Imaging prices at North Shore Medical Center
Miami, FL · every code in this section with a posted price and a Medicare benchmark.
369 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) | $20,418.97 | $20,418.97 | 14.1× |
| Abdomen 2 views (74019) | $3,264.55 | $3,264.55 | 29.9× |
| Acute gi blood loss imaging (78278) | $3,499.99 | $3,499.99 | 8.4× |
| Angiography extremity bilateral rs&i (75716) | $15,855.14 | $15,855.14 | 4.8× |
| Angiography extremity unilateral rs&i (75710) | $4,601.98 | $4,601.98 | 1.4× |
| Angiography internal mammary rs&i (75756) | $7,806.58 | $7,806.58 | 2.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $29,340.62 | $29,340.62 | 5.0× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $8,130.31 | $8,130.31 | 2.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $26,412.88 | $26,412.88 | 8.0× |
| Angiography Spinal Selective Rs&I (75705) | $29,340.62 | $29,340.62 | 5.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $6,014.62 | $6,014.62 | 1.0× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $1,463.87 | $1,463.87 | 0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,275.90 | $9,275.90 | 2.8× |
| Ankle 2 views (73600) | $1,377.76 | $1,377.76 | 15.2× |
| Aortogram thoracic (75605) | $29,340.62 | $29,340.62 | 5.0× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $10,374.62 | $10,374.62 | 3.1× |
| Aortography abdominal serialography rs&i (75625) | $7,907.95 | $7,907.95 | 2.4× |
| Arthrogram hip (73525) | $2,477.57 | $2,477.57 | 6.8× |
| Arthrogram knee (73580) | $2,045.93 | $2,045.93 | 5.6× |
| Arthrogram shoulder (73040) | $3,747.42 | $3,747.42 | 10.3× |
| Basic dosimetry (77300) | $2,845.99 | $2,845.99 | 20.3× |
| Bone &/Joint Imaging Limited Area (78300) | $5,689.80 | $5,689.80 | 13.6× |
| Bone &/joint imaging whole body (78306) | $6,811.41 | $6,811.41 | 16.3× |
| Bone age studies (77072) | $632.20 | $632.20 | 5.8× |
| Bone Imaging 3 Phase (78315) | $7,159.12 | $7,159.12 | 17.1× |
| Bone Marrow Imaging Limited Area (78102) | $5,908.89 | $5,908.89 | 14.2× |
| Bone survey complete (77075) | $1,957.64 | $1,957.64 | 17.9× |
| Bone survey infant (77076) | $1,209.90 | $1,209.90 | 11.1× |
| Bowel imaging (78290) | $2,522.26 | $2,522.26 | 6.0× |
| Brachytx isodose complex (77318) | $10,459.64 | $10,459.64 | 26.8× |
| Brachytx isodose intermed (77317) | $8,970.70 | $8,970.70 | 22.9× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) | $6,900.79 | $6,900.79 | 17.6× |
| Brain Imaging < 4 Static Views W Vascular Flow (78601) | $1,401.74 | $1,401.74 | 3.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,502.64 | $2,502.64 | 4.4× |
| Brain Imaging Vascular Flow Only (78610) | $1,529.27 | $1,529.27 | 2.7× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $5,615.68 | $5,615.68 | 13.5× |
| Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast… (75563) | $5,439.10 | $5,439.10 | 6.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $5,391.14 | $5,391.14 | 14.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,623.63 | $2,623.63 | 4.6× |
| Cervical spine 2 or 3 views (72040) | $1,883.52 | $1,883.52 | 20.7× |
| Chest 1 view (71045) | $1,396.29 | $1,396.29 | 15.4× |
| Chest xray 3 views (71047) | $3,841.16 | $3,841.16 | 42.3× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,218.62 | $1,218.62 | 6.7× |
| Clavicle complete (73000) | $967.92 | $967.92 | 10.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,591.40 | $1,591.40 | 14.6× |
| Continuing medical physics consltj pr wk (77336) | $2,575.67 | $2,575.67 | 18.4× |
| CT abdomen and pelvis without and with contrast (74178) | $18,223.07 | $18,223.07 | 50.0× |
| CT abdomen and pelvis without contrast (74176) | $16,191.81 | $16,191.81 | 65.0× |
| CT abdomen w contrast (74160) | $8,534.33 | $8,534.33 | 46.6× |
