Imaging prices at Jennie Stuart Health
Hopkinsville, KY · every code in this section with a posted price and a Medicare benchmark.
330 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) | $2,408.67 | $7,769.88 | 1.9× |
| Abdomen 1 View (74018) | $71.82 | $231.66 | 0.9× |
| Abdomen 2 views (74019) | $80.44 | $259.47 | 0.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $481.96 | $1,554.70 | 1.3× |
| Ankle 2 views (73600) | $86.75 | $279.83 | 1.1× |
| Arthrogram ankle (73615) | $424.63 | $1,369.77 | 1.3× |
| Arthrogram hip (73525) | $424.63 | $1,369.77 | 1.3× |
| Arthrogram Wrist (73115) | $424.63 | $1,369.77 | 1.3× |
| Basic radiation dosimetry calculation (77300) | $232.89 | $751.23 | 1.8× |
| Bone age studies (77072) | $73.60 | $237.40 | 0.8× |
| Bone Imaging 3 Phase (78315) | $564.44 | $1,820.75 | 1.5× |
| Bone Imaging Limited Area (78300) | $405.35 | $1,307.56 | 1.1× |
| Bone Imaging Multiple Areas (78305) | $405.35 | $1,307.56 | 1.1× |
| Bone Imaging Whole Body (78306) | $584.91 | $1,886.78 | 1.6× |
| Bone survey infant (77076) | $113.77 | $366.99 | 1.2× |
| Brachytx isodose complex (77318) | $449.58 | $1,450.24 | 1.3× |
| Brachytx isodose intermed (77317) | $417.02 | $1,345.21 | 1.2× |
| Brachytx Isodose Plan Simple (77316) | $293.46 | $946.62 | 0.8× |
| Brain Flow Imaging Only (78610) | $667.15 | $2,152.07 | 1.3× |
| Brain Image W/Flow < 4 Views (78601) | $667.15 | $2,152.07 | 1.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $667.15 | $2,152.07 | 1.3× |
| Brain Imaging Minimum 4 Static Views (78605) | $667.15 | $2,152.07 | 1.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,042.25 | $6,587.90 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $421.25 | $1,358.86 | 5.2× |
| Cerebrospinal Fluid Scan (78630) | $667.15 | $2,152.07 | 1.3× |
| Chest 1 view (71045) | $74.15 | $239.18 | 0.9× |
| Chest 2 views (71046) | $74.15 | $239.18 | 0.9× |
| Chest 3 views (71047) | $118.66 | $382.75 | 1.5× |
| Chest 4 or more views (71048) | $120.36 | $388.25 | 1.2× |
| Clavicle complete (73000) | $71.82 | $231.66 | 0.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $363.26 | $1,171.80 | 3.7× |
| Continuing medical physics consltj pr wk (77336) | $321.43 | $1,036.85 | 2.5× |
| Contrast X-Ray Bladder (74430) | $322.32 | $1,039.73 | 1.0× |
| Contrast X-Ray Of Elbow (73085) | $424.63 | $1,369.77 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $424.63 | $1,369.77 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $2,268.11 | $7,316.47 | 6.9× |
| CT abdomen and pelvis without contrast (74176) | $1,416.28 | $4,568.64 | 6.3× |
| CT abdomen w contrast (74160) | $1,064.69 | $3,434.48 | 6.5× |
| CT abdomen w wo contrast (74170) | $1,273.85 | $4,109.18 | 7.7× |
| CT abdomen w/o contrast (74150) | $845.61 | $2,727.75 | 8.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,377.98 | $7,670.90 | 7.3× |
| CT Angio Chest (71275) | $1,429.42 | $4,611.02 | 8.7× |
| CT Angio Head (70496) | $1,022.65 | $3,298.86 | 6.2× |
| CT angio hrt w/3d image (75574) | $1,069.38 | $3,449.60 | 3.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $465 | $1,500 | 2.8× |
| CT Angio Neck (70498) | $976.42 | $3,149.72 | 5.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $440.73 | $1,421.70 | 2.7× |
| CT cervical spine w/ contrast (72126) | $1,052.63 | $3,395.55 | 3.2× |
| CT cervical spine w/o contrast (72125) | $844.51 | $2,724.22 | 8.6× |
| CT cervical spine w/wo cont (72127) | $1,254.58 | $4,047.02 | 7.6× |
| CT chest w contrast (71260) | $971.69 | $3,134.48 | 5.9× |
| CT chest w/wo contrast (71270) | $173.60 | $560 | 1.1× |
| CT head/brain with contrast (70460) | $779.88 | $2,515.74 | 4.7× |
| CT head/brain without and with contrast (70470) | $1,050.51 | $3,388.72 | 6.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $57.95 | $186.92 | 0.7× |
| CT iac w contrast (70481) | $790.93 | $2,551.36 | 4.8× |
