Imaging prices at Jupiter Medical Center

Jupiter, FL · every code in this section with a posted price and a Medicare benchmark.

334 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $5,443 $5,443 3.8×
Abdomen 2 views (74019) $677 $677 6.2×
Acute gi blood loss imaging (78278) $1,386 $1,386 3.3×
Angio Adrenal Bilat Select (75733) $4,843.50 $4,843.50 1.5×
Angiography extremity bilateral rs&i (75716) $3,757 $3,757 1.1×
Angiography extremity unilateral rs&i (75710) $3,757 $3,757 1.1×
Angiography pelvic slctv/supraslctv rs&i (75736) $5,292 $5,292 0.9×
Angiography pulmonary bilateral slctv rs&i (75743) $5,133 $5,133 1.6×
Angiography pulmonary unilateral slctv rs&i (75741) $8,930 $8,930 2.7×
Angiography Spinal Selective Rs&I (75705) $6,092 $6,092 1.0×
Angiography visceral slctv/supraslctv rs&i (75726) $5,292 $5,292 0.9×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $4,041 $4,041 1.2×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $4,025 $4,025 1.2×
Ankle 2 views (73600) $390 $390 4.3×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $3,240 $3,240 1.0×
Aortography abdominal serialography rs&i (75625) $3,240 $3,240 1.0×
Aortography Thoracic W/O Serialography Rs&I (75600) $15,797 $15,797 4.8×
Artery X-Rays Adrenal Gland (75731) $4,025 $4,025 1.2×
Arthrogram ankle (73615) $556 $556 1.5×
Arthrogram elbow (73085) $496 $496 1.4×
Arthrogram hip (73525) $463 $463 1.3×
Arthrogram knee (73580) $556 $556 1.5×
Arthrogram shoulder (73040) $556 $556 1.5×
Arthrogram wrist (73115) $463 $463 1.3×
Basic dosimetry (77300) $1,209 $1,209 8.6×
Bone &/Joint Imaging Limited Area (78300) $1,593 $1,593 3.8×
Bone &/joint imaging whole body (78306) $2,463 $2,463 5.9×
Bone age studies (77072) $495 $495 4.5×
Bone Imaging 3 Phase (78315) $1,556 $1,556 3.7×
Bone survey complete (77075) $501 $501 4.6×
Bone survey infant (77076) $501 $501 4.6×
Bowel imaging (78290) $1,338 $1,338 3.2×
Brachytx isodose complex (77318) $2,537 $2,537 6.5×
Brachytx isodose intermed (77317) $2,108 $2,108 5.4×
Brachytx isodose pln smpl w/dosimetry cal (77316) $1,497 $1,497 3.8×
Brain Imaging Pet Metabolic Evaluation (78608) $4,472 $4,472 3.0×
Brain Imaging Vascular Flow Only (78610) $1,101 $1,101 1.9×
Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) $2,198 $2,198 5.3×
Cardiac MRI w/w/o contrast & further seq (75561) $3,666 $3,666 10.1×
Cervical spine 2 or 3 views (72040) $501 $501 5.5×
Chest 1 view (71045) $943.50 $943.50 10.4×
Chest xray 3 views (71047) $1,003 $1,003 11.0×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $501 $501 2.7×
Cineradiography/videoradiography (76120) $486 $486 4.5×
Cisternography Positive Contrast Rs&I (70015) $12,631 $12,631 15.4×
Clavicle complete (73000) $535 $535 5.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,510 $1,510 13.8×
Continuing medical physics consltj pr wk (77336) $1,449 $1,449 10.3×
CT abdomen and pelvis without and with contrast (74178) $1,242 $1,242 3.4×
CT abdomen and pelvis without contrast (74176) $1,242 $1,242 5.0×
CT abdomen w contrast (74160) $1,242 $1,242 6.8×
CT abdomen w wo contrast (74170) $1,242 $1,242 6.8×
CT abdomen w/o contrast (74150) $1,242 $1,242 11.4×
CT angio hrt w/3d image (75574) $1,639 $1,639 4.5×
CT angio lwr extr w/o&w/dye (73706) $1,863 $1,863 10.2×
CT angiography upper extremity lt (73206) $1,242 $1,242 6.8×
CT c-spine w/contrast (72126) $1,242 $1,242 3.4×
CT c-spine w/o contrast (72125) $1,242 $1,242 11.4×
CT cervical spine w&w/o contrast (72127) $1,242 $1,242 6.8×
CT chest w contrast (71260) $1,242 $1,242 6.8×
CT chest w/wo contrast (71270) $1,242 $1,242 6.8×
CT colonography screening (74263) $935 $935 3.8×
CT colonography w/o cntrst (74261) $935 $935 8.6×
CT head/brain with contrast (70460) $1,242 $1,242 6.8×
CT head/brain without and with contrast (70470) $1,242 $1,242 6.8×
CT heart contrast eval cardiac structure&morph (75572) $1,639 $1,639 4.5×
CT heart w/o contrast quant eval coronary calcium (75571) $1,480 $1,480 16.3×
