Imaging prices at Menorah Medical Center
Overland Park, KS · every code in this section with a posted price and a Medicare benchmark.
398 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $51,690.14 | $51,690.14 | 39.4× |
| Abdomen 2 views (74019) | $2,067.73 | $2,067.73 | 20.9× |
| Acute gastrointestinal blood loss imaging (78278) | $11,164.69 | $11,164.69 | 29.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $17,678.35 | $17,678.35 | 5.9× |
| Angiography extremity bilateral rs&i (75716) | $12,051.93 | $12,051.93 | 4.0× |
| Angiography extremity unilateral rs&i (75710) | $3,501.15 | $3,501.15 | 1.2× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $13,784.85 | $13,784.85 | 2.6× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $8,803.86 | $8,803.86 | 2.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,621.47 | $3,621.47 | 1.2× |
| Angiography Spinal Selective Rs&I (75705) | $9,729.18 | $9,729.18 | 1.8× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $17,600.54 | $17,600.54 | 3.3× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $1,562.90 | $1,562.90 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,973.42 | $2,973.42 | 1.0× |
| Ankle 2 views (73600) | $2,711.19 | $2,711.19 | 32.9× |
| Antegrade urography radiological supvj & interpj (74425) | $2,836.74 | $2,836.74 | 8.6× |
| Aortogram thoracic (75605) | $4,539.58 | $4,539.58 | 0.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $3,859.50 | $3,859.50 | 1.3× |
| Aortography abdominal serialography rs&i (75625) | $4,603.67 | $4,603.67 | 1.5× |
| Artery X-Rays Adrenal Gland (75731) | $14,487.17 | $14,487.17 | 4.8× |
| Arthrogram elbow (73085) | $2,751.74 | $2,751.74 | 8.3× |
| Arthrogram hip (73525) | $2,491.48 | $2,491.48 | 7.5× |
| Arthrogram shoulder (73040) | $3,697.97 | $3,697.97 | 11.2× |
| Arthrogram wrist (73115) | $2,751.74 | $2,751.74 | 8.3× |
| Arthrography knee lt (73580) | $3,542.99 | $3,542.99 | 10.7× |
| Basic radiation dosimetry calculation (77300) | $5,448.09 | $5,448.09 | 42.8× |
| Bone &/Joint Imaging Limited Area (78300) | $2,919.53 | $2,919.53 | 7.7× |
| Bone &/Joint Imaging Multiple Areas (78305) | $10,103.52 | $10,103.52 | 26.7× |
| Bone &/joint imaging whole body (78306) | $8,605.49 | $8,605.49 | 22.7× |
| Bone age studies (77072) | $1,351.02 | $1,351.02 | 13.6× |
| Bone Imaging 3 Phase (78315) | $10,429.53 | $10,429.53 | 27.6× |
| Bone Marrow Imaging Limited Area (78102) | $4,573.32 | $4,573.32 | 12.1× |
| Bone survey complete (77075) | $3,520.77 | $3,520.77 | 35.6× |
| Brachytx isodose complex (77318) | $15,478.54 | $15,478.54 | 43.7× |
| Brachytx isodose intermed (77317) | $11,788.06 | $11,788.06 | 33.3× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) | $6,911.46 | $6,911.46 | 19.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $10,875.65 | $10,875.65 | 21.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $42,713.09 | $42,713.09 | 31.6× |
| Brain Imaging Vascular Flow Only (78610) | $9,303.02 | $9,303.02 | 18.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $16,294.17 | $16,294.17 | 49.3× |
| Cervical spine 2 or 3 views (72040) | $2,225.98 | $2,225.98 | 27.0× |
| Chest 1 view (71045) | $1,284.31 | $1,284.31 | 15.6× |
| Chest 3 views (71047) | $1,651.83 | $1,651.83 | 20.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $2,362 | $2,362 | 14.2× |
| Clavicle complete (73000) | $1,840.16 | $1,840.16 | 22.3× |
| Complete single session course of cranial lesion surgery using radiation (77371) | $79,360.83 | $79,360.83 | 11.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $377.10 | $377.10 | 3.8× |
| Continuing medical physics consltj pr wk (77336) | $7,285.47 | $7,285.47 | 57.3× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) | $2,590.88 | $2,590.88 | 15.6× |
| CT abdomen and pelvis without and with contrast (74178) | $12,400.10 | $12,400.10 | 37.5× |
