Imaging prices at Lakeland Regional Medical Center
Lakeland, FL · every code in this section with a posted price and a Medicare benchmark.
278 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) | $1,502 | $7,509 | 1.0× |
| Abdomen 1 View (74018) | $158 | $792 | 1.7× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$119–$207 | $594–$1,035 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $787 | $3,935 | 1.9× |
| Angio internal mammary (75756) | $206 | $1,028 | 0.1× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$635–$644 | $3,174–$3,218 | varies |
| Angiography extremity bilateral rs&i (75716) | $1,891 | $9,455 | 0.6× |
| Angiography extremity unilateral rs&i (75710) | $1,476 | $7,378 | 0.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $644 | $3,218 | 0.2× |
| Ankle 2 views (73600) | $154 | $769 | 1.7× |
| Aortography thoracic serialography rs&i (75605) | $4,414 | $22,071 | 0.8× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,321 | $6,603 | 0.2× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,073 | $5,365 | 0.2× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,321 | $6,603 | 0.2× |
| Arthrogram hip (73525) | $157 | $784 | 0.4× |
| Basic radiation dosimetry calculation (77300) | $196 | $980 | 1.4× |
| Bone age studies (77072) | $118 | $590 | 1.1× |
| Bone Imaging 3 Phase (78315) | $596 | $2,981 | 1.4× |
| Bone Imaging Whole Body (78306) | $763 | $3,816 | 1.8× |
| Bone survey infant (77076) | $135 | $675 | 1.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $620 | $3,101 | 1.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,509 | $7,547 | 4.1× |
| Cat Scan Follow-Up Study (76380) | $72 | $361 | 0.8× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$138–$147 | $690–$733 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$146–$150 | $731–$750 | varies |
| Chest 3 views (71047) | $212 | $1,058 | 2.3× |
| Clavicle complete (73000) | $148 | $742 | 1.6× |
| Continuing medical physics consltj pr wk (77336) | $154 | $768 | 1.1× |
| Contrast Exam Abdominl Aorta (75625) | $1,610 | $8,050 | 0.5× |
| Contrast X-Ray Bladder (74430) | $325 | $1,626 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) | $2,778 | $13,892 | 7.6× |
| CT abdomen and pelvis without contrast (74176) | $2,008 | $10,039 | 8.1× |
| CT abdomen w contrast (74160) | $1,207 | $6,036 | 6.6× |
| CT abdomen w wo contrast (74170) | $2,227 | $11,134 | 12.2× |
| CT abdomen w/o contrast (74150) | $1,019 | $5,096 | 9.3× |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$1,113–$2,778 | $5,567–$13,892 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,294 | $6,469–$6,470 | 7.1× |
| CT Angio Head (70496) range across 4 matching MRF lines |
$438–$1,252 | $2,192–$6,259 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$287–$311 | $1,434–$1,554 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$514–$1,546 | $2,569–$7,731 | varies |
| CT Angio Neck (70498) | $1,230 | $6,148 | 6.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $773 | $3,867 | 4.2× |
| CT cervical spine w/ contrast (72126) | $1,223 | $6,113 | 3.4× |
| CT cervical spine w/o contrast (72125) | $1,154 | $5,768 | 10.6× |
| CT cervical spine w/wo cont (72127) | $2,376 | $11,880 | 13.0× |
| CT chest w contrast (71260) range across 5 matching MRF lines |
$1,167 | $5,834–$5,835 | 6.4× |
| CT chest w/wo contrast (71270) | $2,475 | $12,374 | 13.5× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$438–$887 | $2,192–$4,437 | varies |
| CT head/brain without and with contrast (70470) | $1,822 | $9,109 | 9.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $149 | $745 | 1.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,116–$1,161 | $5,582–$5,804 | varies |
| CT l-spine w&w/o contrast (72133) | $2,287 | $11,433 | 12.5× |
| CT lower ext w/o (73700) | $804 | $4,019 | 7.4× |
| CT lower extremity w/contrast material (73701) | $791 | $3,956 | 4.3× |
| CT lumbar spine w contrast (72132) | $1,278 | $6,392 | 3.5× |
| CT lumbar spine w/o contrast (72131) | $1,008 | $5,042 | 9.2× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,183–$1,254 | $5,914–$6,268 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$921–$977 | $4,606–$4,885 | varies |
| CT neck tissue combo (70492) | $1,075 | $5,374 | 5.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,165 | $10,826 | 11.8× |
| CT orbits w/o contrast (70480) | $1,005 | $5,024 | 9.2× |
| CT pelvis w&w/o contrast (72194) | $2,230 | $11,150 | 12.2× |
| CT pelvis w/o contrast (72192) | $987 | $4,937 | 9.0× |
| CT scan of leg combo (73702) | $1,546 | $7,731 | 8.4× |
| CT scans face/jaw combo (70488) | $2,104 | $10,520 | 11.5× |
| CT soft tissue neck w contrast (70491) | $1,168 | $5,840 | 6.4× |
| CT soft tissue neck w/o contrast (70490) | $836 | $4,181 | 7.7× |