CT iac w contrast (70481) $1,242 $1,242 6.8×
CT lower ext w/o (73700) $1,242 $1,242 11.4×
CT lower extremity w/contrast material (73701) $1,242 $1,242 6.8×
CT lumbar spine w & w/o contrast (72133) $1,242 $1,242 6.8×
CT lumbar spine w/contrast (72132) $1,242 $1,242 3.4×
CT lumbar spine w/o contrast (72131) $1,242 $1,242 11.4×
CT maxillofacial w contrast (70487) $1,196 $1,196 6.5×
CT maxillofacial wo contrast (70486) $1,196 $1,196 11.0×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,150 $1,150 6.3×
CT orbits w/o contrast (70480) $1,196 $1,196 11.0×
CT pelvis w/o contrast (72192) $1,242 $1,242 11.4×
CT pelvis w/wo contrast (72194) $1,242 $1,242 6.8×
CT soft tissue neck w contrast (70491) $1,242 $1,242 6.8×
CT soft tissue neck w/o & w/contrast material (70492) $1,242 $1,242 6.8×
CT soft tissue neck w/o contrast (70490) $1,242 $1,242 11.4×
CT thoracic spine w/contrast (72129) $1,242 $1,242 6.8×
CT thoracic spine w/o contrast (72128) $1,242 $1,242 11.4×
CT thorax w/o contrast (71250) $1,242 $1,242 11.4×
CT unlisted procedure (76497) $1,610 $1,610 17.7×
CT upper ext wo (73200) $1,242 $1,242 11.4×
CT upper extremity with contrast (73201) $1,242 $1,242 3.4×
Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) $1,242 $1,242 6.8×
Cta Abdomen (74175) $1,242 $1,242 6.8×
CTA abdomen pelvis (74174) $1,242 $1,242 3.4×
CTA chest (71275) $1,242 $1,242 6.8×
Cta Head (70496) $1,242 $1,242 6.8×
Cta Neck (70498) $1,242 $1,242 6.8×
Cta Pelvis (72191) $1,242 $1,242 6.8×
Cystography minimum 3 views rs&i (74430) $748 $748 2.1×
Diskography lumbar (72295) $2,054 $2,054 1.0×
Dxa bone density study 1/> sites axial skel (77080) $617 $617 5.7×
Dxa bone density study axial skeleton (77085) $486 $486 4.5×
Esophagus (74220) $613 $613 3.3×
Facial bones min 3 views (70150) $763 $763 7.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,920 $1,920 17.6×
Fluoroscopy up to 1 hr (76000) $643 $643 2.6×
Foot 2 views (73620) $508 $508 5.6×
Forearm 2 views (73090) $501 $501 5.5×
Hand 2 views (73120) $501 $501 4.6×
Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) $7,673 $7,673 10.5×
Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) $7,794 $7,794 10.7×
Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) $7,916 $7,916 10.9×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $3,307 $3,307 1.0×
Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) $4,308 $4,308 1.3×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,128.50 $1,128.50 2.0×
Hysterosalpingogram (74740) $1,672 $1,672 6.7×
Intracavitary Radiation Source Applic Complex (77763) $13,581.40 $13,581.40 18.7×
Intracavitary Radiation Source Applic Intermed (77762) $21,588.70 $21,588.70 37.4×
Intracavitary Radiation Source Applic Simple (77761) $23,494.05 $23,494.05 40.7×
Intraop radiaj tx deliver electrons sngl tx sess (77425) $21,887 $21,887 2.8×
Kidney img morphology vascular flow 1 w/rx (78708) $1,507 $1,507 2.7×
Knee 3 views (73562) $501 $501 5.5×
Liver & spleen imaging static only (78215) $1,820 $1,820 4.4×
Liver imaging static only (78201) $3,986 $3,986 7.0×
Lung perf&ventilat diferentl (78598) $1,108 $1,108 2.0×
Lung perfusion differential (78597) $730 $730 1.7×
Lymphoscintigraphy (78195) $666 $666 1.2×
Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) $1,476 $1,476 1.8×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) $1,419 $1,419 3.9×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) $1,533 $1,533 4.2×
Mlc imrt design & construction per imrt plan (77338) $632 $632 1.6×
Mr safety determination physician/other qhp (76016) $354 $354 3.9×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $98 $98 3.2×
Mr safety implt electronics prepj supvj phys/qhp (76018) $369 $369 3.7×
Mr safety implt pos&/immoblj (76019) $238 $238 3.9×
Mr safety med physics xm customization plng&mntr (76017) $971 $971 3.9×
MRA head w & w/o contrast (70546) $1,533 $1,533 4.2×