| CT abdomen and pelvis without contrast (74176) | $12,400.10 | $12,400.10 | 54.9× |
| CT abdomen w contrast (74160) | $10,690.86 | $10,690.86 | 64.4× |
| CT abdomen w wo contrast (74170) | $11,337.49 | $11,337.49 | 68.3× |
| CT abdomen w/o contrast (74150) | $8,246.86 | $8,246.86 | 83.3× |
| CT angio hrt w/3d image (75574) | $2,397.35 | $2,397.35 | 7.3× |
| CT angiography upper extremity lt (73206) | $11,001.87 | $11,001.87 | 66.3× |
| CT c-spine w/o contrast (72125) | $11,384.15 | $11,384.15 | 115.0× |
| CT cervical spine w&w/o contrast (72127) | $13,265.74 | $13,265.74 | 79.9× |
| CT cervical spine with contrast (72126) | $11,822.15 | $11,822.15 | 35.8× |
| CT chest w/wo contrast (71270) | $13,048.03 | $13,048.03 | 78.6× |
| CT chest with contrast (71260) | $11,464.49 | $11,464.49 | 69.0× |
| CT colonography screening (74263) | $1,338.63 | $1,338.63 | 5.9× |
| CT colonography w/dye (74262) | $3,618.05 | $3,618.05 | 21.8× |
| CT colonography w/o cntrst (74261) | $2,379.20 | $2,379.20 | 24.0× |
| CT head/brain with contrast (70460) | $10,690.86 | $10,690.86 | 64.4× |
| CT head/brain without and with contrast (70470) | $11,822.15 | $11,822.15 | 71.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,397.35 | $2,397.35 | 7.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $54.50 | $54.50 | 0.7× |
| CT hrt w/3d image congen (75573) | $2,397.35 | $2,397.35 | 7.3× |
| CT iac w contrast (70481) | $10,237.31 | $10,237.31 | 61.6× |
| CT limited/localized follow up study (76380) | $1,352.22 | $1,352.22 | 16.4× |
| CT lower ext w/o (73700) | $11,001.87 | $11,001.87 | 111.2× |
| CT lower extremity w wo contrast (73702) | $11,377.67 | $11,377.67 | 68.5× |
| CT lower extremity with contrast (73701) | $11,464.49 | $11,464.49 | 69.0× |
| CT lumbar spine w & w/o contrast (72133) | $11,531.87 | $11,531.87 | 69.4× |
| CT lumbar spine w/o contrast (72131) | $11,003.16 | $11,003.16 | 111.2× |
| CT lumbar spine with contrast (72132) | $11,001.87 | $11,001.87 | 33.3× |
| CT maxillofacial w contrast (70487) | $10,690.86 | $10,690.86 | 64.4× |
| CT maxillofacial w/o contrast (70486) | $11,822.15 | $11,822.15 | 119.4× |
| CT maxillofacial w/wo contrast (70488) | $11,822.15 | $11,822.15 | 71.2× |
| CT neck soft tissue w contrast (70491) | $11,822.15 | $11,822.15 | 71.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $11,822.15 | $11,822.15 | 71.2× |
| CT orbits w/o contrast (70480) | $9,310.77 | $9,310.77 | 94.1× |
| CT pelvis w & w/o contrast (72194) | $12,365.11 | $12,365.11 | 74.5× |
| CT pelvis w/o contrast (72192) | $9,474.04 | $9,474.04 | 95.7× |
| CT soft tissue neck w/o & w/contrast material (70492) | $13,451.05 | $13,451.05 | 81.0× |
| CT soft tissue neck w/o contrast (70490) | $9,912.05 | $9,912.05 | 100.1× |
| CT thoracic spine w/contrast (72129) | $11,001.87 | $11,001.87 | 66.3× |
| CT thoracic spine w/o contrast (72128) | $10,746.58 | $10,746.58 | 108.6× |
| CT thoracic spine w/wo contrast (72130) | $11,337.49 | $11,337.49 | 68.3× |
| CT thorax w/o contrast (71250) | $9,564.76 | $9,564.76 | 96.6× |
| CT upper extremity w/o & w/contrast material (73202) | $11,377.67 | $11,377.67 | 68.5× |
| CT upper extremity w/o contrast rt (73200) | $11,001.87 | $11,001.87 | 111.2× |
| CT upper extremity with contrast (73201) | $11,464.49 | $11,464.49 | 34.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $20,762.30 | $20,762.30 | 125.0× |
| Cta Abdomen (74175) | $20,762.30 | $20,762.30 | 125.0× |
| CTA abdomen pelvis (74174) | $5,420.59 | $5,420.59 | 16.4× |
| CTA chest (71275) | $22,479.31 | $22,479.31 | 135.4× |
| Cta Head (70496) | $21,253.43 | $21,253.43 | 128.0× |
| CTA lwr ext w&w/o contrast (73706) | $20,816.72 | $20,816.72 | 125.4× |
| Cta Neck (70498) | $22,895.29 | $22,895.29 | 137.9× |