| CT thoracic spine w contrast (72129) | $1,277 | $6,384 | 7.0× |
| CT thoracic spine w/o contrast (72128) | $929 | $4,643 | 8.5× |
| CT thorax w/o contrast (71250) | $950 | $4,751 | 8.7× |
| CT upper ext wo (73200) | $832 | $4,158 | 7.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,546 | $7,731 | 8.4× |
| CT upper extremity with contrast (73201) | $1,156 | $5,780 | 3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,424 | $7,118 | 7.8× |
| Cta Abdomen (74175) | $2,227 | $11,134 | 12.2× |
| CTA pelvis (72191) | $2,230 | $11,150 | 12.2× |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$326–$339 | $1,630–$1,696 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $235 | $1,177 | 2.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $235 | $1,177 | 2.2× |
| Echo exam of fetal heart (76825) | $494 | $2,471 | 0.9× |
| Echo Guide For Artery Repair (76936) | $104 | $519 | 0.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $235 | $1,177 | 0.9× |
| Esophagram (74220) | $281 | $1,404 | 1.5× |
| Fetal Biophys Profile W/Nst (76818) | $335 | $1,674 | 3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $177 | $886 | 1.6× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 2 matching MRF lines |
$117–$235 | $587–$1,173 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$258–$269 | $1,291–$1,343 | varies |
| Follow-Up Angiography (75898) | $206 | $1,028 | 0.1× |
| Foot 2 views (73620) | $159 | $797 | 1.7× |
| Forearm 2 views (73090) | $171 | $853 | 1.9× |
| Gastric emptying imaging study (78264) | $1,312 | $6,559 | 3.1× |
| Gated Heart Planar Single (78472) | $1,192 | $5,961 | 2.9× |
| Hand 2 views (73120) | $156 | $782 | 1.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $968 | $4,839 | 0.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $635 | $3,174 | 0.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,119 | $5,594 | 2.0× |
| Hepatobiliary System Imaging (78226) | $1,312 | $6,559 | 3.1× |
| Hysterosalpingogram (74740) | $465 | $2,326 | 1.9× |
| Image fusion (77399) | $131 | $654 | 0.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $320 | $1,601 | 3.5× |
| Interstitial radiation source applic complex (77778) | $1,338 | $6,688 | 1.8× |
| K Flow/Funct Image W/Drug (78708) | $1,073 | $5,365 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $925 | $4,627 | 1.6× |
| Knee 3 Views (73562) | $180 | $899 | 2.0× |
| Leveen/Shunt Patency Exam (78291) | $406 | $2,028 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $655 | $3,274 | 1.2× |
| Lymph System Imaging (78195) | $966 | $4,829 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $516 | $2,578 | 2.1× |
| Meckels Divert Exam (78290) | $763 | $3,816 | 1.8× |
| Mlc imrt design & construction per imrt plan (77338) | $112 | $560 | 0.3× |
| Mra Head W/O & W/Contrast Material (70546) | $2,035 | $10,176 | 5.6× |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$1,209 | $6,043–$6,044 | 4.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,810 | $9,050 | 5.0× |
| MRA neck w/o contrast (70547) | $898 | $4,489 | 3.6× |
| MRI abdomen w contrast (74182) | $1,048 | $5,238 | 2.9× |
| MRI abdomen w/o contrast (74181) | $1,237 | $6,184 | 5.0× |
| MRI any jt lower extrem w/contrast material (73722) | $1,431 | $7,155 | 1.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,146 | $10,732 | 5.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,431 | $7,155 | 1.7× |
| MRI cervical spine w contrast (72142) | $1,451 | $7,255 | 4.0× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,237–$1,286 | $6,184–$6,431 | varies |
| MRI chest w/o contrast (71550) | $926 | $4,628 | 3.7× |
| MRI chest wo w contrast (71552) | $1,810 | $9,050 | 5.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,027 | $10,136 | 5.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,375 | $6,875 | 5.5× |
| MRI lumbar spine w contrast (72149) | $1,507 | $7,536 | 4.1× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,286–$2,019 | $6,431–$10,097 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$235–$1,286 | $1,173–$6,430 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$370–$2,033 | $1,851–$10,164 | varies |
| MRI pelvis w contrast (72196) | $1,263 | $6,317 | 3.5× |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$1,823–$1,824 | $9,117–$9,118 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,172–$1,173 | $5,862–$5,864 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,104–$1,148 | $5,519–$5,740 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,443 | $7,217 | 4.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,375 | $6,875 | 5.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,027 | $10,136 | 5.6× |
| MRI, abdomen, combo (74183) | $1,663 | $8,316 | 4.6× |
| MRI, dorsal spine combo (72157) | $1,986 | $9,931 | 5.5× |