MRA head w/o contrast (70544) $1,533 $1,533 6.2×
MRA head with contrast (70545) $1,533 $1,533 4.2×
MRA neck w contrast (70548) $1,533 $1,533 4.2×
Mra Neck W/O &W/Contrast Material (70549) $1,533 $1,533 4.2×
MRA neck w/o contrast (70547) $1,533 $1,533 6.2×
MRI abdomen w contrast (74182) $1,533 $1,533 4.2×
MRI abdomen w/o & w/contrast material (74183) $1,533 $1,533 4.2×
MRI abdomen w/o contrast (74181) $1,533 $1,533 6.2×
MRI any jt lower extrem w/contrast material (73722) $1,419 $1,419 1.7×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,300 $2,300 6.3×
MRI breast w/o contrast bilateral (77047) $2,300 $2,300 9.2×
MRI breast wo contrast unilateral (77046) $1,533 $1,533 6.2×
MRI c-spine with contrast (72142) $1,533 $1,533 4.2×
MRI cardiac w/o contrast (75557) $4,024 $4,024 16.1×
MRI cervical spine w/o contrast (72141) $1,533 $1,533 6.2×
MRI chest w/o & w/contrast material (71552) $1,533 $1,533 4.2×
MRI chest w/o contrast (71550) $1,533 $1,533 6.2×
MRI chest with contrast (71551) $1,419 $1,419 1.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,419 $1,419 3.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,300 $2,300 6.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,300 $2,300 9.2×
MRI orbit face &/neck w/o contrast (70540) $1,476 $1,476 5.9×
MRI orbit face neck w contrast (70542) $1,533 $1,533 4.2×
MRI orbit/face/neck w&w/o cont (70543) $1,476 $1,476 4.1×
MRI pelvis w/contrast (72196) $1,533 $1,533 4.2×
MRI pelvis w/o & w/contrast material (72197) $1,533 $1,533 4.2×
MRI pelvis w/o contrast (72195) $1,533 $1,533 6.2×
MRI spectroscopy (76390) $5,470 $5,470 60.2×
MRI spinal canal cervical w/o & w/contr matrl (72156) $1,533 $1,533 4.2×
MRI spinal canal lumbar w/contrast material (72149) $1,533 $1,533 4.2×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $1,533 $1,533 4.2×
MRI spinal canal thoracic w/contrast matrl (72147) $1,533 $1,533 4.2×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,533 $1,533 4.2×
MRI temporomandibular joint (70336) $1,533 $1,533 6.2×
MRI thoracic spine w/o contrast (72146) $1,533 $1,533 6.2×
MRI up ext w/o contrast (73218) $1,533 $1,533 6.2×
MRI upper ext joint w/o contrast (73221) $2,300 $2,300 9.2×
MRI, joint upper extrem combo (73223) $1,533 $1,533 4.2×
Myocardial Spect Multiple Studies (78452) $1,556 $1,556 1.2×
Myocardial spect single study at rest or stress (78451) $6,525 $6,525 4.8×
N-invas est c ffr sw aly CTA (75580) $2,152 $2,152 2.4×
Neck soft tissue (70360) $519 $519 5.7×
Nm cisternogram (78630) $1,616 $1,616 2.9×
Nm gastric emptying study (78264) $1,654 $1,654 4.0×
Nm kidney scan w/flow (78701) $8,027 $8,027 19.2×
Nonvascular shunt X-ray (75809) $626 $626 5.7×
Ntsty modul radthx pln dose-vol histos (77301) $5,139 $5,139 3.6×
Nuclear Rx Oral Admin (79005) $1,788 $1,788 7.3×
Osseous survey limited (77074) $1,308 $1,308 12.0×
Parathyroid Planar Imaging (78070) $1,398 $1,398 3.3×
Pelvis 1 or 2 views (72170) $501 $501 4.6×
PET image w/CT, skull-thigh (78815) $4,644 $4,644 3.1×
PET imaging CT for attenuation limited area (78814) $4,644 $4,644 3.1×
PET imaging for CT attenuation whole body (78816) $4,644 $4,644 3.1×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $3,307 $3,307 1.0×
Prq transhepatc portograpy w/o hemodyn evl intrp (75887) $4,025 $4,025 1.2×
Pulmonary Perfusion Imaging Particulate (78580) $1,791 $1,791 4.3×
Pulmonary Ventilation & Perfusion Imaging (78582) $948 $948 1.7×
Radex abscess/fistula/sinus tract rs&i (76080) $796 $796 1.4×
Radex Ankle Compl Minimum 3 Views (73610) $501 $501 5.5×
Radex Calcaneus Minimum 2 Views (73650) $518 $518 5.7×
Radex Elbw Compl Minimum 3 Views (73080) $501 $501 5.5×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $722 $722 7.9×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $722 $722 6.6×
Radex fingr minimum 2 views (73140) $502 $502 5.5×
Radex Foot Compl Minimum 3 Views (73630) $532 $532 5.9×
Radex Hand Minimum 3 Views (73130) $501 $501 5.5×
