Imaging prices at Lake Butler Hospital
Lake Butler, FL · every code in this section with a posted price and a Medicare benchmark.
129 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 19 matching MRF lines |
$55.22–$500.08 | $55.22–$500.08 | varies |
| Abdomen 2 views (74019) range across 16 matching MRF lines |
$62.89–$637.60 | $62.89–$637.60 | varies |
| Ankle 2 views (73600) range across 26 matching MRF lines |
$50.62–$404.98 | $50.62–$404.98 | varies |
| Arthrogram Wrist (73115) | $53.69 | $53.69 | 0.1× |
| Chest 1 view (71045) range across 10 matching MRF lines |
$55.22–$448.40 | $55.22–$448.40 | varies |
| Chest 2 views (71046) range across 9 matching MRF lines |
$67.50–$525.10 | $67.50–$525.10 | varies |
| Clavicle complete (73000) range across 16 matching MRF lines |
$50.62–$559.91 | $50.62–$559.91 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,012.61 | $2,012.61 | 18.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 9 matching MRF lines |
$306.80–$4,897 | $306.80–$4,897 | varies |
| CT abdomen and pelvis without contrast (74176) range across 9 matching MRF lines |
$265.50–$3,717 | $265.50–$3,717 | varies |
| CT abdomen w contrast (74160) range across 9 matching MRF lines |
$377.36–$3,012.78 | $377.36–$3,012.78 | varies |
| CT abdomen w wo contrast (74170) range across 9 matching MRF lines |
$417.25–$3,020.45 | $417.25–$3,020.45 | varies |
| CT abdomen w/o contrast (74150) range across 9 matching MRF lines |
$352.82–$2,290.26 | $352.82–$2,290.26 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 9 matching MRF lines |
$362.26–$4,425 | $362.26–$4,425 | varies |
| CT Angio Chest (71275) range across 9 matching MRF lines |
$302.08–$3,587.20 | $302.08–$3,587.20 | varies |
| CT Angio Head (70496) range across 9 matching MRF lines |
$290.28–$3,068 | $290.28–$3,068 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 9 matching MRF lines |
$312.70–$2,183 | $312.70–$2,183 | varies |
| CT Angio Neck (70498) range across 9 matching MRF lines |
$290.28–$3,068 | $290.28–$3,068 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 9 matching MRF lines |
$312.70–$2,301 | $312.70–$2,301 | varies |
| CT bone density (77078) range across 9 matching MRF lines |
$179.48–$3,052.66 | $179.48–$3,052.66 | varies |
| CT cervical spine w/ contrast (72126) range across 9 matching MRF lines |
$360.49–$3,261.28 | $360.49–$3,261.28 | varies |
| CT cervical spine w/o contrast (72125) range across 9 matching MRF lines |
$343.62–$2,776.54 | $343.62–$2,776.54 | varies |
| CT cervical spine w/wo cont (72127) range across 9 matching MRF lines |
$377.36–$3,851.87 | $377.36–$3,851.87 | varies |
| CT chest w contrast (71260) range across 9 matching MRF lines |
$368.16–$2,428.32 | $368.16–$2,428.32 | varies |
| CT chest w/wo contrast (71270) range across 9 matching MRF lines |
$408.04–$2,857.84 | $408.04–$2,857.84 | varies |
| CT head/brain with contrast (70460) range across 9 matching MRF lines |
$337.48–$1,928.24 | $337.48–$1,928.24 | varies |
| CT head/brain without and with contrast (70470) range across 9 matching MRF lines |
$377.36–$2,567.92 | $377.36–$2,567.92 | varies |
| CT iac w contrast (70481) range across 9 matching MRF lines |
$408.04–$2,012.61 | $408.04–$2,012.61 | varies |
| CT l-spine w&w/o contrast (72133) range across 9 matching MRF lines |
$381.97–$3,885.62 | $381.97–$3,885.62 | varies |
| CT lower ext w/o (73700) range across 9 matching MRF lines |
$325.21–$1,725.75 | $325.21–$1,725.75 | varies |
| CT lower extremity w/contrast material (73701) range across 9 matching MRF lines |
$343.62–$2,004.94 | $343.62–$2,004.94 | varies |
| CT lumbar spine w contrast (72132) range across 9 matching MRF lines |
$365.09–$3,052.66 | $365.09–$3,052.66 | varies |
| CT lumbar spine w/o contrast (72131) range across 9 matching MRF lines |
$343.62–$2,776.54 | $343.62–$2,776.54 | varies |
| CT maxillofacial w contrast (70487) range across 18 matching MRF lines |
$386.57–$1,985 | $386.57–$1,985 | varies |
| CT maxillofacial wo contrast (70486) range across 18 matching MRF lines |
$339.01–$1,679.73 | $339.01–$1,679.73 | varies |
| CT neck tissue combo (70492) range across 9 matching MRF lines |
$431.05–$2,428.32 | $431.05–$2,428.32 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 9 matching MRF lines |
$431.05–$2,428.32 | $431.05–$2,428.32 | varies |
| CT orbits w/o contrast (70480) range across 9 matching MRF lines |
$381.97–$1,734.95 | $381.97–$1,734.95 | varies |
| CT pelvis w&w/o contrast (72194) range across 9 matching MRF lines |
$360.49–$3,017.38 | $360.49–$3,017.38 | varies |
| CT pelvis w/o contrast (72192) range across 9 matching MRF lines |
$325.21–$2,428.32 | $325.21–$2,428.32 | varies |