| MRI, dorsal spine contrast (72147) | $1,452 | $7,262 | 4.0× |
| MRI, joint upper extrem (73221) | $1,311 | $6,554 | 5.3× |
| MRI, joint upper extrem combo (73223) | $2,146 | $10,732 | 5.9× |
| MRI, lumbar spine combo (72158) | $1,986 | $9,931 | 5.5× |
| Myocardial Spect Multiple Studies (78452) | $1,550 | $7,751 | 1.1× |
| Neck soft tissue (70360) | $162 | $812 | 1.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $586 | $2,928 | 1.4× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,534 | $7,670 | 1.1× |
| Nuclear Rx Intra-Arterial (79445) | $248 | $1,242 | 1.0× |
| Nuclear Rx Oral Admin (79005) | $1,550 | $7,751 | 6.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $429 | $2,147 | 1.0× |
| Pelvis 1 or 2 views (72170) | $176 | $882 | 1.6× |
| Peritoneogram Rs&I (74190) | $405 | $2,024 | 0.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $911 | $4,553 | 0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $505 | $2,524 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $258 | $1,289 | 2.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $210 | $1,051 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $186 | $930 | 2.0× |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$140–$146 | $702–$731 | varies |
| Radex elbow complete minimum 3 views (73080) | $167 | $834 | 1.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $228 | $1,138 | 2.1× |
| Radex fingr minimum 2 views (73140) | $144 | $721 | 1.6× |
| Radex foot complete minimum 3 views (73630) | $184 | $918 | 2.0× |
| Radex Hand Minimum 3 Views (73130) | $180 | $898 | 2.0× |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$134–$182 | $671–$909 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $178 | $892 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) | $194 | $970 | 2.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $177 | $887 | 1.9× |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$157–$215 | $784–$1,073 | varies |
| Radex Sternum Minimum 2 Views (71120) | $163 | $817 | 1.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $193 | $963 | 2.1× |
| Radex Toe Minimum 2 Views (73660) range across 10 matching MRF lines |
$127–$132 | $633–$659 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$112–$117 | $562–$586 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $191 | $953 | 2.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $432 | $2,159 | 4.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) unusually low: confirm this is the full procedure |
$2,423 | $12,115 | 0.3× |
| Radiation treatment delivery level 1 (77402) | $164 | $820 | 1.5× |
| Radiation treatment delivery level 3 (77412) | $257 | $1,283 | 0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $224 | $1,119 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $558 | $2,788 | 3.0× |
| Radiologic exam colon single contrast study (74270) | $434 | $2,168 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) | $180 | $899 | 1.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $122 | $609 | 1.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $307 | $1,534 | 1.7× |
| Radiologic exam swallow function contrast study (74230) | $283 | $1,416 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $328 | $1,641 | 1.8× |
| Radiologic examination femur 1 view (73551) | $166 | $829 | 1.8× |
| Radiologic examination femur minimum 2 views (73552) | $248 | $1,241 | 2.7× |
| Radiologic examination knee 1/2 views (73560) | $186 | $931 | 2.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $62 | $312 | 0.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $180 | $899 | 2.0× |
| Renal Cyst Study (74470) | $650 | $3,250 | 1.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$1,286–$4,769 | $6,430–$23,847 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,286–$4,293 | $6,430–$21,464 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$704–$1,286 | $3,519–$6,430 | varies |
| Scapula (73010) | $177 | $886 | 1.6× |
| Shoulder 1 view (73020) | $142 | $712 | 1.6× |
| Shoulder Arthrography (73040) | $502 | $2,511 | 1.4× |
| Skull less than 4 views (70250) range across 6 matching MRF lines |
$114–$163 | $571–$815 | varies |
| Special Physics Consult (77370) | $219 | $1,094 | 1.6× |
| Special treatment procedure (77470) | $151 | $754 | 0.3× |
| Stereotactic Body Radiation Delivery (77373) | $1,176 | $5,880 | 0.6× |
| Sternoclavicular joints (71130) | $40 | $200 | 0.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $284 | $1,419 | 0.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $206 | $1,032 | 0.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $565 | $2,823 | 1.4× |
| Ther rad simulaj-aided field setting simple (77280) | $264 | $1,319 | 1.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $227 | $1,134 | 1.2× |