| CT l-spine w&w/o contrast (72133) | $1,232.53 | $3,975.88 | 7.5× |
| CT lower ext w/o (73700) | $418.81 | $1,351 | 4.3× |
| CT lower extremity w/contrast material (73701) | $790.91 | $2,551.31 | 4.8× |
| CT lumbar spine w contrast (72132) | $867.66 | $2,798.88 | 2.7× |
| CT lumbar spine w/o contrast (72131) | $825.05 | $2,661.43 | 8.4× |
| CT maxillofacial w contrast (70487) | $850.59 | $2,743.82 | 5.2× |
| CT maxillofacial wo contrast (70486) | $812.48 | $2,620.90 | 8.3× |
| CT neck tissue combo (70492) | $1,071.58 | $3,456.69 | 6.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,273.85 | $4,109.18 | 7.7× |
| CT orbits w/o contrast (70480) | $845.61 | $2,727.75 | 8.6× |
| CT pelvis w&w/o contrast (72194) | $1,108.33 | $3,575.24 | 6.7× |
| CT pelvis w/o contrast (72192) | $529.20 | $1,707.08 | 5.4× |
| CT scan of leg combo (73702) | $906.69 | $2,924.79 | 5.5× |
| CT scans face/jaw combo (70488) | $1,141.51 | $3,682.26 | 6.9× |
| CT soft tissue neck w contrast (70491) | $773.04 | $2,493.67 | 4.7× |
| CT soft tissue neck w/o contrast (70490) | $718.40 | $2,317.41 | 7.3× |
| CT thoracic spine w contrast (72129) | $895.65 | $2,889.18 | 5.4× |
| CT thoracic spine w/o contrast (72128) | $810.35 | $2,614.01 | 8.3× |
| CT thoracic spine w/wo cont (72130) | $1,243.56 | $4,011.48 | 7.6× |
| CT thorax w/o contrast (71250) | $697.39 | $2,249.64 | 7.1× |
| CT upper ext wo (73200) | $341 | $1,100 | 3.5× |
| CT upper extremity w/o & w/contrast material (73202) | $440.73 | $1,421.70 | 2.7× |
| CT upper extremity with contrast (73201) | $604.81 | $1,951 | 1.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,571.30 | $5,068.69 | 9.5× |
| Cta Abdomen (74175) | $1,429.42 | $4,611.02 | 8.7× |
| CTA pelvis (72191) | $1,253.71 | $4,044.22 | 7.6× |
| Dilation ureters/urethra rs&i (74485) | $1,507.48 | $4,862.82 | 0.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $109.01 | $351.62 | 1.1× |
| Dxa Bone Density Axial (77080) | $198.15 | $639.17 | 2.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $163.46 | $527.28 | 2.0× |
| Echo exam uterus (76831) | $344.73 | $1,112.02 | 1.5× |
| Echograp Trans R Pros Study (76873) | $894.66 | $2,885.99 | 9.1× |
| Esophagram (74220) | $127.46 | $411.15 | 0.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $344.73 | $1,112.02 | 3.5× |
| Fluoroscopy up to 1 hr (76000) | $196.09 | $632.54 | 0.9× |
| Foot 2 views (73620) | $73.10 | $235.78 | 0.9× |
| Forearm 2 views (73090) | $73.10 | $235.78 | 0.9× |
| Gastric emptying imaging study (78264) | $457.24 | $1,474.94 | 1.2× |
| Gated Heart Planar Single (78472) | $484.57 | $1,563.12 | 1.3× |
| Hand 2 views (73120) | $73.10 | $235.78 | 0.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,077.16 | $6,700.50 | 3.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,661.73 | $5,360.39 | 2.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,454.01 | $4,690.33 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $505.15 | $1,629.49 | 1.0× |
| Hepatobiliary System Imaging (78226) | $505.15 | $1,629.49 | 1.3× |
| Hysterosalpingogram (74740) | $397.81 | $1,283.25 | 1.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $241.23 | $778.15 | 3.0× |
| Infant hip ultrasound, limited static exam (76886) | $210.76 | $679.87 | 2.6× |
| Infusion Ivp (74410) | $322.32 | $1,039.73 | 2.0× |
| Interstitial radiation source applic complex (77778) | $1,781.45 | $5,746.60 | 2.7× |
| Intracavitary Radiation Source Applic Complex (77763) | $840.99 | $2,712.86 | 1.3× |
| Intracavitary Radiation Source Applic Intermed (77762) | $633.28 | $2,042.81 | 1.2× |
| Intracavitary radiation source applic simple (77761) | $633.18 | $2,042.50 | 1.2× |
| Joint Survey Single View (77077) | $71.82 | $231.66 | 0.7× |
| K Flow/Funct Image Multiple (78709) | $755.65 | $2,437.57 | 1.5× |