| CT abdomen w wo contrast (74170) | $11,461.62 | $11,461.62 | 62.6× |
| CT abdomen w/o contrast (74150) | $6,851.03 | $6,851.03 | 62.8× |
| CT angio hrt w/3d image (75574) | $4,620.51 | $4,620.51 | 12.7× |
| CT angio lwr extr w/o&w/dye (73706) | $6,991.26 | $6,991.26 | 38.2× |
| CT angiography upper extremity lt (73206) | $7,783.53 | $7,783.53 | 42.5× |
| CT c-spine w/contrast (72126) | $7,667.06 | $7,667.06 | 21.0× |
| CT c-spine w/o contrast (72125) | $8,908.59 | $8,908.59 | 81.6× |
| CT cervical spine w&w/o contrast (72127) | $14,706.28 | $14,706.28 | 80.3× |
| CT chest w contrast (71260) | $9,061.58 | $9,061.58 | 49.5× |
| CT chest w/wo contrast (71270) | $7,768.43 | $7,768.43 | 42.4× |
| CT head/brain with contrast (70460) | $9,374 | $9,374 | 51.2× |
| CT head/brain without and with contrast (70470) | $11,690.56 | $11,690.56 | 63.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,238.39 | $3,238.39 | 8.9× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $2,203.98 | $2,203.98 | 24.3× |
| CT hrt w/3d image congen (75573) | $3,833.53 | $3,833.53 | 10.5× |
| CT iac w contrast (70481) | $8,873.37 | $8,873.37 | 48.4× |
| CT limited/localized follow up study (76380) | $1,883.52 | $1,883.52 | 20.7× |
| CT lower ext w/o (73700) | $6,382.67 | $6,382.67 | 58.5× |
| CT lower extremity w wo contrast (73702) | $10,824.79 | $10,824.79 | 59.1× |
| CT lower extremity w/contrast material (73701) | $4,718.61 | $4,718.61 | 25.8× |
| CT lumbar spine w & w/o contrast (72133) | $11,222.64 | $11,222.64 | 61.3× |
| CT lumbar spine w/contrast (72132) | $6,777.88 | $6,777.88 | 18.6× |
| CT lumbar spine w/o contrast (72131) | $8,125.30 | $8,125.30 | 74.4× |
| CT maxillofacial w contrast (70487) | $8,274.33 | $8,274.33 | 45.2× |
| CT maxillofacial w/wo contrast (70488) | $13,672.96 | $13,672.96 | 74.6× |
| CT maxillofacial wo contrast (70486) | $8,200.16 | $8,200.16 | 75.1× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $14,227.40 | $14,227.40 | 77.7× |
| CT orbits w/o contrast (70480) | $8,605.15 | $8,605.15 | 78.8× |
| CT pelvis w/o contrast (72192) | $7,633.43 | $7,633.43 | 69.9× |
| CT pelvis w/wo contrast (72194) | $17,023.62 | $17,023.62 | 92.9× |
| CT scan of arm combo (73202) | $10,740.86 | $10,740.86 | 58.6× |
| CT soft tissue neck w contrast (70491) | $9,277.18 | $9,277.18 | 50.6× |
| CT soft tissue neck w/o & w/contrast material (70492) | $9,896.91 | $9,896.91 | 54.0× |
| CT soft tissue neck w/o contrast (70490) | $8,103.70 | $8,103.70 | 74.2× |
| CT thoracic spine w/contrast (72129) | $10,751.76 | $10,751.76 | 58.7× |
| CT thoracic spine w/o contrast (72128) | $7,432.08 | $7,432.08 | 68.1× |
| CT thoracic spine w/wo contrast (72130) | $13,154.12 | $13,154.12 | 71.8× |
| CT thorax w/o contrast (71250) | $6,306.61 | $6,306.61 | 57.8× |
| CT upper ext wo (73200) | $8,363.57 | $8,363.57 | 76.6× |
| CT upper extremity with contrast (73201) | $5,439.25 | $5,439.25 | 14.9× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $7,807.14 | $7,807.14 | 42.6× |
| Cta Abdomen (74175) | $7,861.85 | $7,861.85 | 42.9× |
| CTA abdomen pelvis (74174) | $5,820.45 | $5,820.45 | 16.0× |
| CTA chest (71275) | $8,828 | $8,828 | 48.2× |
| Cta Head (70496) | $6,118.78 | $6,118.78 | 33.4× |
| Cta Neck (70498) | $6,782.25 | $6,782.25 | 37.0× |
| Cta Pelvis (72191) | $10,721.24 | $10,721.24 | 58.5× |
| Cystography minimum 3 views rs&i (74430) | $1,439.89 | $1,439.89 | 4.0× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $3,184.98 | $3,184.98 | 1.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $348.71 | $348.71 | 3.2× |
| Dxa bone density study 1/> sites axial skel (77080) | $1,026.78 | $1,026.78 | 9.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $728.12 | $728.12 | 8.0× |