| Cta Pelvis (72191) | $20,816.72 | $20,816.72 | 125.4× |
| Cystography minimum 3 views rs&i (74430) | $2,446.35 | $2,446.35 | 7.4× |
| Diskogram cervical (72285) | $2,134.43 | $2,134.43 | 1.2× |
| Diskography lumbar (72295) | $2,134.43 | $2,134.43 | 1.2× |
| Dxa bone density study 1/> sites axial skel (77080) | $2,712.50 | $2,712.50 | 27.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,164.65 | $1,164.65 | 14.1× |
| Dxa bone density study axial skeleton (77085) | $780.14 | $780.14 | 7.9× |
| Echoencephalography real time imaging (76506) | $3,176.53 | $3,176.53 | 32.1× |
| Esophagus (74220) | $2,246.90 | $2,246.90 | 13.5× |
| Fetal biophysical profile non-stress testing (76818) | $2,374.88 | $2,374.88 | 24.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,374.88 | $2,374.88 | 24.0× |
| Fluoroscopy up to 1 hr (76000) | $1,178.38 | $1,178.38 | 5.2× |
| Foot 2 views (73620) | $2,182.82 | $2,182.82 | 26.5× |
| Forearm 2 views (73090) | $1,623.05 | $1,623.05 | 19.7× |
| Functional MRI brain by tech (70554) | $832.69 | $832.69 | 3.7× |
| Gated Heart Planar Single (78472) | $3,384.12 | $3,384.12 | 8.9× |
| Hand 2 views (73120) | $2,954.46 | $2,954.46 | 29.8× |
| Hand 3 views (73130) | $1,840.16 | $1,840.16 | 22.3× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) | $9,013.01 | $9,013.01 | 13.7× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) | $9,013.01 | $9,013.01 | 13.7× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) | $9,013.01 | $9,013.01 | 13.7× |
| Heart Infarct Image (78466) | $2,961.76 | $2,961.76 | 7.8× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $14,487.17 | $14,487.17 | 4.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $10,622.23 | $10,622.23 | 20.7× |
| Hepatobiliary syst imaging including gallbladder (78226) | $8,191.05 | $8,191.05 | 21.6× |
| Ht muscle image spect sing (78451) | $4,886.78 | $4,886.78 | 4.0× |
| Humerus Min 2 Views Left (73060) | $1,840.16 | $1,840.16 | 22.3× |
| Hysterosalpingogram (74740) | $2,853.75 | $2,853.75 | 12.6× |
| Interstitial radiation source applic complex (77778) | $8,990.88 | $8,990.88 | 13.6× |
| Intracavitary Radiation Source Applic Complex (77763) | $5,612.05 | $5,612.05 | 8.5× |
| Intracavitary Radiation Source Applic Intermed (77762) | $5,612.05 | $5,612.05 | 10.7× |
| Intracavitary radiation source applic simple (77761) | $5,612.05 | $5,612.05 | 10.7× |
| Kidney imaging morphology (78700) | $4,482.25 | $4,482.25 | 11.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $6,491.07 | $6,491.07 | 12.6× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $7,805.64 | $7,805.64 | 15.2× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $6,220.50 | $6,220.50 | 12.1× |
| Knee 3 views (73562) | $2,256.06 | $2,256.06 | 27.4× |
| Liver & spleen imaging static only (78215) | $7,581.27 | $7,581.27 | 20.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $6,857.98 | $6,857.98 | 18.1× |
| Liver imaging static only (78201) | $3,791.95 | $3,791.95 | 7.4× |
| Liver imaging w/vascular flow (78202) | $5,082.78 | $5,082.78 | 9.9× |
| Lung perfusion differential (78597) | $9,363.08 | $9,363.08 | 24.7× |
| Lung Ventilation Imaging (78579) | $16,943.04 | $16,943.04 | 44.8× |
| Lymphangio extrem unilat - ir lymphangiogram extremity (75801) | $3,017.23 | $3,017.23 | 5.1× |
| Lymphoscintigraphy (78195) | $6,228.42 | $6,228.42 | 12.1× |
| Mammary ductogram or galactogram multiple (77054) | $5,346.54 | $5,346.54 | 23.7× |
| Mammary ductogram or galactogram single (77053) | $3,923.59 | $3,923.59 | 17.4× |
| Meckels Diverticulum (78290) | $5,858.85 | $5,858.85 | 15.5× |
| Mlc imrt design & construction per imrt plan (77338) | $2,895.36 | $2,895.36 | 8.2× |