| K Flow/Funct Image W/Drug (78708) | $637.48 | $2,056.36 | 1.3× |
| K Flow/Funct Image W/O Drug (78707) | $521.84 | $1,683.34 | 1.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $472.33 | $1,523.63 | 1.3× |
| Knee 3 Views (73562) | $94.96 | $306.31 | 1.2× |
| Liver & Spleen Imaging Static Only (78215) | $466.24 | $1,503.98 | 1.2× |
| Liver imaging static only (78201) | $537.71 | $1,734.53 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $915.99 | $2,954.78 | 1.8× |
| Lung Ventilation Imaging (78579) | $472.68 | $1,524.77 | 1.3× |
| Lymph System Imaging (78195) | $478.78 | $1,544.43 | 0.9× |
| Magnetic Image Jaw Joint (70336) | $1,013.39 | $3,268.99 | 4.5× |
| Meckels Divert Exam (78290) | $405.17 | $1,306.97 | 1.1× |
| Mlc imrt design & construction per imrt plan (77338) | $1,065.62 | $3,437.46 | 3.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,120.52 | $3,614.57 | 3.4× |
| MRA head w/o contrast (70544) | $1,151.42 | $3,714.25 | 5.1× |
| MRA head with contrast (70545) | $1,120.52 | $3,614.57 | 3.4× |
| MRA neck w contrast (70548) | $1,120.52 | $3,614.57 | 3.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,944.41 | $6,272.28 | 5.9× |
| MRA neck w/o contrast (70547) | $1,035.81 | $3,341.31 | 4.6× |
| MRI abdomen w contrast (74182) | $1,042.10 | $3,361.59 | 3.2× |
| MRI abdomen w/o contrast (74181) | $952.71 | $3,073.23 | 4.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,148.55 | $3,705 | 1.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $927.21 | $2,991 | 2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,118.24 | $3,607.21 | 1.5× |
| MRI cervical spine w contrast (72142) | $1,173.41 | $3,785.19 | 3.6× |
| MRI cervical spine w/o cont (72141) | $1,054.72 | $3,402.31 | 4.7× |
| MRI chest w/o contrast (71550) | $914.09 | $2,948.66 | 4.1× |
| MRI chest with contrast (71551) | $985.80 | $3,179.99 | 1.3× |
| MRI chest wo w contrast (71552) | $1,092.84 | $3,525.27 | 3.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,079.61 | $3,482.59 | 3.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,156.42 | $3,730.38 | 3.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $952.71 | $3,073.23 | 4.3× |
| MRI lumbar spine w contrast (72149) | $1,294.78 | $4,176.69 | 4.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,765.20 | $5,694.19 | 5.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,063.05 | $3,429.18 | 4.7× |
| MRI orbit face neck w contrast (70542) | $1,300.30 | $4,194.50 | 4.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,538.72 | $4,963.60 | 4.7× |
| MRI pelvis w contrast (72196) | $1,176.31 | $3,794.52 | 3.6× |
| MRI pelvis w/o & w contrast (72197) | $1,383.09 | $4,461.56 | 4.2× |
| MRI pelvis w/o contrast (72195) | $1,024.39 | $3,304.48 | 4.6× |
| MRI thoracic spine w/o contrast (72146) | $1,038.46 | $3,349.86 | 4.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $952.71 | $3,073.23 | 2.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $674.60 | $2,176.10 | 3.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,121.11 | $3,616.47 | 3.4× |
| MRI, abdomen, combo (74183) | $1,419.43 | $4,578.80 | 4.3× |
| MRI, dorsal spine combo (72157) | $1,557.63 | $5,024.59 | 4.8× |
| MRI, dorsal spine contrast (72147) | $1,134.76 | $3,660.50 | 3.5× |
| MRI, joint upper extrem (73221) | $674.60 | $2,176.10 | 3.0× |
| MRI, joint upper extrem combo (73223) | $1,207.38 | $3,894.76 | 3.7× |
| MRI, lumbar spine combo (72158) | $424.63 | $1,369.77 | 1.3× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $479.37 | $1,546.35 | 1.3× |
| Myocardial Spect Multiple Studies (78452) | $1,443.45 | $4,656.26 | 1.2× |
| Neck soft tissue (70360) | $71.82 | $231.66 | 0.9× |
| Nonvascular Shunt X-Ray (75809) | $141.03 | $454.93 | 1.4× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,712.27 | $8,749.23 | 2.1× |
| Nuclear Rx Oral Admin (79005) | $320.11 | $1,032.59 | 1.5× |
