Imaging prices at Lee's Summit Medical Center
Lee's Summit, MO · every code in this section with a posted price and a Medicare benchmark.
331 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $2,773.88 | $2,773.88 | 26.5× |
| Acute gastrointestinal blood loss imaging (78278) | $10,456.24 | $10,456.24 | 26.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $37,145.13 | $37,145.13 | 11.7× |
| Angiography extremity bilateral rs&i (75716) | $30,827.96 | $30,827.96 | 9.7× |
| Angiography extremity unilateral rs&i (75710) | $30,051.49 | $30,051.49 | 9.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $28,379.25 | $28,379.25 | 5.1× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $17,032.64 | $17,032.64 | 5.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $16,254.18 | $16,254.18 | 5.1× |
| Angiography Spinal Selective Rs&I (75705) | $13,016.13 | $13,016.13 | 2.3× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $36,060.54 | $36,060.54 | 6.5× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $10,414.85 | $10,414.85 | 3.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $20,021.63 | $20,021.63 | 6.3× |
| Ankle 2 views (73600) | $1,665.75 | $1,665.75 | 19.1× |
| Antegrade urography radiological supvj & interpj (74425) | $6,747.66 | $6,747.66 | 19.3× |
| Aortogram thoracic (75605) | $18,223.91 | $18,223.91 | 3.3× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $37,238.02 | $37,238.02 | 11.8× |
| Aortography abdominal serialography rs&i (75625) | $22,256.20 | $22,256.20 | 7.0× |
| Artery X-Rays Adrenal Gland (75731) | $16,882.66 | $16,882.66 | 5.3× |
| Arthrogram elbow (73085) | $2,959.84 | $2,959.84 | 8.5× |
| Arthrogram hip (73525) | $6,625.57 | $6,625.57 | 19.0× |
| Arthrogram shoulder (73040) | $2,959.84 | $2,959.84 | 8.5× |
| Arthrogram wrist (73115) | $3,100.02 | $3,100.02 | 8.9× |
| Arthrography knee lt (73580) | $4,436.51 | $4,436.51 | 12.7× |
| Bone &/Joint Imaging Limited Area (78300) | $3,697.36 | $3,697.36 | 9.2× |
| Bone &/Joint Imaging Multiple Areas (78305) | $8,449.80 | $8,449.80 | 21.1× |
| Bone &/joint imaging whole body (78306) | $8,146.10 | $8,146.10 | 20.3× |
| Bone age studies (77072) | $3,828.23 | $3,828.23 | 36.6× |
| Bone Imaging 3 Phase (78315) | $8,160.86 | $8,160.86 | 20.4× |
| Bone Marrow Imaging Limited Area (78102) | $4,262.77 | $4,262.77 | 10.6× |
| Bone survey complete (77075) | $3,923.02 | $3,923.02 | 37.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $6,229.03 | $6,229.03 | 11.5× |
| Brain Imaging Vascular Flow Only (78610) | $4,833.88 | $4,833.88 | 8.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $15,887.09 | $15,887.09 | 45.5× |
| Cervical spine 2 or 3 views (72040) | $2,065.16 | $2,065.16 | 23.7× |
| Chest 1 view (71045) | $1,841.76 | $1,841.76 | 21.1× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,073.91 | $3,073.91 | 17.5× |
| Clavicle complete (73000) | $1,812.17 | $1,812.17 | 20.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $726.21 | $726.21 | 6.9× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) | $3,038.07 | $3,038.07 | 17.3× |
| CT abdomen and pelvis without and with contrast (74178) | $30,180.34 | $30,180.34 | 86.4× |
| CT abdomen and pelvis without contrast (74176) | $26,247.67 | $26,247.67 | 109.8× |
| CT abdomen w contrast (74160) | $12,266.92 | $12,266.92 | 69.8× |
| CT abdomen w wo contrast (74170) | $14,104.99 | $14,104.99 | 80.3× |
| CT abdomen w/o contrast (74150) | $11,283.10 | $11,283.10 | 107.8× |
| CT angio hrt w/3d image (75574) | $782.82 | $782.82 | 2.2× |
| CT angiography upper extremity lt (73206) | $40,084.30 | $40,084.30 | 228.2× |