| Mr safety determination physician/other qhp (76016) | $380.38 | $380.38 | 4.6× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) | $256.61 | $256.61 | 4.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $105.80 | $105.80 | 3.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $396.53 | $396.53 | 4.4× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,044.23 | $1,044.23 | 4.6× |
| MRA head w & w/o contrast (70546) | $5,068.12 | $5,068.12 | 15.3× |
| MRA head w/o contrast (70544) | $3,399.04 | $3,399.04 | 15.0× |
| MRA head with contrast (70545) | $4,232.28 | $4,232.28 | 12.8× |
| MRA neck w contrast (70548) | $4,232.28 | $4,232.28 | 12.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,068.12 | $5,068.12 | 15.3× |
| MRA neck w/o contrast (70547) | $3,399.04 | $3,399.04 | 15.0× |
| MRI abdomen w contrast (74182) | $16,294.17 | $16,294.17 | 49.3× |
| MRI abdomen w/o & w/contrast material (74183) | $17,932.14 | $17,932.14 | 54.3× |
| MRI abdomen w/o contrast (74181) | $16,294.17 | $16,294.17 | 72.1× |
| MRI any jnt lwr ext with con lt (73722) | $16,294.17 | $16,294.17 | 22.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $16,294.17 | $16,294.17 | 22.0× |
| MRI breast w/o contrast bilateral (77047) | $15,639.76 | $15,639.76 | 69.2× |
| MRI c-spine with contrast (72142) | $16,294.17 | $16,294.17 | 49.3× |
| MRI cardiac w/o cont stress (75559) | $13,016.93 | $13,016.93 | 25.2× |
| MRI cardiac w/o contrast (75557) | $1,352.88 | $1,352.88 | 6.0× |
| MRI cervical spine w/o contrast (72141) | $13,016.93 | $13,016.93 | 57.6× |
| MRI chest w/o & w/contrast material (71552) | $17,740.35 | $17,740.35 | 53.7× |
| MRI chest w/o contrast (71550) | $14,667.86 | $14,667.86 | 64.9× |
| MRI chest with contrast (71551) | $16,134.78 | $16,134.78 | 21.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $16,294.17 | $16,294.17 | 49.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $16,294.17 | $16,294.17 | 49.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $13,016.93 | $13,016.93 | 57.6× |
| MRI orbit face &/neck w/o contrast (70540) | $13,016.93 | $13,016.93 | 57.6× |
| MRI orbit/face/neck w&w/o cont (70543) | $17,932.14 | $17,932.14 | 54.3× |
| MRI orbit/face/neck w/contrast (70542) | $16,294.17 | $16,294.17 | 49.3× |
| MRI pelvis w contrast (72196) | $16,294.17 | $16,294.17 | 49.3× |
| MRI pelvis w/o & w/contrast material (72197) | $17,932.14 | $17,932.14 | 54.3× |
| MRI pelvis w/o contrast (72195) | $13,016.93 | $13,016.93 | 57.6× |
| MRI scan of arm joint before and after contrast (73223) | $19,524.75 | $19,524.75 | 59.1× |
| MRI scan of heart before and after contrast with stress imaging (75563) | $4,054.75 | $4,054.75 | 5.5× |
| MRI scan of leg joint before and after contrast (73723) | $19,524.75 | $19,524.75 | 59.1× |
| MRI spectroscopy (76390) | $16,294.17 | $16,294.17 | 197.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $17,932.14 | $17,932.14 | 54.3× |
| MRI spinal canal lumbar w/contrast material (72149) | $16,294.17 | $16,294.17 | 49.3× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $17,932.14 | $17,932.14 | 54.3× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $16,294.17 | $16,294.17 | 49.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $17,932.14 | $17,932.14 | 54.3× |
| MRI thoracic spine w/o contrast (72146) | $13,016.93 | $13,016.93 | 57.6× |
| MRI tmj (70336) | $13,016.93 | $13,016.93 | 57.6× |
| MRI upper ext joint w/o contrast (73221) | $13,016.93 | $13,016.93 | 57.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $19,524.75 | $19,524.75 | 59.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $13,016.93 | $13,016.93 | 57.6× |
| Myelogram Cervical (72240) | $1,963.10 | $1,963.10 | 2.6× |
| Myelogram Lumbar (72265) | $2,048.76 | $2,048.76 | 2.8× |
| Myelogram thoracic (72255) | $1,963.10 | $1,963.10 | 2.6× |
| Myelography 2 or more regions (72270) | $3,311.51 | $3,311.51 | 4.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $10,252.76 | $10,252.76 | 8.4× |