| Esophagus (74220) | $2,196.35 | $2,196.35 | 12.0× |
| Facial bones min 3 views (70150) | $1,398.47 | $1,398.47 | 12.8× |
| Fetal biophysical profile non-stress testing (76818) | $2,196.35 | $2,196.35 | 20.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,335.25 | $1,335.25 | 12.2× |
| Fluoroscopy up to 1 hr (76000) | $2,178.91 | $2,178.91 | 8.7× |
| Foot 2 views (73620) | $1,056.21 | $1,056.21 | 11.6× |
| Forearm 2 views (73090) | $1,348.33 | $1,348.33 | 14.8× |
| Hand 2 views (73120) | $990.81 | $990.81 | 9.1× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) | $19,235.23 | $19,235.23 | 26.4× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) | $17,810.60 | $17,810.60 | 24.5× |
| Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) | $18,878.80 | $18,878.80 | 26.0× |
| Heart Infarct Image (78466) | $3,166.45 | $3,166.45 | 7.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $19,351.86 | $19,351.86 | 5.9× |
| Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) | $7,897.05 | $7,897.05 | 2.4× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $5,737.76 | $5,737.76 | 10.1× |
| Hepatobiliary syst imaging including gallbladder (78226) | $5,791.17 | $5,791.17 | 13.9× |
| Hysterosalpingogram (74740) | $3,828.08 | $3,828.08 | 15.4× |
| Interstitial radiation source applic complex (77778) | $9,329.31 | $9,329.31 | 12.8× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,850.82 | $1,850.82 | 3.2× |
| Kidney function study, non-imaging radioisotopic study Non-Facility (78725) | $5,344.27 | $5,344.27 | 12.8× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $3,649.32 | $3,649.32 | 6.4× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $6,178.12 | $6,178.12 | 10.9× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $4,425.40 | $4,425.40 | 7.8× |
| Knee 3 views (73562) | $1,497.66 | $1,497.66 | 16.5× |
| Liver & spleen imaging static only (78215) | $3,938.17 | $3,938.17 | 9.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $4,802.54 | $4,802.54 | 11.5× |
| Liver imaging static only (78201) | $3,182.80 | $3,182.80 | 5.6× |
| Liver imaging w/vascular flow (78202) | $3,823.72 | $3,823.72 | 6.7× |
| Lung perf&ventilat diferentl (78598) | $3,932.72 | $3,932.72 | 6.9× |
| Lung perfusion differential (78597) | $3,897.84 | $3,897.84 | 9.3× |
| Lung ventilation imaging (78579) | $3,844.43 | $3,844.43 | 9.2× |
| Lymphoscintigraphy (78195) | $3,466.20 | $3,466.20 | 6.1× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $10,733.23 | $10,733.23 | 13.1× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $11,463.53 | $11,463.53 | 31.5× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $10,189.32 | $10,189.32 | 28.0× |
| Mammary ductogram or galactogram multiple (77054) | $1,883.52 | $1,883.52 | 7.6× |
| Mammary ductogram or galactogram single (77053) | $1,745.09 | $1,745.09 | 7.0× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) | $247.74 | $247.74 | 2.7× |
| Mlc imrt design & construction per imrt plan (77338) | $10,401.87 | $10,401.87 | 26.6× |
| MRA head w & w/o contrast (70546) | $8,747.25 | $8,747.25 | 24.0× |
| MRA head w/o contrast (70544) | $9,385.99 | $9,385.99 | 37.7× |
| MRA head with contrast (70545) | $8,608.82 | $8,608.82 | 23.6× |
| MRA neck w contrast (70548) | $7,899.23 | $7,899.23 | 21.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,192.14 | $4,192.14 | 11.5× |
| MRA neck w/o contrast (70547) | $5,285.41 | $5,285.41 | 21.2× |
| MRI abdomen w contrast (74182) | $9,728.25 | $9,728.25 | 26.7× |
| MRI abdomen w/o & w/contrast material (74183) | $13,206.44 | $13,206.44 | 36.2× |
| MRI abdomen w/o contrast (74181) | $9,924.45 | $9,924.45 | 39.8× |