| CT c-spine w/o contrast (72125) | $14,104.99 | $14,104.99 | 134.7× |
| CT cervical spine w&w/o contrast (72127) | $16,924.28 | $16,924.28 | 96.3× |
| CT cervical spine with contrast (72126) | $15,091.04 | $15,091.04 | 43.2× |
| CT chest w/wo contrast (71270) | $16,924.28 | $16,924.28 | 96.3× |
| CT chest with contrast (71260) | $15,091.04 | $15,091.04 | 85.9× |
| CT head/brain with contrast (70460) | $11,649.96 | $11,649.96 | 66.3× |
| CT head/brain without and with contrast (70470) | $12,266.92 | $12,266.92 | 69.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,666.12 | $2,666.12 | 7.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $462.32 | $462.32 | 5.3× |
| CT hrt w/3d image congen (75573) | $782.82 | $782.82 | 2.2× |
| CT iac w contrast (70481) | $9,476.44 | $9,476.44 | 53.9× |
| CT limited/localized follow up study (76380) | $5,638.54 | $5,638.54 | 64.7× |
| CT lower ext w/o (73700) | $11,526.18 | $11,526.18 | 110.1× |
| CT lower extremity w wo contrast (73702) | $17,094.08 | $17,094.08 | 97.3× |
| CT lower extremity with contrast (73701) | $12,525.27 | $12,525.27 | 71.3× |
| CT lumbar spine w & w/o contrast (72133) | $15,456.82 | $15,456.82 | 88.0× |
| CT lumbar spine w/o contrast (72131) | $14,104.99 | $14,104.99 | 134.7× |
| CT lumbar spine with contrast (72132) | $13,780.15 | $13,780.15 | 39.4× |
| CT maxillofacial w contrast (70487) | $11,649.96 | $11,649.96 | 66.3× |
| CT maxillofacial w/o contrast (70486) | $10,793.42 | $10,793.42 | 103.1× |
| CT maxillofacial w/wo contrast (70488) | $12,266.92 | $12,266.92 | 69.8× |
| CT neck soft tissue w contrast (70491) | $12,266.92 | $12,266.92 | 69.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $11,149.82 | $11,149.82 | 63.5× |
| CT orbits w/o contrast (70480) | $9,811.86 | $9,811.86 | 93.7× |
| CT pelvis w & w/o contrast (72194) | $15,088.69 | $15,088.69 | 85.9× |
| CT pelvis w/o contrast (72192) | $11,283.10 | $11,283.10 | 107.8× |
| CT soft tissue neck w/o & w/contrast material (70492) | $14,104.99 | $14,104.99 | 80.3× |
| CT soft tissue neck w/o contrast (70490) | $11,283.10 | $11,283.10 | 107.8× |
| CT thoracic spine w/contrast (72129) | $14,337.49 | $14,337.49 | 81.6× |
| CT thoracic spine w/o contrast (72128) | $14,104.99 | $14,104.99 | 134.7× |
| CT thoracic spine w/wo contrast (72130) | $16,834.40 | $16,834.40 | 95.8× |
| CT thorax w/o contrast (71250) | $14,104.99 | $14,104.99 | 134.7× |
| CT upper extremity w/o & w/contrast material (73202) | $17,094.08 | $17,094.08 | 97.3× |
| CT upper extremity w/o contrast rt (73200) | $11,526.18 | $11,526.18 | 110.1× |
| CT upper extremity with contrast (73201) | $12,525.27 | $12,525.27 | 35.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $26,664.07 | $26,664.07 | 151.8× |
| Cta Abdomen (74175) | $26,664.07 | $26,664.07 | 151.8× |
| CTA abdomen pelvis (74174) | $55,991.35 | $55,991.35 | 160.2× |
| CTA chest (71275) | $26,982.50 | $26,982.50 | 153.6× |
| Cta Head (70496) | $25,511.25 | $25,511.25 | 145.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,069.29 | $1,069.29 | 3.1× |
| CTA lwr ext w&w/o contrast (73706) | $26,721.91 | $26,721.91 | 152.1× |
| Cta Neck (70498) | $27,469.16 | $27,469.16 | 156.4× |
| Cta Pelvis (72191) | $26,170.86 | $26,170.86 | 149.0× |
| Cystography minimum 3 views rs&i (74430) | $4,377.84 | $4,377.84 | 12.5× |
| Diskogram cervical (72285) | $12,623.32 | $12,623.32 | 6.5× |
| Diskography lumbar (72295) | $12,623.32 | $12,623.32 | 6.5× |
| Dxa bone density study 1/> sites axial skel (77080) | $3,864.42 | $3,864.42 | 36.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,483.16 | $1,483.16 | 17.0× |