| Optic foramina (70190) | $71.82 | $231.66 | 0.9× |
| Parathyroid Planar Imaging (78070) | $410.43 | $1,323.94 | 1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $924.29 | $2,981.58 | 2.5× |
| Pelvis 1 or 2 views (72170) | $71.82 | $231.66 | 0.7× |
| Pet Image W/Ct Lmtd (78814) | $2,816.96 | $9,086.94 | 2.1× |
| PET image w/CT, full body (78816) | $3,211.41 | $10,359.38 | 2.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,648.07 | $8,542.15 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $399.93 | $1,290.08 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $113.77 | $366.99 | 1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $397.81 | $1,283.25 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $98.82 | $318.75 | 1.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $71.82 | $231.66 | 0.9× |
| Radex elbow complete minimum 3 views (73080) | $71.82 | $231.66 | 0.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $113.77 | $366.99 | 1.2× |
| Radex fingr minimum 2 views (73140) | $73.10 | $235.78 | 0.9× |
| Radex foot complete minimum 3 views (73630) | $86.75 | $279.83 | 1.1× |
| Radex Hand Minimum 3 Views (73130) | $73.10 | $235.78 | 0.9× |
| Radex lower extremity infant minimum 2 views (73592) | $86.75 | $279.83 | 1.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $88.69 | $286.08 | 0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $71.82 | $231.66 | 0.9× |
| Radex Ribs Unilateral 2 Views (71100) | $75.44 | $243.33 | 0.9× |
| Radex shoulder complete minimum 2 views (73030) | $91.46 | $295.01 | 1.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $71.82 | $231.66 | 0.9× |
| Radex Spine 1 View Specify Level (72020) | $47.52 | $153.28 | 0.6× |
| Radex Sternum Minimum 2 Views (71120) | $71.82 | $231.66 | 0.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $86.95 | $280.46 | 1.1× |
| Radex Toe Minimum 2 Views (73660) | $71.82 | $231.66 | 0.9× |
| Radex upper extremity infant minimum 2 views (73092) | $113.77 | $366.99 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $86.75 | $279.83 | 1.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $226.45 | $730.48 | 2.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $7,270.03 | $23,451.68 | 1.1× |
| Radiation treatment delivery level 1 (77402) | $279.97 | $903.11 | 2.9× |
| Radiation treatment delivery level 2 (77407) | $409.78 | $1,321.84 | 1.1× |
| Radiation treatment delivery level 3 (77412) | $480.18 | $1,548.96 | 0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $113.77 | $366.99 | 1.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $89.44 | $288.50 | 0.9× |
| Radiologic exam colon double contrast study (74280) | $364.55 | $1,175.96 | 2.2× |
| Radiologic exam colon single contrast study (74270) | $196.05 | $632.39 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) | $106.93 | $344.92 | 1.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $128.37 | $414.09 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $127.46 | $411.15 | 0.8× |
| Radiologic exam swallow function contrast study (74230) | $127.46 | $411.15 | 0.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $255.99 | $825.77 | 1.6× |
| Radiologic examination femur 1 view (73551) | $46.77 | $150.87 | 0.6× |
| Radiologic examination femur minimum 2 views (73552) | $82.02 | $264.57 | 1.0× |
| Radiologic examination knee 1/2 views (73560) | $92.35 | $297.89 | 1.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $113.77 | $366.99 | 1.2× |
| Radiologic Examination Salivary Gland Calculus (70380) | $71.82 | $231.66 | 0.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $86.75 | $279.83 | 1.1× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $228.49 | $737.05 | 0.4× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $830.86 | $2,680.19 | 2.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $623.15 | $2,010.15 | 1.7× |