| Thoracic spine 2 views (72070) | $115 | $577 | 1.1× |
| Thoracic spine 3 views (72072) | $125 | $625 | 1.1× |
| Thyroid Met Imaging Body (78018) | $596 | $2,981 | 1.1× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$278–$290 | $1,392–$1,449 | varies |
| Tx devices design & construction intermediate (77333) | $120 | $602 | 0.9× |
| Tx devices design & construction simple (77332) | $106 | $528 | 0.8× |
| Ultrasound Breast Limited (76642) | $168 | $838 | 1.8× |
| Ultrasound Elastography Parenchyma (76981) | $316 | $1,581 | 2.9× |
| Ultrasound Exam Aaa Screen (76706) | $835 | $4,174 | 7.6× |
| Ultrasound, abdomen limited (76705) | $351 | $1,754 | 3.2× |
| Unlisted fluoroscopic procedure (76496) | $70 | $350 | 0.8× |
| Unlisted us procedure (76999) | $159 | $796 | 1.7× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$180–$335 | $900–$1,673 | varies |
| Urethrocystogram voiding (74455) | $402 | $2,009 | 1.6× |
| Urethrocystography retrograde (74450) | $453 | $2,267 | 1.8× |
| Us breast unilateral complete (76641) | $194 | $968 | 1.8× |
| Us chest (76604) | $182 | $911 | 1.7× |
| Us complete joint (76881) | $72 | $358 | 0.7× |
| Us exam, pelvic, limited (76857) | $151 | $754 | 1.4× |
| Us head (76506) | $149 | $747 | 1.4× |
| Us kidney transplant (76776) | $85 | $427 | 0.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $121 | $605 | 1.1× |
| Us ob detailed single fetus (76811) | $321 | $1,606 | 1.3× |
| Us ob limited 1 or more fetuses (76815) | $237 | $1,187 | 2.2× |
| Us ob transvaginal (76817) | $267 | $1,336 | 2.4× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$340 | $1,700–$1,701 | 3.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $217 | $1,083 | 2.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $121 | $605 | 1.1× |
| Us retroperitoneal complete (76770) | $317 | $1,586 | 2.9× |
| Us retroperitoneal limited (76775) | $147 | $736 | 1.3× |
| Us scrotum and contents (76870) | $250 | $1,252 | 2.3× |
| Us spinal canal and contents (76800) | $160 | $802 | 1.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$269–$279 | $1,343–$1,397 | varies |
| Vein X-Ray Chest (75827) | $733 | $3,663 | 0.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $820 | $4,098 | 0.2× |
| Vein X-Ray Spleen/Liver (75810) | $635 | $3,174 | 0.2× |
| Venogram Sinus/Jugular (75860) | $228 | $1,139 | 0.1× |
| Venography caval inferior serialography rs&i (75825) | $635 | $3,174 | 0.2× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$448–$504 | $2,240–$2,521 | varies |
| Venography extremity unilateral rs&i (75820) | $269 | $1,343 | 0.2× |
| Venography Renal Bilateral (75833) | $1,059 | $5,293 | 0.3× |
| Venography Renal Unilateral (75831) | $818 | $4,089 | 0.2× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$635 | $3,174 | 0.1× |
| Wrist 2 views (73100) | $152 | $762 | 1.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $110 | $548 | 1.2× |
| X-ray antegrade pyelogram tube (74425) | $234 | $1,169 | 0.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $165 | $827 | 1.8× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$123–$487 | $617–$2,435 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $259 | $1,296 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $151 | $756 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $227 | $1,136 | 2.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $303 | $1,513 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $454 | $2,269 | 4.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $546 | $2,728 | 5.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $605 | $3,026 | 5.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $215 | $1,073 | 2.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $267 | $1,337 | 2.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $222 | $1,112 | 2.0× |
| X-ray eye for foreign body (70030) | $92 | $459 | 1.0× |
| X-ray humerus (73060) | $182 | $911 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $171 | $856 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $207 | $1,034 | 1.9× |
| X-ray nose-rectum child f.b. (76010) | $119 | $595 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $295 | $1,476 | 2.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $110 | $552 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $186 | $931 | 2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $212 | $1,058 | 2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $167 | $837 | 1.5× |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$107–$327 | $536–$1,633 | varies |
| Xr c-spine 4 or 5 views (72050) | $266 | $1,332 | 2.4× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$132–$137 | $659–$686 | varies |
| Xr orbits complete 4 views (70200) | $210 | $1,048 | 1.9× |
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.