| Myocardial infarct spect (78469) | $9,301.05 | $9,301.05 | 18.1× |
| Myocardial Spect Multiple Studies (78452) | $6,016.58 | $6,016.58 | 4.9× |
| Myocrd img PET metab eval single study cncrnt CT (78429) | $8,185.21 | $8,185.21 | 6.0× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $8,185.21 | $8,185.21 | 6.0× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) | $8,185.21 | $8,185.21 | 3.9× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) | $15,025.08 | $15,025.08 | 7.2× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) | $4,781.15 | $4,781.15 | 5.9× |
| Neck soft tissue (70360) | $1,840.16 | $1,840.16 | 22.3× |
| Nm cisternogram (78630) | $8,589.65 | $8,589.65 | 16.7× |
| Nm csf leak detection (78650) | $5,316.39 | $5,316.39 | 4.3× |
| Nm gastric emptying study (78264) | $7,875.60 | $7,875.60 | 20.8× |
| Nm peritoneal-venous shunt patency (78291) | $2,175.13 | $2,175.13 | 5.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $30,673.29 | $30,673.29 | 23.4× |
| Nuclear medicine of blood flow in heart muscle at rest and with stress (78492) | $8,185.21 | $8,185.21 | 6.0× |
| Nuclear medicine of heart muscle at rest with stress (78454) | $14,191.12 | $14,191.12 | 11.6× |
| Nuclear medicine study of blood flow in heart muscle at rest with stress (78491) | $8,185.21 | $8,185.21 | 6.0× |
| Nuclear medicine study of heart muscle at rest with stress (78453) | $14,191.12 | $14,191.12 | 11.6× |
| Nuclear medicine study of kidney and blood flow (78701) | $7,599.75 | $7,599.75 | 20.1× |
| Nuclear Rx Oral Admin (79005) | $9,249.57 | $9,249.57 | 41.9× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $3,056.22 | $3,056.22 | 30.9× |
| Orthopantogram (70355) | $4,062.21 | $4,062.21 | 49.3× |
| Osseous survey infant (77076) | $2,963.61 | $2,963.61 | 29.9× |
| Osseous survey limited (77074) | $2,444.39 | $2,444.39 | 24.7× |
| Parathyrd planar w/wo subtrj (78071) | $6,439.60 | $6,439.60 | 17.0× |
| Parathyroid imaging (78070) | $5,786.26 | $5,786.26 | 15.3× |
| Pelvis 1 or 2 views (72170) | $1,851.93 | $1,851.93 | 18.7× |
| Peritoneogram rs&i (74190) | $1,974.08 | $1,974.08 | 3.8× |
| PET image w/CT, skull-thigh (78815) | $35,396.88 | $35,396.88 | 26.1× |
| PET imaging CT for attenuation limited area (78814) | $57,444.24 | $57,444.24 | 42.4× |
| PET imaging for CT attenuation whole body (78816) | $35,396.88 | $35,396.88 | 26.1× |
| PET imaging limited area chest head/neck (78811) | $52,857.96 | $52,857.96 | 43.1× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $19,524.75 | $19,524.75 | 59.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,209.72 | $6,209.72 | 2.1× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $5,394.92 | $5,394.92 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $7,067.84 | $7,067.84 | 18.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $9,868.58 | $9,868.58 | 19.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,111.54 | $2,111.54 | 4.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,437.34 | $1,437.34 | 17.4× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $2,327.99 | $2,327.99 | 23.5× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,752.53 | $1,752.53 | 17.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,069.55 | $3,069.55 | 31.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $63,114.65 | $63,114.65 | 9.1× |
| Radiation treatment delivery 1 mev >= complex (77412) | $5,930.65 | $5,930.65 | 11.3× |
| Radiation treatment delivery 1 mev >= simple (77402) | $5,284.62 | $5,284.62 | 54.7× |
| Radiation tx delivery 1 mev >= intermediate (77407) | $4,622.90 | $4,622.90 | 12.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,078.19 | $2,078.19 | 21.0× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,606.05 | $1,606.05 | 19.5× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,507.96 | $1,507.96 | 18.3× |