| Esophagus (74220) | $2,640.38 | $2,640.38 | 15.0× |
| Fetal biophysical profile non-stress testing (76818) | $3,805.58 | $3,805.58 | 36.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $4,844.04 | $4,844.04 | 46.3× |
| Fluoroscopy up to 1 hr (76000) | $1,945.97 | $1,945.97 | 8.1× |
| Foot 2 views (73620) | $1,662.39 | $1,662.39 | 19.1× |
| Forearm 2 views (73090) | $1,932.32 | $1,932.32 | 22.2× |
| Gated Heart Planar Single (78472) | $8,347.90 | $8,347.90 | 20.8× |
| Hand 2 views (73120) | $1,662.39 | $1,662.39 | 15.9× |
| Hand 3 views (73130) | $1,932.32 | $1,932.32 | 22.2× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $22,625.82 | $22,625.82 | 7.2× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $9,931.31 | $9,931.31 | 18.3× |
| Hepatobiliary syst imaging including gallbladder (78226) | $8,425.54 | $8,425.54 | 21.0× |
| Ht muscle image spect sing (78451) | $21,677.43 | $21,677.43 | 16.7× |
| Humerus Min 2 Views Left (73060) | $2,065.16 | $2,065.16 | 23.7× |
| Hysterosalpingogram (74740) | $3,015.26 | $3,015.26 | 12.6× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $9,704.48 | $9,704.48 | 17.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $10,873.54 | $10,873.54 | 20.0× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $16,248.22 | $16,248.22 | 29.9× |
| Knee 3 views (73562) | $2,637.86 | $2,637.86 | 30.3× |
| Liver & spleen imaging static only (78215) | $5,817.27 | $5,817.27 | 14.5× |
| Lung perfusion differential (78597) | $9,155.74 | $9,155.74 | 22.9× |
| Lung Ventilation Imaging (78579) | $17,793.37 | $17,793.37 | 44.4× |
| Lymphoscintigraphy (78195) | $9,607.16 | $9,607.16 | 17.7× |
| Mammary ductogram or galactogram multiple (77054) | $5,525.26 | $5,525.26 | 23.1× |
| Mammary ductogram or galactogram single (77053) | $3,941.02 | $3,941.02 | 16.5× |
| Manual appl stress pfrmd phys/qhp joint films (77071) | $1,131.15 | $1,131.15 | 13.0× |
| Meckels Diverticulum (78290) | $6,229.03 | $6,229.03 | 15.6× |
| Mr safety determination physician/other qhp (76016) | $264.15 | $264.15 | 3.0× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) | $178.20 | $178.20 | 3.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $73.47 | $73.47 | 2.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $275.37 | $275.37 | 2.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $725.16 | $725.16 | 3.0× |
| MRA head w & w/o contrast (70546) | $11,514.43 | $11,514.43 | 33.0× |
| MRA head w/o contrast (70544) | $9,588.13 | $9,588.13 | 40.1× |
| MRA head with contrast (70545) | $10,710.93 | $10,710.93 | 30.7× |
| MRA neck w contrast (70548) | $13,323.99 | $13,323.99 | 38.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $14,931.81 | $14,931.81 | 42.7× |
| MRA neck w/o contrast (70547) | $12,024.81 | $12,024.81 | 50.3× |
| MRI abdomen w contrast (74182) | $14,858.33 | $14,858.33 | 42.5× |
| MRI abdomen w/o & w/contrast material (74183) | $16,354.45 | $16,354.45 | 46.8× |
| MRI abdomen w/o contrast (74181) | $13,080.03 | $13,080.03 | 54.7× |
| MRI any jnt lwr ext with con lt (73722) | $15,531.43 | $15,531.43 | 19.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $14,858.33 | $14,858.33 | 18.9× |
| MRI breast w/o contrast bilateral (77047) | $11,492.80 | $11,492.80 | 48.1× |
| MRI c-spine with contrast (72142) | $17,935.83 | $17,935.83 | 51.3× |
| MRI cardiac w/o contrast (75557) | $11,783.79 | $11,783.79 | 49.3× |
| MRI cervical spine w/o contrast (72141) | $12,686.18 | $12,686.18 | 53.1× |
| MRI chest w/o & w/contrast material (71552) | $17,086.33 | $17,086.33 | 48.9× |