| Ribs bilateral 3 views (71110) | $113.04 | $364.64 | 1.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $478.98 | $1,545.07 | 1.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $478.98 | $1,545.07 | 1.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,448.19 | $4,671.57 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $822.06 | $2,651.79 | 1.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $838.82 | $2,705.86 | 1.6× |
| Rp Therapy Intravenous Administration (79101) | $320.11 | $1,032.59 | 1.5× |
| Scapula (73010) | $71.82 | $231.66 | 0.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $22.85 | $73.69 | 1.0× |
| Sella turcica (70240) | $71.82 | $231.66 | 0.9× |
| Shoulder 1 view (73020) | $52.86 | $170.50 | 0.6× |
| Shoulder Arthrography (73040) | $424.63 | $1,369.77 | 1.3× |
| Sialogram (70390) | $397.81 | $1,283.25 | 1.8× |
| Skull less than 4 views (70250) | $93.75 | $302.40 | 1.0× |
| Special dosimetry (77331) | $222.87 | $718.92 | 1.8× |
| Special Physics Consult (77370) | $290.25 | $936.28 | 2.3× |
| Special teletherapy port plan (77321) | $509.73 | $1,644.29 | 1.5× |
| Spleen Imaging (78185) | $433.42 | $1,398.11 | 1.2× |
| Stereotactic Body Radiation Delivery (77373) | $2,908.02 | $9,380.68 | 1.7× |
| Sternoclavicular joints (71130) | $77.73 | $250.72 | 1.0× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $501.58 | $1,618 | 5.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $450.67 | $1,453.75 | 1.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $244.04 | $787.21 | 0.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $562.06 | $1,813.09 | 1.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $389.62 | $1,256.81 | 1.1× |
| Ther rad simulaj-aided field setting simple (77280) | $300.15 | $968.20 | 2.4× |
| Thoracic spine 2 views (72070) | $85.17 | $274.73 | 0.9× |
| Thoracic spine 3 views (72072) | $113.77 | $366.99 | 1.2× |
| Thoracolumbar 2 views (72080) | $77.33 | $249.44 | 0.9× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $478.98 | $1,545.07 | 1.3× |
| Thyroid Imaging With Vascular Flow (78013) | $229.50 | $740.31 | 0.6× |
| Thyroid Met Imaging Body (78018) | $588.59 | $1,898.67 | 1.2× |
| Thyroid Uptake Measurement (78012) | $175.72 | $566.81 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $359.06 | $1,158.23 | 1.0× |
| Tx Devices Design & Construction Complex (77334) | $592.74 | $1,912.05 | 1.7× |
| Tx devices design & construction intermediate (77333) | $352.08 | $1,135.71 | 2.8× |
| Tx devices design & construction simple (77332) | $267.16 | $861.80 | 2.1× |
| Ultrasound Breast Limited (76642) | $112.73 | $363.62 | 1.4× |
| Ultrasound elastography first target lesion (76982) | $68.20 | $219.98 | 0.7× |
| Ultrasound Exam Aaa Screen (76706) | $256.92 | $828.76 | 2.6× |
| Ultrasound, abdomen limited (76705) | $139.50 | $450 | 1.4× |
| Umbilical-artery Doppler (OB) (76820) | $181.65 | $585.94 | 1.9× |
| Unlisted magnetic resonance procedure (76498) | $56.37 | $181.82 | 0.7× |
| Upper gi w/o kub (74240) | $255.99 | $825.77 | 1.6× |
| Urethrocystogram voiding (74455) | $322.32 | $1,039.73 | 1.4× |
| Urethrocystography retrograde (74450) | $322.32 | $1,039.73 | 1.4× |
| Us breast unilateral complete (76641) | $164.41 | $530.34 | 1.7× |
| Us chest (76604) | $95.55 | $308.22 | 1.0× |
| Us complete joint (76881) | $335.44 | $1,082.04 | 3.4× |
| Us exam, pelvic, limited (76857) | $139.50 | $450 | 1.4× |
| Us head (76506) | $271.68 | $876.36 | 2.8× |
| Us kidney transplant (76776) | $329.06 | $1,061.48 | 3.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $139.50 | $450 | 1.4× |
| Us ob detailed single fetus (76811) | $609.42 | $1,965.86 | 2.7× |
| Us ob limited 1 or more fetuses (76815) | $282.02 | $909.74 | 2.9× |
| Us ob transvaginal (76817) | $139.50 | $450 | 1.4× |