| CT scan of leg combo (73702) range across 15 matching MRF lines |
$360.49–$2,428.32 | $360.49–$2,428.32 | varies |
| CT scans face/jaw combo (70488) range across 17 matching MRF lines |
$421.85–$2,428.32 | $421.85–$2,428.32 | varies |
| CT soft tissue neck w contrast (70491) range across 9 matching MRF lines |
$408.04–$2,018.74 | $408.04–$2,018.74 | varies |
| CT soft tissue neck w/o contrast (70490) range across 9 matching MRF lines |
$381.97–$1,734.95 | $381.97–$1,734.95 | varies |
| CT thoracic spine w contrast (72129) range across 9 matching MRF lines |
$360.49–$2,776.54 | $360.49–$2,776.54 | varies |
| CT thoracic spine w/o contrast (72128) range across 9 matching MRF lines |
$343.62–$2,400.71 | $343.62–$2,400.71 | varies |
| CT thoracic spine w/wo cont (72130) range across 9 matching MRF lines |
$377.36–$3,851.87 | $377.36–$3,851.87 | varies |
| CT thorax w/o contrast (71250) range across 9 matching MRF lines |
$343.62–$2,012.61 | $343.62–$2,012.61 | varies |
| CT upper ext wo (73200) range across 9 matching MRF lines |
$325.21–$1,734.95 | $325.21–$1,734.95 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 9 matching MRF lines |
$368.16–$2,414.52 | $368.16–$2,414.52 | varies |
| CT upper extremity with contrast (73201) range across 9 matching MRF lines |
$343.62–$2,012.61 | $343.62–$2,012.61 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 9 matching MRF lines |
$362.26–$2,212.50 | $362.26–$2,212.50 | varies |
| Cta Abdomen (74175) range across 9 matching MRF lines |
$336.30–$3,717 | $336.30–$3,717 | varies |
| CTA pelvis (72191) range across 9 matching MRF lines |
$298.54–$2,428.32 | $298.54–$2,428.32 | varies |
| Echograp Trans R Pros Study (76873) | $245.44 | $245.44 | 2.2× |
| Fluoroscopy up to 1 hr (76000) | $1,274.75 | $1,274.75 | 5.1× |
| Forearm 2 views (73090) range across 16 matching MRF lines |
$50.62–$559.32 | $50.62–$559.32 | varies |
| Joint Survey Single View (77077) | $1,368.33 | $1,368.33 | 12.5× |
| Knee 3 Views (73562) range across 16 matching MRF lines |
$59.83–$633.54 | $59.83–$633.54 | varies |
| Neck soft tissue (70360) range across 16 matching MRF lines |
$53.69–$360.49 | $53.69–$360.49 | varies |
| Pelvis 1 or 2 views (72170) range across 16 matching MRF lines |
$53.69–$475.54 | $53.69–$475.54 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 9 matching MRF lines |
$95.11–$776.20 | $95.11–$776.20 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 26 matching MRF lines |
$53.69–$474.01 | $53.69–$474.01 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 26 matching MRF lines |
$50.62–$437.19 | $50.62–$437.19 | varies |
| Radex elbow complete minimum 3 views (73080) range across 26 matching MRF lines |
$53.69–$415.71 | $53.69–$415.71 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 16 matching MRF lines |
$101.24–$559.91 | $101.24–$559.91 | varies |
| Radex fingr minimum 2 views (73140) range across 16 matching MRF lines |
$42.95–$404.98 | $42.95–$404.98 | varies |
| Radex foot complete minimum 3 views (73630) range across 16 matching MRF lines |
$53.69–$466.34 | $53.69–$466.34 | varies |
| Radex Hand Minimum 3 Views (73130) range across 17 matching MRF lines |
$53.69–$466.34 | $53.69–$466.34 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $53.69 | $53.69 | 0.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 12 matching MRF lines |
$113.52–$687.23 | $113.52–$687.23 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 22 matching MRF lines |
$61.36–$559.91 | $61.36–$559.91 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 16 matching MRF lines |
$59.83–$520.03 | $59.83–$520.03 | varies |
| Radex Spine 1 View Specify Level (72020) range across 16 matching MRF lines |
$44.49–$223.96 | $44.49–$223.96 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 16 matching MRF lines |
$59.83–$437.19 | $59.83–$437.19 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 11 matching MRF lines |
$72.10–$506.22 | $72.10–$506.22 | varies |
| Radex Toe Minimum 2 Views (73660) range across 11 matching MRF lines |
$42.95–$404.98 | $42.95–$404.98 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 11 matching MRF lines |
$53.69–$532.30 | $53.69–$532.30 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $42.95 | $42.95 | 0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 16 matching MRF lines |
$76.70–$621.27 | $76.70–$621.27 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 16 matching MRF lines |
$62.89–$343.20 | $62.89–$343.20 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 16 matching MRF lines |
$79.77–$844.73 | $79.77–$844.73 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $205.56 | $205.56 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) range across 16 matching MRF lines |