| MRI chest w/o contrast (71550) | $14,123.49 | $14,123.49 | 59.1× |
| MRI chest with contrast (71551) | $15,540.27 | $15,540.27 | 19.8× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $14,858.33 | $14,858.33 | 42.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $14,858.33 | $14,858.33 | 42.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $11,633.88 | $11,633.88 | 48.7× |
| MRI orbit face &/neck w/o contrast (70540) | $12,686.18 | $12,686.18 | 53.1× |
| MRI orbit/face/neck w&w/o cont (70543) | $16,354.45 | $16,354.45 | 46.8× |
| MRI orbit/face/neck w/contrast (70542) | $14,017.69 | $14,017.69 | 40.1× |
| MRI pelvis w contrast (72196) | $13,808.99 | $13,808.99 | 39.5× |
| MRI pelvis w/o & w/contrast material (72197) | $16,354.45 | $16,354.45 | 46.8× |
| MRI pelvis w/o contrast (72195) | $12,894.87 | $12,894.87 | 54.0× |
| MRI scan of arm joint before and after contrast (73223) | $16,898.24 | $16,898.24 | 48.4× |
| MRI scan of leg joint before and after contrast (73723) | $17,571.33 | $17,571.33 | 50.3× |
| MRI spectroscopy (76390) | $2,354.41 | $2,354.41 | 27.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $18,482.53 | $18,482.53 | 52.9× |
| MRI spinal canal lumbar w/contrast material (72149) | $18,044.55 | $18,044.55 | 51.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $18,608.92 | $18,608.92 | 53.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $18,044.55 | $18,044.55 | 51.6× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $18,608.92 | $18,608.92 | 53.3× |
| MRI thoracic spine w/o contrast (72146) | $12,686.18 | $12,686.18 | 53.1× |
| MRI tmj (70336) | $9,144.28 | $9,144.28 | 38.3× |
| MRI upper ext joint w/o contrast (73221) | $12,686.18 | $12,686.18 | 53.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $15,222.81 | $15,222.81 | 43.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $12,894.87 | $12,894.87 | 54.0× |
| Myelogram Cervical (72240) | $10,659.33 | $10,659.33 | 13.6× |
| Myelogram Lumbar (72265) | $11,578.60 | $11,578.60 | 14.7× |
| Myelogram thoracic (72255) | $9,707.47 | $9,707.47 | 12.4× |
| Myelography 2 or more regions (72270) | $14,163.55 | $14,163.55 | 18.0× |
| Myocardial infarct spect (78469) | $7,446.98 | $7,446.98 | 13.7× |
| Myocardial Spect Multiple Studies (78452) | $23,995.13 | $23,995.13 | 18.5× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) | $3,485.83 | $3,485.83 | 4.1× |
| Neck soft tissue (70360) | $1,625.52 | $1,625.52 | 18.6× |
| Nm cisternogram (78630) | $16,303.19 | $16,303.19 | 30.0× |
| Nm gastric emptying study (78264) | $8,449.80 | $8,449.80 | 21.1× |
| Nm peritoneal-venous shunt patency (78291) | $1,830.10 | $1,830.10 | 4.6× |
| Nuclear medicine of heart muscle at rest with stress (78454) | $19,523.32 | $19,523.32 | 15.1× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $8,346.78 | $8,346.78 | 6.4× |
| Nuclear medicine study of kidney and blood flow (78701) | $4,992.93 | $4,992.93 | 12.5× |
| Nuclear Rx Oral Admin (79005) | $13,765.39 | $13,765.39 | 58.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $3,331.58 | $3,331.58 | 31.8× |
| Osseous survey infant (77076) | $3,567.14 | $3,567.14 | 34.1× |
| Osseous survey limited (77074) | $3,053.50 | $3,053.50 | 29.2× |
| Parathyrd planar w/wo subtrj (78071) | $3,365.97 | $3,365.97 | 8.4× |
| Parathyroid imaging (78070) | $4,497.98 | $4,497.98 | 11.2× |
| Pelvis 1 or 2 views (72170) | $1,932.32 | $1,932.32 | 18.5× |
| Peritoneogram rs&i (74190) | $3,999.72 | $3,999.72 | 7.3× |