| Radiologic exam colon single contrast study (74270) | $3,540.37 | $3,540.37 | 21.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,012.79 | $2,012.79 | 12.1× |
| Radiologic exam upr gi trc single contrast study (74240) | $3,540.37 | $3,540.37 | 21.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,594.94 | $1,594.94 | 19.4× |
| Radiological examination surgical specimen (76098) | $1,844.08 | $1,844.08 | 3.6× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $15,518.90 | $15,518.90 | 30.2× |
| Review by radiologist of adrenal gland vein image (75840) | $14,487.17 | $14,487.17 | 4.8× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $17,678.35 | $17,678.35 | 5.9× |
| Ribs bilateral 3 views (71110) | $3,561.30 | $3,561.30 | 36.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,011.31 | $2,011.31 | 5.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $12,419.88 | $12,419.88 | 24.2× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $13,653.95 | $13,653.95 | 26.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $8,107.89 | $8,107.89 | 6.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $9,199.42 | $9,199.42 | 6.8× |
| Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) | $8,107.89 | $8,107.89 | 6.6× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $4,586.52 | $4,586.52 | 20.8× |
| Rp therapy intra-arterial particulate admn (79445) | $3,029.08 | $3,029.08 | 13.7× |
| Rp Therapy Intravenous Administration (79101) | $11,960.56 | $11,960.56 | 54.1× |
| Sacroiliac Joints < 3 Views (72200) | $2,290.07 | $2,290.07 | 23.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $5,068.84 | $5,068.84 | 22.4× |
| Scanogram (77073) | $973.70 | $973.70 | 9.8× |
| Scapula complete (73010) | $1,840.16 | $1,840.16 | 18.6× |
| Screening digital breast tomosynthesis (77063) | $78.46 | $78.46 | 3.4× |
| Shuntogram indwelling nonvascular shunt rs&i (75809) | $733.06 | $733.06 | 7.4× |
| Sialogram (70390) | $2,201.12 | $2,201.12 | 9.7× |
| Simulation intermediate (77285) | $7,560.11 | $7,560.11 | 21.3× |
| Small bowel series (74250) | $2,750.43 | $2,750.43 | 16.6× |
| Spec medical radj physics consltj (77370) | $9,812.05 | $9,812.05 | 77.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) | $2,829.97 | $2,829.97 | 8.0× |
| Special dosimetry (77331) | $7,560.11 | $7,560.11 | 59.4× |
| Special treatment procedure (77470) | $5,826.03 | $5,826.03 | 11.1× |
| Spine thoracic 3 views (72072) | $3,136.25 | $3,136.25 | 31.7× |
| Spleen imaging only (78185) | $2,480.02 | $2,480.02 | 6.6× |
| Splenoportograpy rs&i (75810) | $5,609.41 | $5,609.41 | 1.9× |
| Stereotactic body radiation delivery (77373) | $63,346.13 | $63,346.13 | 37.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $27,010.28 | $27,010.28 | 76.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $16,263.18 | $16,263.18 | 45.9× |
| Ther rad simulaj-aided field setting complex (77290) | $10,476.39 | $10,476.39 | 29.6× |
| Ther rad simulaj-aided field setting simple (77280) | $3,795.09 | $3,795.09 | 29.8× |
| Thoracolumbar 2 views (72080) | $2,327.99 | $2,327.99 | 28.3× |
| Thyroid carcinoma metastases img whole body (78018) | $6,062.11 | $6,062.11 | 11.8× |
| Thyroid Imaging With Vascular Flow (78013) | $2,093.30 | $2,093.30 | 5.5× |
| Thyroid uptake measurement (78012) | $2,435.14 | $2,435.14 | 6.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,435.14 | $2,435.14 | 6.4× |
| Tmj unilateral (70328) | $1,668.83 | $1,668.83 | 20.3× |
| Tomogram (76100) | $3,565.23 | $3,565.23 | 36.0× |
| Treatment device intermediate (77333) | $6,739.49 | $6,739.49 | 53.0× |
| Treatment devices simple (77332) | $3,209.22 | $3,209.22 | 25.2× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $9,363.08 | $9,363.08 | 24.7× |