| MRI any jt lower extrem w/contrast material (73722) | $8,903.12 | $8,903.12 | 10.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $14,662.68 | $14,662.68 | 40.2× |
| MRI breast w/o contrast bilateral (77047) | $8,564.13 | $8,564.13 | 34.4× |
| MRI breast wo contrast unilateral (77046) | $5,851.12 | $5,851.12 | 23.5× |
| MRI c-spine with contrast (72142) | $12,398.75 | $12,398.75 | 34.0× |
| MRI cardiac w/o cont stress (75559) | $4,120.20 | $4,120.20 | 7.2× |
| MRI cardiac w/o contrast (75557) | $4,195.41 | $4,195.41 | 16.8× |
| MRI cervical spine w/o contrast (72141) | $11,612.86 | $11,612.86 | 46.6× |
| MRI chest w/o & w/contrast material (71552) | $6,168.31 | $6,168.31 | 16.9× |
| MRI chest w/o contrast (71550) | $7,283.38 | $7,283.38 | 29.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $6,535.64 | $6,535.64 | 17.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $10,808.44 | $10,808.44 | 29.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $9,658.49 | $9,658.49 | 38.8× |
| MRI orbit face &/neck w/o contrast (70540) | $8,403.90 | $8,403.90 | 33.7× |
| MRI orbit face neck w contrast (70542) | $6,387.40 | $6,387.40 | 17.5× |
| MRI orbit/face/neck w&w/o cont (70543) | $7,832.74 | $7,832.74 | 21.5× |
| MRI pelvis w/contrast (72196) | $11,996.54 | $11,996.54 | 32.9× |
| MRI pelvis w/o & w/contrast material (72197) | $10,398.60 | $10,398.60 | 28.5× |
| MRI pelvis w/o contrast (72195) | $8,584.84 | $8,584.84 | 34.5× |
| MRI spectroscopy (76390) | $4,580.18 | $4,580.18 | 50.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $15,256.73 | $15,256.73 | 41.9× |
| MRI spinal canal lumbar w/contrast material (72149) | $9,624.70 | $9,624.70 | 26.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $12,968.82 | $12,968.82 | 35.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $10,232.92 | $10,232.92 | 28.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $14,560.22 | $14,560.22 | 40.0× |
| MRI temporomandibular joint (70336) | $4,399.24 | $4,399.24 | 17.7× |
| MRI thoracic spine w/o contrast (72146) | $8,977.24 | $8,977.24 | 36.0× |
| MRI up ext w/o contrast (73218) | $7,673.60 | $7,673.60 | 30.8× |
| MRI upper ext joint w/o contrast (73221) | $11,096.20 | $11,096.20 | 44.5× |
| MRI, joint upper extrem combo (73223) | $12,186.20 | $12,186.20 | 33.4× |
| Myelogram Cervical (72240) | $4,017.74 | $4,017.74 | 4.9× |
| Myelogram Lumbar (72265) | $2,246.49 | $2,246.49 | 2.7× |
| Myelogram thoracic (72255) | $3,788.84 | $3,788.84 | 4.6× |
| Myelography 2 or more regions (72270) | $4,714.25 | $4,714.25 | 5.8× |
| Myocardial infarct spect (78469) | $3,254.74 | $3,254.74 | 5.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $9,856.87 | $9,856.87 | 7.3× |
| Myocardial Perfusion Planar Multiple Studies (78454) | $20,000.41 | $20,000.41 | 14.8× |
| Myocardial Spect Multiple Studies (78452) | $19,073.91 | $19,073.91 | 14.1× |
| Myocardial spect single study at rest or stress (78451) | $8,559.77 | $8,559.77 | 6.3× |
| Neck soft tissue (70360) | $1,899.87 | $1,899.87 | 20.9× |
| Nm bone marrow multi (78103) | $11,717.50 | $11,717.50 | 28.1× |
| Nm cardiac blood pool multiple (78473) | $9,199.60 | $9,199.60 | 22.0× |
| Nm cisternogram (78630) | $1,711.30 | $1,711.30 | 3.0× |
| Nm gastric emptying study (78264) | $8,139.03 | $8,139.03 | 19.5× |
| Nm gastroesophageal reflux study (78262) | $3,462.93 | $3,462.93 | 8.3× |
| Nm kidney scan w/flow (78701) | $4,333.84 | $4,333.84 | 10.4× |
| Nm peritoneal-venous shunt patency (78291) | $2,623.63 | $2,623.63 | 6.3× |
| Noncardiac Vascular Flow Imaging (78445) | $6,400.48 | $6,400.48 | 15.3× |
| Nonvascular shunt X-ray (75809) | $1,011.56 | $1,011.56 | 9.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $38,615.43 | $38,615.43 | 26.7× |
| Nuclear Rx Oral Admin (79005) | $3,736.52 | $3,736.52 | 15.3× |