| PET imaging limited area chest head/neck (78811) | $56,715.90 | $56,715.90 | 43.7× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $15,222.81 | $15,222.81 | 43.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $21,012.24 | $21,012.24 | 6.6× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $35,019.31 | $35,019.31 | 11.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,433.74 | $5,433.74 | 13.6× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $7,540.91 | $7,540.91 | 13.9× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) | $2,851.50 | $2,851.50 | 3.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $4,196.92 | $4,196.92 | 7.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $2,383.07 | $2,383.07 | 27.3× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $2,543.77 | $2,543.77 | 24.3× |
| Radex hips bilateral with pelvis 2 views (73521) | $4,361.22 | $4,361.22 | 41.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,722.45 | $3,722.45 | 35.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,864.80 | $2,864.80 | 27.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $2,024.31 | $2,024.31 | 23.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $3,799.40 | $3,799.40 | 36.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $2,523.02 | $2,523.02 | 28.9× |
| Radiologic exam colon single contrast study (74270) | $4,384.34 | $4,384.34 | 25.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $4,068.14 | $4,068.14 | 23.2× |
| Radiologic exam upr gi trc single contrast study (74240) | $2,607.80 | $2,607.80 | 14.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $493.53 | $493.53 | 5.7× |
| Radiological examination surgical specimen (76098) | $1,142.54 | $1,142.54 | 2.1× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $5,329.23 | $5,329.23 | 9.8× |
| Review by radiologist of adrenal gland vein image (75840) | $20,516.75 | $20,516.75 | 6.5× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $28,470.53 | $28,470.53 | 9.0× |
| Ribs bilateral 3 views (71110) | $3,220.68 | $3,220.68 | 30.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $10,126.76 | $10,126.76 | 18.6× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $10,440.28 | $10,440.28 | 19.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $12,876.15 | $12,876.15 | 9.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $12,876.15 | $12,876.15 | 9.0× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $12,876.15 | $12,876.15 | 9.9× |
| Rp Therapy Intravenous Administration (79101) | $4,132.49 | $4,132.49 | 17.7× |
| Sacroiliac Joints < 3 Views (72200) | $2,477.41 | $2,477.41 | 23.7× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $915.49 | $915.49 | 3.8× |
| Scanogram (77073) | $3,925.10 | $3,925.10 | 37.5× |
| Scapula complete (73010) | $2,033 | $2,033 | 19.4× |
| Screening digital breast tomosynthesis (77063) | $88.91 | $88.91 | 3.8× |
| Small bowel series (74250) | $4,081.19 | $4,081.19 | 23.2× |
| Spine thoracic 3 views (72072) | $2,607.82 | $2,607.82 | 24.9× |
| Splenoportograpy rs&i (75810) | $22,625.82 | $22,625.82 | 7.2× |
| Thoracolumbar 2 views (72080) | $1,704.28 | $1,704.28 | 19.6× |
| Thyroid carcinoma metastases img whole body (78018) | $9,723.41 | $9,723.41 | 17.9× |
| Thyroid Imaging With Vascular Flow (78013) | $4,205.23 | $4,205.23 | 10.5× |
| Thyroid uptake measurement (78012) | $4,402.16 | $4,402.16 | 11.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $10,985.64 | $10,985.64 | 27.4× |
| Tmj unilateral (70328) | $1,284.99 | $1,284.99 | 14.7× |
| Tomogram (76100) | $6,421.68 | $6,421.68 | 61.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $4,675.20 | $4,675.20 | 11.7× |