| Tx devices design & construction complex (77334) | $8,508.23 | $8,508.23 | 24.0× |
| Ultrasound, abdomen limited (76705) | $2,626.62 | $2,626.62 | 26.5× |
| Umbilical-artery Doppler (OB) (76820) | $830.42 | $830.42 | 8.4× |
| Upper Extremity Infant (73092) | $1,328.79 | $1,328.79 | 13.4× |
| Urethrocystography retrograde rs&i (74450) | $1,351.02 | $1,351.02 | 6.0× |
| Urethrocystography voiding (74455) | $1,192.77 | $1,192.77 | 5.3× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $4,446.72 | $4,446.72 | 26.8× |
| Urograpy infusion drip &/bolus techq w/wo tomo (74415) | $5,103.27 | $5,103.27 | 30.7× |
| Us abdl aorta screen aaa (76706) | $678.73 | $678.73 | 6.9× |
| Us breast unilateral complete (76641) | $1,892.31 | $1,892.31 | 19.1× |
| Us breast unilateral limited (76642) | $1,892.31 | $1,892.31 | 23.0× |
| Us chest (76604) | $2,083.24 | $2,083.24 | 21.0× |
| Us compl joint r-t w/image documentation (76881) | $2,701.81 | $2,701.81 | 27.3× |
| Us guided compression repair (76936) | $5,545.52 | $5,545.52 | 27.1× |
| Us kidney transplant (76776) | $5,954.19 | $5,954.19 | 60.2× |
| Us ob detailed single fetus (76811) | $5,483.40 | $5,483.40 | 24.3× |
| Us ob transvaginal (76817) | $2,661.27 | $2,661.27 | 26.9× |
| Us pelvic non ob complete (76856) | $5,102.84 | $5,102.84 | 51.6× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $3,056.22 | $3,056.22 | 30.9× |
| Us pregnancy ltd (76815) | $2,289.87 | $2,289.87 | 23.1× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $3,056.22 | $3,056.22 | 30.9× |
| Us retroperitoneal complete (76770) | $3,511.96 | $3,511.96 | 35.5× |
| Us retroperitoneal limited (76775) | $3,636.86 | $3,636.86 | 36.7× |
| Us scrotum and contents (76870) | $3,078.44 | $3,078.44 | 31.1× |
| Us soft tissue head/neck (76536) | $3,636.86 | $3,636.86 | 36.7× |
| Us spinal canal and contents (76800) | $2,595.89 | $2,595.89 | 26.2× |
| Us transrectal (76872) | $4,506.51 | $4,506.51 | 45.5× |
| Us xtr non-vasc lmtd (76882) | $2,701.81 | $2,701.81 | 27.3× |
| Vascular flow imaging (78445) | $10,503.44 | $10,503.44 | 27.8× |
| Venogram extremity bilateral (75822) | $4,814.89 | $4,814.89 | 3.2× |
| Venography caval inferior serialography rs&i (75825) | $12,806.57 | $12,806.57 | 4.3× |
| Venography caval superior serialography rs&i (75827) | $12,861.50 | $12,861.50 | 8.6× |
| Venography epidural rs&i (75872) | $24,323.59 | $24,323.59 | 41.0× |
| Venography extremity unilateral rs&i (75820) | $3,216.03 | $3,216.03 | 2.2× |
| Venography Renal Bilateral (75833) | $17,678.35 | $17,678.35 | 5.9× |
| Venography renal unilateral selective rs&i (75831) | $13,710.30 | $13,710.30 | 4.6× |
| Venography venous sinus/jugular cath rs&i (75860) | $774.25 | $774.25 | 0.3× |
| Venous sampling thru cath w/wo angiography rs& (75893) unusually low: confirm this is the full procedure |
$2,449.62 | $2,449.62 | 0.5× |
| Vertebral fracture assessment via dxa (77086) | $469.52 | $469.52 | 5.7× |
| Wrist 2 views (73100) | $2,427.39 | $2,427.39 | 29.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $3,447.52 | $3,447.52 | 34.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,851.93 | $1,851.93 | 22.5× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,938.25 | $1,938.25 | 23.5× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $4,097.53 | $4,097.53 | 24.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,217.62 | $1,217.62 | 14.8× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,840.16 | $1,840.16 | 22.3× |
| X-ray exam entire spi 4/5 vw (72083) | $3,069.55 | $3,069.55 | 31.0× |
| X-ray exam hip uni 1 view (73501) | $1,217.62 | $1,217.62 | 14.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,437.34 | $1,437.34 | 17.4× |
