across 6 matching MRF lines |
$195.65–$293.80 | $301–$452 | varies |
| X-ray humerus (73060) | $406.25 | — | 4.5× |
| X-ray IV pyelogram (ivp) (74400) | $1,030.90 | $1,586 | 5.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $111.80 | $172 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $426.40 | $656 | 4.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,042.60 | — | 9.6× |
| X-ray nose-rectum child f.b. (76010) | $477.10 | $734 | 5.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $817.05 | $1,257 | 7.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $369.85 | $569 | 3.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $252.85 | $389 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $540.80 | $832 | 6.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $234 | $360 | 2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $307.45 | $473 | 2.8× |
| X-ray thoracic spine 4 vw (72074) | $744.90 | $1,146 | 6.8× |
| X-Ray Tmj Unilat (70328) | $343.20 | $528 | 3.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $17,114.84 | — | 47.0× |
| X-Rays Bone Length Studies (77073) | $293.80 | $452 | 2.7× |
| X-Rays Bone Survey Complete (77075) | $542.75 | $835 | 5.0× |
| Xr c-spine 4 or 5 views (72050) | $662.35 | $1,019 | 6.1× |
| Xr facial bones less than 3 views (70140) | $94.90 | $146 | 1.0× |
| Xr orbits complete 4 views (70200) | $278.20 | $428 | 2.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.