Imaging prices at Mayo Clinic Hospital in Florida
Jacksonville, FL · every code in this section with a posted price and a Medicare benchmark.
122 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) | $2,811.90 | $4,326 | 1.9× |
| Angiography extremity bilateral rs&i (75716) | $4,479.80 | $6,892 | 1.4× |
| Angiography extremity unilateral rs&i (75710) | $4,690.40 | $7,216 | 1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,204.85 | $6,469 | 1.3× |
| Aortography thoracic serialography rs&i (75605) | $7,707.05 | $11,857 | 1.3× |
| Artery X-Rays Abdomen (75726) | $8,092.50 | $12,450 | 1.4× |
| Artery X-Rays Spine (75705) | $8,069.10 | $12,414 | 1.4× |
| Basic radiation dosimetry calculation (77300) | $267.80 | $412 | 1.9× |
| Brachytx isodose complex (77318) | $750.10 | $1,154 | 1.9× |
| Brachytx Isodose Plan Simple (77316) | $570.70 | $878 | 1.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,106.40 | $7,856 | 3.4× |
| Cardiac Shunt Detection (78428) | $1,827.80 | $2,812 | 4.4× |
| Cat Scan Follow-Up Study (76380) | $770.25 | $1,185 | 8.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,015.65 | $3,101 | 3.6× |
| Cerebrospinal Fluid Scan (78630) | $1,547 | $2,380 | 2.7× |
| Chest 1 view (71045) | $145.60 | $224 | 1.6× |
| Chest 2 views (71046) | $178.10 | $274 | 2.0× |
| Chest 3 views (71047) | $227.50 | $350 | 2.5× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $298.35 | $459 | 2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,517.10 | $2,334 | 13.9× |
| Continuing medical physics consltj pr wk (77336) | $571.35 | $879 | 4.1× |
| Contrast Exam Abdominl Aorta (75625) | $4,321.20 | $6,648 | 1.3× |
| CT abdomen and pelvis without contrast (74176) | $1,876.55 | $2,887 | 7.5× |
| CT abdomen w contrast (74160) | $3,762.85 | $5,789 | 20.5× |
| CT Angio Chest (71275) | $1,692.60 | $2,604 | 9.2× |
| CT Angio Head (70496) | $1,388.40 | $2,136 | 7.6× |
| CT Angio Neck (70498) | $1,284.40 | $1,976 | 7.0× |
| CT cervical spine w/ contrast (72126) | $2,219.75 | $3,415 | 6.1× |
| CT cervical spine w/o contrast (72125) | $1,764.75 | $2,715 | 16.2× |
| CT cervical spine w/wo cont (72127) | $1,818.70 | $2,798 | 9.9× |
| CT l-spine w&w/o contrast (72133) | $1,408.55 | $2,167 | 7.7× |
| CT lumbar spine w contrast (72132) | $1,246.05 | $1,917 | 3.4× |
| CT thoracic spine w contrast (72129) | $2,208.70 | $3,398 | 12.1× |
| CT thoracic spine w/wo cont (72130) | $4,229.55 | $6,507 | 23.1× |
| CT upper extremity with contrast (73201) | $1,503.45 | $2,313 | 4.1× |
| CTA pelvis (72191) | $1,610.05 | $2,477 | 8.8× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$471.90–$475.80 | $726–$732 | varies |
| Follow-Up Angiography (75898) | $4,510.35 | $6,939 | 1.4× |
| Foot 2 views (73620) | $250.25 | $385 | 2.8× |
| Gastric Mucosa Imaging (78261) | $1,525.55 | $2,347 | 3.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,540.90 | $6,986 | 6.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,054.35 | $4,699 | 4.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $703.30 | $1,082 | 1.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,756.70 | $7,318 | 1.4× |
| Interstitial radiation source applic complex (77778) | $953.55 | $1,467 | 1.3× |
| Lymph System Imaging (78195) | $1,250.60 | $1,924 | 2.2× |
| Lymphangiography extremity only unilateral rs&i (75801) | $2,458.30 | $3,782 | 3.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $4,510.35 | $6,939 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $2,084.55 | $3,207 | 8.4× |
| Mlc imrt design & construction per imrt plan (77338) | $1,488.50 | $2,290 | 3.8× |
| Mra Head W/O & W/Contrast Material (70546) | $2,688.40 | $4,136 | 7.4× |
| MRA head w/o contrast (70544) | $1,272.70 | $1,958 | 5.1× |
| MRA head with contrast (70545) | $4,618.25 | $7,105 | 12.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,783.95 | $4,283 | 7.6× |
| MRI brain functional w/o physician admnistration (70554) | $2,175.55 | $3,347 | 8.7× |
| MRI chest w/o contrast (71550) | $1,750.45 | $2,693 | 7.0× |
| MRI chest with contrast (71551) | $3,935.75 | $6,055 | 4.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,253.85 | $1,929 | 5.0× |
| MRI orbit face neck w contrast (70542) | $2,148.90 | $3,306 | 5.9× |
| MRI thoracic spine w/o contrast (72146) | $672.10 | $1,034 | 2.7× |
| MRI, abdomen, combo (74183) | $3,356.60 | $5,164 | 9.2× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $3,719.95 | $5,723 | 2.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $4,455.75 | $6,855 | 1.9× |