| X-ray exam hip uni 4/> views (73503) | $1,437.34 | $1,437.34 | 14.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,980.10 | $1,980.10 | 20.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,980.10 | $1,980.10 | 20.0× |
| X-ray exam of femur 1 (73551) | $1,437.34 | $1,437.34 | 17.4× |
| X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) | $2,750.43 | $2,750.43 | 16.6× |
| X-ray eye for foreign body (70030) | $3,136.25 | $3,136.25 | 38.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $2,010.18 | $2,010.18 | 20.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,449.11 | $1,449.11 | 17.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $2,797.52 | $2,797.52 | 34.0× |
| X-ray guide gu dilation - ir nephrostomy dilation (74485) | $2,199.82 | $2,199.82 | 1.1× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,543.28 | $1,543.28 | 18.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,677.99 | $1,677.99 | 20.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $2,923.06 | $2,923.06 | 29.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,437.34 | $1,437.34 | 17.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,328.79 | $1,328.79 | 16.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,327.99 | $2,327.99 | 23.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $7,613.05 | $7,613.05 | 76.9× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $1,245.09 | $1,245.09 | 12.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,840.16 | $1,840.16 | 22.3× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $1,437.34 | $1,437.34 | 17.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,078.19 | $2,078.19 | 21.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $3,110.10 | $3,110.10 | 31.4× |
| X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) | $3,358.58 | $3,358.58 | 6.5× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $2,520.24 | $2,520.24 | 7.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,023.26 | $2,023.26 | 24.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $2,246.90 | $2,246.90 | 22.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,484.65 | $4,484.65 | 45.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,568.13 | $1,568.13 | 15.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $3,706.48 | $3,706.48 | 45.0× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,840.16 | $1,840.16 | 22.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,078.19 | $2,078.19 | 25.2× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $1,328.79 | $1,328.79 | 16.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,879.91 | $2,879.91 | 29.1× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,770.85 | $1,770.85 | 17.9× |
| X-Ray Spine One View - Xr Spine (72020) | $1,752.54 | $1,752.54 | 21.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,568.13 | $1,568.13 | 19.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,694.98 | $1,694.98 | 20.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,327.99 | $2,327.99 | 23.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $3,180.72 | $3,180.72 | 32.1× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $1,543.28 | $1,543.28 | 18.7× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,623.05 | $1,623.05 | 19.7× |
| Xr arthrogram ankle (73615) | $2,491.48 | $2,491.48 | 7.5× |
| Xr c-spine 6 or more views (72052) | $4,352.56 | $4,352.56 | 44.0× |
| Xr chest 4+ views (71048) | $2,327.99 | $2,327.99 | 23.5× |
| Xr finger(s) 2+ views (73140) | $1,449.11 | $1,449.11 | 17.6× |
| Xr optic foramina (70190) | $1,391.56 | $1,391.56 | 16.9× |
| Xr shoulder 1 view (73020) | $1,437.34 | $1,437.34 | 17.4× |
| Xr spine cervical 4 or 5 views (72050) | $2,963.61 | $2,963.61 | 29.9× |
| Xr tibia/fibula 2 views (73590) | $1,840.16 | $1,840.16 | 22.3× |
| Xr tmj bilateral (70330) | $1,840.16 | $1,840.16 | 22.3× |
| Xray knee 1 or 2 views rt (73560) | $1,415.10 | $1,415.10 | 17.2× |