| Ultrasound, abdomen limited (76705) | $5,590.08 | $5,590.08 | 53.4× |
| Upper Extremity Infant (73092) | $2,317.68 | $2,317.68 | 22.1× |
| Urethrocystography retrograde rs&i (74450) | $4,870.02 | $4,870.02 | 20.4× |
| Urethrocystography voiding (74455) | $6,421.68 | $6,421.68 | 26.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $9,319.57 | $9,319.57 | 53.0× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $9,580.36 | $9,580.36 | 54.5× |
| Us abdl aorta screen aaa (76706) | $1,936.32 | $1,936.32 | 18.5× |
| Us breast unilateral complete (76641) | $2,996.49 | $2,996.49 | 28.6× |
| Us breast unilateral limited (76642) | $2,996.49 | $2,996.49 | 34.4× |
| Us chest (76604) | $3,805.58 | $3,805.58 | 36.3× |
| Us compl joint r-t w/image documentation (76881) | $3,264.73 | $3,264.73 | 31.2× |
| Us guided compression repair (76936) | $10,498.60 | $10,498.60 | 48.5× |
| Us infant hips limited static (76886) | $1,386.28 | $1,386.28 | 15.9× |
| Us kidney transplant (76776) | $5,247.40 | $5,247.40 | 50.1× |
| Us ob detailed single fetus (76811) | $6,932.56 | $6,932.56 | 29.0× |
| Us ob transvaginal (76817) | $3,940.67 | $3,940.67 | 37.6× |
| Us pelvic non ob complete (76856) | $4,914.43 | $4,914.43 | 46.9× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $2,464.81 | $2,464.81 | 23.5× |
| Us pregnancy ltd (76815) | $1,720.52 | $1,720.52 | 16.4× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $4,850.71 | $4,850.71 | 46.3× |
| Us retroperitoneal complete (76770) | $4,914.43 | $4,914.43 | 46.9× |
| Us retroperitoneal limited (76775) | $2,464.81 | $2,464.81 | 23.5× |
| Us scrotum and contents (76870) | $3,051.73 | $3,051.73 | 29.1× |
| Us soft tissue head/neck (76536) | $1,472.92 | $1,472.92 | 14.1× |
| Us transrectal (76872) | $2,168.68 | $2,168.68 | 20.7× |
| Us xtr non-vasc lmtd (76882) | $2,973.69 | $2,973.69 | 28.4× |
| Vascular flow imaging (78445) | $5,989.67 | $5,989.67 | 15.0× |
| Venogram extremity bilateral (75822) | $20,360.50 | $20,360.50 | 12.9× |
| Venography caval inferior serialography rs&i (75825) | $36,225.41 | $36,225.41 | 11.5× |
| Venography caval superior serialography rs&i (75827) | $36,225.41 | $36,225.41 | 23.0× |
| Venography epidural rs&i (75872) | $32,978.73 | $32,978.73 | 52.5× |
| Venography extremity unilateral rs&i (75820) | $10,180.16 | $10,180.16 | 6.5× |
| Venography Renal Bilateral (75833) | $27,772.91 | $27,772.91 | 8.8× |
| Venography renal unilateral selective rs&i (75831) | $20,568.92 | $20,568.92 | 6.5× |
| Venography venous sinus/jugular cath rs&i (75860) | $12,005.58 | $12,005.58 | 3.8× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $14,750.27 | $14,750.27 | 2.6× |
| Wrist 2 views (73100) | $1,662.39 | $1,662.39 | 19.1× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $2,791.22 | $2,791.22 | 26.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,472.64 | $2,472.64 | 28.4× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $2,065.16 | $2,065.16 | 23.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $6,359.75 | $6,359.75 | 36.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $2,065.16 | $2,065.16 | 23.7× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $2,635.08 | $2,635.08 | 30.2× |
| X-ray exam entire spi 4/5 vw (72083) | $2,684.34 | $2,684.34 | 25.6× |
| X-ray exam hip uni 1 view (73501) | $2,366.37 | $2,366.37 | 27.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,530.38 | $2,530.38 | 29.0× |
| X-ray exam hip uni 4/> views (73503) | $2,530.38 | $2,530.38 | 24.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $4,361.22 | $4,361.22 | 41.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $4,383.98 | $4,383.98 | 41.9× |