| Nm csf leak detection (78650) | $3,312.40 | $5,096 | 2.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,208.50 | $11,090 | 5.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $298.35 | $459 | 2.7× |
| PET image w/CT, full body (78816) | $5,541.90 | $8,526 | 3.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,995.55 | $6,147 | 2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $779.35 | $1,199 | 1.4× |
| Radex Hand Minimum 3 Views (73130) | $303.55 | $467 | 3.3× |
| Radex shoulder complete minimum 2 views (73030) | $323.70 | $498 | 3.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $789.10 | $1,214 | 7.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $11,992.50 | $18,450 | 1.6× |
| Radiation treatment delivery level 1 (77402) | $1,053 | $1,620 | 9.9× |
| Radiation treatment delivery level 2 (77407) range across 4 matching MRF lines |
$1,235–$5,723.25 | $1,900–$8,805 | varies |
| Radiation treatment delivery level 3 (77412) range across 5 matching MRF lines |
$1,365–$5,723.25 | $2,100–$8,805 | varies |
| Radiologic exam colon double contrast study (74280) | $558.35 | $859 | 3.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $663 | $1,020 | 3.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $432.25 | $665 | 2.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,593.20 | $5,528 | 2.7× |
| Special dosimetry (77331) | $205.40 | $316 | 1.5× |
| Special Physics Consult (77370) | $664.95 | $1,023 | 4.7× |
| Special teletherapy port plan (77321) | $1,037.40 | $1,596 | 2.7× |
| Special treatment procedure (77470) | $892.45 | $1,373 | 1.5× |
| Srs Multisource (77371) | $9,653.80 | $14,852 | 1.3× |
| Stereotactic Body Radiation Delivery (77373) | $11,815.70 | $18,178 | 6.3× |
| Superior sagittal sinus venogram (75870) | $4,613.70 | $7,098 | 1.4× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $271.05 | $417 | 2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $575.25 | $885 | 1.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $569.40 | $876 | 1.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,004.95 | $4,623 | 7.7× |
| Ther rad simulaj-aided field setting simple (77280) | $1,203.15 | $1,851 | 8.6× |
| Tx Devices Design & Construction Complex (77334) | $576.55 | $887 | 1.5× |
| Tx devices design & construction intermediate (77333) | $213.20 | $328 | 1.5× |
| Tx devices design & construction simple (77332) | $211.25 | $325 | 1.5× |
| Ultrasound Elastography Parenchyma (76981) | $202.80 | $312 | 1.9× |
| Ultrasound Exam Aaa Screen (76706) | $636.35 | $979 | 5.8× |
| Ultrasound, abdomen limited (76705) | $578.50 | $890 | 5.3× |
| Unlisted fluoroscopic procedure (76496) | $441.35 | $679 | 4.9× |
| Us chest (76604) | $420.55 | $647 | 3.9× |
| Us complete joint (76881) range across 2 matching MRF lines |
$174.20–$293.15 | $268–$451 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$274.30–$295.10 | $422–$454 | varies |
| Us ob limited 1 or more fetuses (76815) | $467.35 | $719 | 4.3× |
| Us ob transvaginal (76817) | $320.45 | $493 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $374.40 | $576 | 3.4× |
| Us retroperitoneal limited (76775) | $366.60 | $564 | 3.4× |
| Us scrotum and contents (76870) | $518.70 | $798 | 4.8× |
| Us thyroid (76536) | $495.30 | $762 | 4.5× |
| Vein X-Ray Chest (75827) | $2,319.85 | $3,569 | 1.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,663.10 | $7,174 | 1.4× |
| Venogram Sinus/Jugular (75860) | $4,564.95 | $7,023 | 1.4× |
| Venography caval inferior serialography rs&i (75825) | $4,722.25 | $7,265 | 1.4× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,348.45–$10,669.75 | $3,613–$16,415 | varies |
| Venography extremity unilateral rs&i (75820) | $2,385.50 | $3,670 | 1.5× |
| Venography Renal Bilateral (75833) | $5,384.60 | $8,284 | 1.6× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$4,857.45–$10,958.35 | $7,473–$16,859 | varies |
| X-ray antegrade pyelogram tube (74425) | $696.80 | $1,072 | 1.9× |
| X-Ray Aorta Leg Arteries (75630) | $4,125.55 | $6,347 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $669.50 | $1,030 | 6.1× |
| X-ray humerus (73060) | $237.25 | $365 | 2.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $809.90 | $1,246 | 2.2× |
| Xr facial bones less than 3 views (70140) | $270.40 | $416 | 3.0× |
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.