Radex Hip Unilateral With Pelvis 1 View (73501) $501 $501 5.5×
Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) $751 $751 6.9×
Radex Hips Bilateral With Pelvis 2 Views (73521) $750 $750 6.9×
Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) $1,125 $1,125 10.3×
Radex Humerus Minimum 2 Views (73060) $550 $550 6.1×
Radex Kne 1/2 Views (73560) $501 $501 5.5×
Radex Kne Compl 4/More Views (73564) $501 $501 4.6×
Radex Mndbl Compl Minimum 4 Views (70110) $501 $501 4.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $646 $646 7.1×
Radex Pelvis Compl Minimum 3 Views (72190) $501 $501 4.6×
Radex Sho Compl Minimum 2 Views (73030) $603 $603 6.6×
Radex Sinuses Paransl < 3 Views (70210) $430 $430 4.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $1,280 $1,280 14.1×
Radex Toe Minimum 2 Views (73660) $498 $498 5.5×
Radex upper extremity infant minimum 2 views (73092) $360 $360 3.3×
Radex Wrst Compl Minimum 3 Views (73110) $645 $645 7.1×
Radiation Delivery Stereotactic Cranial Linear (77372) $20,778 $20,778 2.7×
Radiation treatment delivery level 1 (77402) $922 $922 8.7×
Radiation treatment delivery level 2 (77407) $1,156 $1,156 2.9×
Radiation treatment delivery level 3 (77412) $4,088 $4,088 7.1×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $468 $468 5.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $599 $599 5.5×
Radiologic exam chest 2 views (71046) $601.50 $601.50 6.6×
Radiologic exam colon single contrast study (74270) $501 $501 2.7×
Radiologic exam upr gi trc double contrast study (74246) $501 $501 2.7×
Radiologic exam upr gi trc single contrast study (74240) $501 $501 2.7×
Radiologic examination femur 1 view (73551) $501 $501 5.5×
Radiologic examination tibia & fibula 2 views (73590) $501 $501 5.5×
Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) $859 $859 7.9×
Radiological examination surgical specimen (76098) $648 $648 1.1×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) $1,421 $1,421 3.5×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) $997 $997 2.5×
Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) $1,295 $1,295 3.1×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $2,217 $2,217 3.9×
Rp loclzj tum plnr whole body single day imaging (78802) $3,024 $3,024 5.3×
Rp loclzj tum spect 1 area single day imaging (78803) $3,024 $3,024 5.3×
Rp therapy intra-arterial particulate admn (79445) $589 $589 2.4×
Scapula (73010) $681 $681 6.2×
Screening Digital Breast Tomosynthesis Bi (77063) $87 $87 3.7×
Shoulder 1 view (73020) $490 $490 5.4×
Simulation intermediate (77285) $1,029 $1,029 2.6×
Small bowel series (74250) $501 $501 2.7×
Spec telethx port pln parts hemibdy tot bdy (77321) $1,023 $1,023 2.6×
Special dosimetry (77331) $476 $476 3.4×
Special Physics Consult (77370) $816 $816 5.8×
Special treatment procedure (77470) $3,984 $3,984 6.9×
Spine thoracic 3 views (72072) $501 $501 4.6×
Stereotactic Body Radiation Delivery (77373) $18,778 $18,778 10.1×
Tbs technical calculation only (77091) $278 $278 3.1×
Telethx isodose pln cplx w/basic dosimetry (77307) $2,448 $2,448 6.3×
Ther rad simulaj-aided field setting complex (77290) $4,730 $4,730 12.1×
Ther rad simulaj-aided field setting simple (77280) $2,866 $2,866 20.4×
Thoracolumbar 2 views (72080) $501 $501 5.5×
Thyroid carcinoma metastases img whole body (78018) $1,221 $1,221 2.2×
Thyroid uptake measurement (78012) $685 $685 1.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,104 $1,104 2.6×
Treatment device complex (77334) $3,639 $3,639 9.3×
Treatment device intermediate (77333) $753 $753 5.4×
Treatment devices simple (77332) $551 $551 3.9×
Ultrasound breast complete (76641) $765 $765 7.0×
Ultrasound Exam Aaa Screen (76706) $535 $535 4.9×
Ultrasound, abdomen limited (76705) $1,096 $1,096 10.0×
Umbilical-artery Doppler (OB) (76820) $297 $297 2.7×
Unlisted Diagnostic Radiographic Procedure (76499) $139 $139 1.5×
Unlisted magnetic resonance procedure (76498) $2,312 $2,312 25.4×