| Us pelvic non ob complete (76856) | $321.67 | $1,037.63 | 3.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $139.50 | $450 | 1.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $225.58 | $727.67 | 2.3× |
| Us retroperitoneal complete (76770) | $232.31 | $749.38 | 2.4× |
| Us retroperitoneal limited (76775) | $240.22 | $774.89 | 2.4× |
| Us scrotum and contents (76870) | $375.26 | $1,210.49 | 3.8× |
| Us spinal canal and contents (76800) | $198.15 | $639.17 | 2.0× |
| Us thyroid (76536) | $240.22 | $774.89 | 2.4× |
| Us transrectal (76872) | $186.93 | $602.98 | 1.9× |
| Vascular Flow Imaging (78445) | $397.83 | $1,283.30 | 1.1× |
| Vein X-Ray Chest (75827) | $1,034.72 | $3,337.80 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $3,223.68 | $10,398.95 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $1,034.72 | $3,337.80 | 0.7× |
| Wrist 2 views (73100) | $73.10 | $235.78 | 0.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $71.82 | $231.66 | 0.9× |
| X-ray antegrade pyelogram tube (74425) | $322.32 | $1,039.73 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $151.89 | $489.96 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $71.82 | $231.66 | 0.9× |
| X-Ray Exam Breast Specimen (76098) | $403.09 | $1,300.28 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $71.72 | $231.33 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $118.92 | $383.59 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $212.33 | $684.91 | 2.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $71.82 | $231.66 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $87.50 | $282.24 | 1.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $118.78 | $383.15 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $124 | $400 | 1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $118.78 | $383.15 | 1.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $118.78 | $383.15 | 1.2× |
| X-Ray Exam L-S Spine Bending (72114) | $176.64 | $569.80 | 1.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $71.82 | $231.66 | 0.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $250.27 | $807.31 | 2.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $113.04 | $364.64 | 1.2× |
| X-ray humerus (73060) | $71.82 | $231.66 | 0.9× |
| X-ray IV pyelogram (ivp) (74400) | $255.99 | $825.77 | 1.6× |
| X-ray IV pyelogram+tomography (74415) | $322.32 | $1,039.73 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $71.82 | $231.66 | 0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $71.82 | $231.66 | 0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $87.80 | $283.20 | 0.9× |
| X-ray nose-rectum child f.b. (76010) | $84.91 | $273.90 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $64.95 | $209.50 | 0.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $78.35 | $252.72 | 0.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $71.82 | $231.66 | 0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $71.82 | $231.66 | 0.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $97.79 | $315.44 | 1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $113.77 | $366.99 | 1.2× |
| X-Ray Stress View (77071) | $93.75 | $302.40 | 1.1× |
| X-ray thoracic spine 4 vw (72074) | $115.47 | $372.48 | 1.2× |
| X-Ray Tmj Unilat (70328) | $71.82 | $231.66 | 0.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $322.32 | $1,039.73 | 1.0× |
| X-Rays Bone Length Studies (77073) | $86.22 | $278.10 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $169.76 | $547.59 | 1.7× |
| Xr c-spine 4 or 5 views (72050) | $219.69 | $708.66 | 2.2× |
| Xr facial bones less than 3 views (70140) | $71.82 | $231.66 | 0.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $71.82 | $231.66 | 0.7× |
| Xr orbits complete 4 views (70200) | $86.75 | $279.83 | 0.9× |
| Xr Tomogram Single Plane (76100) | $316.92 | $1,022.31 | 3.2× |