| X-ray exam of femur 1 (73551) | $493.53 | $493.53 | 5.7× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $6,056.56 | $6,056.56 | 34.5× |
| X-ray eye for foreign body (70030) | $7,871.01 | $7,871.01 | 90.3× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $4,827.21 | $4,827.21 | 46.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $2,637.86 | $2,637.86 | 30.3× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $2,065.16 | $2,065.16 | 23.7× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $20,480.88 | $20,480.88 | 9.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,706.76 | $1,706.76 | 19.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,540.32 | $2,540.32 | 29.1× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $2,637.86 | $2,637.86 | 25.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $992.62 | $992.62 | 11.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $2,317.68 | $2,317.68 | 26.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,472.64 | $2,472.64 | 23.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $3,053.50 | $3,053.50 | 29.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $2,347.77 | $2,347.77 | 26.9× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $4,333.02 | $4,333.02 | 49.7× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,088.46 | $2,088.46 | 19.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $5,171.59 | $5,171.59 | 49.4× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) | $5,753.43 | $5,753.43 | 10.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $3,227.13 | $3,227.13 | 9.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,244.30 | $2,244.30 | 25.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,284.97 | $3,284.97 | 31.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $3,398.35 | $3,398.35 | 32.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,702.78 | $2,702.78 | 25.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,673.16 | $2,673.16 | 30.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $2,065.16 | $2,065.16 | 23.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,007.80 | $3,007.80 | 34.5× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $842.38 | $842.38 | 9.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,412.33 | $3,412.33 | 32.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,047.16 | $1,047.16 | 10.0× |
| X-Ray Spine One View - Xr Spine (72020) | $2,092.95 | $2,092.95 | 24.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $4,329.18 | $4,329.18 | 49.7× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,472.64 | $2,472.64 | 28.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,091.39 | $2,091.39 | 20.0× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $3,176.30 | $3,176.30 | 30.3× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,706.76 | $1,706.76 | 19.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,932.32 | $1,932.32 | 22.2× |
| Xr arthrogram ankle (73615) | $6,625.57 | $6,625.57 | 19.0× |
| Xr c-spine 6 or more views (72052) | $3,092.44 | $3,092.44 | 29.5× |
| Xr chest 4+ views (71048) | $3,406.44 | $3,406.44 | 32.5× |
| Xr finger(s) 2+ views (73140) | $1,594.63 | $1,594.63 | 18.3× |
| Xr shoulder 1 view (73020) | $2,065.16 | $2,065.16 | 23.7× |
| Xr spine cervical 4 or 5 views (72050) | $3,092.44 | $3,092.44 | 29.5× |
| Xr tibia/fibula 2 views (73590) | $2,124.42 | $2,124.42 | 24.4× |
| Xr tmj bilateral (70330) | $2,836.06 | $2,836.06 | 32.5× |
| Xray knee 1 or 2 views rt (73560) | $1,994.06 | $1,994.06 | 22.9× |