Unlisted ultrasound procedure (76999) $367 $367 4.0×
Urethrocystogram voiding (74455) $1,257 $1,257 5.0×
Urethrocystography retrograde rs&i (74450) $501 $501 2.0×
Us breast unilateral limited (76642) $730 $730 8.0×
Us chest (76604) $656 $656 6.0×
Us compl joint r-t w/image documentation (76881) $663 $663 6.1×
Us elastography parenchyma (76981) $234 $234 2.1×
Us encephalogram (76506) $818 $818 7.5×
Us hips infant static (76886) $486 $486 5.3×
Us infant hips w manipulation (76885) $947 $947 10.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $730 $730 6.7×
Us ob detailed single fetus (76811) $972 $972 3.9×
Us ob limited (76815) $547 $547 5.0×
Us ob transvaginal (76817) $953 $953 8.7×
Us pelvic non ob complete (76856) $601 $601 5.5×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $730 $730 6.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $601 $601 5.5×
Us retroperitoneal complete (76770) $865.50 $865.50 7.9×
Us retroperitoneal limited (76775) $898 $898 8.2×
Us scrotum and contents (76870) $877 $877 8.0×
Us soft tissue head/neck (76536) $735 $735 6.7×
Us spinal canal and contents (76800) $803 $803 7.4×
Us transrectal (76872) $948 $948 8.7×
Us,transplanted kidney, real time/ doppler (76776) $776 $776 7.1×
Venogram extremity bilateral (75822) $2,647 $2,647 1.6×
Venogram Extremity Unilateral (75820) $1,779 $1,779 1.1×
Venography caval inferior serialography rs&i (75825) $3,024 $3,024 0.9×
Venography caval superior serialography rs&i (75827) $1,779 $1,779 1.1×
Venography Renal Bilateral (75833) $4,107 $4,107 1.2×
Venography renal unilateral selective rs&i (75831) $4,107 $4,107 1.2×
Venography venous sinus/jugular cath rs&i (75860) $3,024 $3,024 0.9×
Venous sampling by catheter (75893) $6,506 $6,506 1.1×
Vertebral fracture assessment via dxa (77086) $175 $175 1.9×
Wrist 2 views (73100) $695 $695 7.6×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $668 $668 6.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $341 $341 3.8×
X-ray b.e. reductn intuss (74283) $501 $501 2.7×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $501 $501 2.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $501 $501 5.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $501 $501 5.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $751 $751 6.9×
X-ray exam of femur 2/> (73552) $501 $501 5.5×
X-ray eye for foreign body (70030) $1,046 $1,046 11.5×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $574 $574 6.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $396 $396 4.4×
X-ray leg, infant (73592) $363 $363 4.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $501 $501 4.6×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $501 $501 4.6×
X-ray nose-rectum child f.b. (76010) $296.50 $296.50 3.3×
X-ray optic foramen (70190) $185 $185 2.0×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $501 $501 4.6×
X-ray retrograde pyelogram (74420) $660 $660 1.8×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $524 $524 4.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $594 $594 5.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $613 $613 5.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $667 $667 7.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $598 $598 6.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $501 $501 4.6×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $623 $623 5.7×
X-Ray Spine One View - Xr Spine (72020) $501 $501 5.5×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $369 $369 4.1×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $596 $596 6.6×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $501 $501 4.6×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $501 $501 4.6×
Xr bone length studies (77073) $539 $539 4.9×
Xr c-spine 4 or 5 views (72050) $501 $501 4.6×
Xr c-spine 6 or more views (72052) $501 $501 4.6×
Xr chest 4+ views (71048) $1,117 $1,117 10.2×