$53.69–$559.91 | $53.69–$559.91 | varies |
| Radiologic examination knee 1/2 views (73560) range across 11 matching MRF lines |
$55.22–$437.19 | $55.22–$437.19 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 11 matching MRF lines |
$53.69–$559.91 | $53.69–$559.91 | varies |
| Scapula (73010) range across 16 matching MRF lines |
$53.69–$466.34 | $53.69–$466.34 | varies |
| Skull less than 4 views (70250) range across 16 matching MRF lines |
$72.10–$559.91 | $72.10–$559.91 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) | $72.10 | $72.10 | 0.3× |
| Thoracic spine 2 views (72070) range across 11 matching MRF lines |
$67.50–$653.48 | $67.50–$653.48 | varies |
| Thoracic spine 3 views (72072) | $67.50 | $67.50 | 0.6× |
| Thoracolumbar 2 views (72080) range across 4 matching MRF lines |
$42.95–$2,831 | $42.95–$2,831 | varies |
| Ultrasound Breast Limited (76642) range across 12 matching MRF lines |
$191.75–$409.50 | $191.75–$409.50 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 5 matching MRF lines |
$245.44–$997.10 | $245.44–$997.10 | varies |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
$245.44–$803.82 | $245.44–$803.82 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $546.34 | $546.34 | 6.0× |
| Us breast unilateral complete (76641) range across 11 matching MRF lines |
$191.75–$529.82 | $191.75–$529.82 | varies |
| Us chest (76604) range across 9 matching MRF lines |
$253.11–$467.87 | $253.11–$467.87 | varies |
| Us complete joint (76881) range across 9 matching MRF lines |
$230.10–$843.70 | $230.10–$843.70 | varies |
| Us exam, pelvic, limited (76857) range across 9 matching MRF lines |
$253.11–$498.55 | $253.11–$498.55 | varies |
| Us ob transvaginal (76817) range across 9 matching MRF lines |
$208.62–$1,012.44 | $208.62–$1,012.44 | varies |
| Us pelvic non ob complete (76856) range across 12 matching MRF lines |
$208.62–$1,010.91 | $208.62–$1,010.91 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 9 matching MRF lines |
$352.82–$452.53 | $352.82–$452.53 | varies |
| Us retroperitoneal complete (76770) range across 24 matching MRF lines |
$179.48–$1,010.91 | $179.48–$1,010.91 | varies |
| Us retroperitoneal limited (76775) range across 9 matching MRF lines |
$230.10–$536.90 | $230.10–$536.90 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$245.44–$575.25 | $245.44–$575.25 | varies |
| Us thyroid (76536) range across 9 matching MRF lines |
$167.21–$921.93 | $167.21–$921.93 | varies |
| Us transrectal (76872) | $245.44 | $245.44 | 2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 32 matching MRF lines |
$55.22–$466.34 | $55.22–$466.34 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 10 matching MRF lines |
$42.95–$415.71 | $42.95–$415.71 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $42.95 | $42.95 | 0.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $42.95 | $42.95 | 0.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 16 matching MRF lines |
$67.50–$665.52 | $67.50–$665.52 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 9 matching MRF lines |
$135–$1,200 | $135–$1,200 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 16 matching MRF lines |
$67.50–$532.30 | $67.50–$532.30 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 16 matching MRF lines |
$84.37–$592.12 | $84.37–$592.12 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 16 matching MRF lines |
$81.30–$559.91 | $81.30–$559.91 | varies |
| X-ray humerus (73060) range across 16 matching MRF lines |
$53.69–$512.36 | $53.69–$512.36 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $55.22 | $55.22 | 0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 16 matching MRF lines |
$70.56–$621.27 | $70.56–$621.27 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 15 matching MRF lines |
$95.11–$823.76 | $95.11–$823.76 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 16 matching MRF lines |
$59.83–$500.08 | $59.83–$500.08 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 16 matching MRF lines |
$53.69–$592.12 | $53.69–$592.12 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 16 matching MRF lines |
$76.70–$701.04 | $76.70–$701.04 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 18 matching MRF lines |
$101.24–$770.07 | $101.24–$770.07 | varies |
| X-ray thoracic spine 4 vw (72074) | $67.50 | $67.50 | 0.6× |
| Xr c-spine 4 or 5 views (72050) range across 16 matching MRF lines |
$95.11–$423.38 | $95.11–$423.38 | varies |
| Xr facial bones less than 3 views (70140) | $59.83 | $59.83 | 0.7× |
| Xr orbits complete 4 views (70200) range across 16 matching MRF lines |
$84.37–$523.09 | $84.37–$523.09 | varies |
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.