| Osseous survey limited (77074) | $1,698.22 | $1,698.22 | 15.6× |
| Parathyroid Planar Imaging (78070) | $4,869.03 | $4,869.03 | 11.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $6,075.66 | $6,075.66 | 14.6× |
| Pelvis 1 or 2 views (72170) | $1,482.40 | $1,482.40 | 13.6× |
| Peritoneogram after injection (74190) | $816.41 | $816.41 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,407.34 | $3,407.34 | 8.2× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $8,464.94 | $8,464.94 | 14.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,964.80 | $2,964.80 | 5.2× |
| Radex Ankle Compl Minimum 3 Views (73610) | $2,033.94 | $2,033.94 | 22.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,034.41 | $1,034.41 | 11.4× |
| Radex Elbw Compl Minimum 3 Views (73080) | $2,008.87 | $2,008.87 | 22.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,859.54 | $1,859.54 | 20.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $2,718.46 | $2,718.46 | 24.9× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) | $9,492.81 | $9,492.81 | 87.0× |
| Radex fingr minimum 2 views (73140) | $1,726.56 | $1,726.56 | 19.0× |
| Radex Foot Compl Minimum 3 Views (73630) | $2,169.10 | $2,169.10 | 23.9× |
| Radex Hand Minimum 3 Views (73130) | $1,932.57 | $1,932.57 | 21.3× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $1,536.90 | $1,536.90 | 16.9× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $3,666.76 | $3,666.76 | 33.6× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $1,443.16 | $1,443.16 | 13.2× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $3,098.87 | $3,098.87 | 28.4× |
| Radex Humerus Minimum 2 Views (73060) | $2,164.74 | $2,164.74 | 23.8× |
| Radex Kne 1/2 Views (73560) | $1,132.51 | $1,132.51 | 12.5× |
| Radex Kne Compl 4/More Views (73564) | $2,922.29 | $2,922.29 | 26.8× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $1,540.17 | $1,540.17 | 14.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $978.82 | $978.82 | 10.8× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $417.47 | $417.47 | 3.8× |
| Radex Sho Compl Minimum 2 Views (73030) | $2,209.43 | $2,209.43 | 24.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $259.08 | $259.08 | 2.9× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) | $1,830.11 | $1,830.11 | 16.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,003.42 | $2,003.42 | 22.0× |
| Radex Toe Minimum 2 Views (73660) | $1,381.03 | $1,381.03 | 15.2× |
| Radex upper extremity infant minimum 2 views (73092) | $1,401.74 | $1,401.74 | 12.8× |
| Radex Wrst Compl Minimum 3 Views (73110) | $2,213.79 | $2,213.79 | 24.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $13,434.25 | $13,434.25 | 123.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $75,229.62 | $75,229.62 | 9.8× |
| Radiation treatment delivery level 1 (77402) | $1,620.83 | $1,620.83 | 15.2× |
| Radiation treatment delivery level 2 (77407) | $2,227.96 | $2,227.96 | 5.5× |
| Radiation treatment delivery level 3 (77412) | $4,104.94 | $4,104.94 | 7.1× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,579.41 | $1,579.41 | 17.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $4,012.29 | $4,012.29 | 36.8× |
| Radiologic exam chest 2 views (71046) | $2,705.38 | $2,705.38 | 29.8× |
| Radiologic exam colon single contrast study (74270) | $2,748.98 | $2,748.98 | 15.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $2,196.35 | $2,196.35 | 12.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,832.44 | $3,832.44 | 20.9× |
| Radiologic exam upr gi trc single contrast study (74240) | $593.18 | $593.18 | 3.2× |
| Radiologic examination femur 1 view (73551) | $688.88 | $688.88 | 7.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $2,112.42 | $2,112.42 | 23.2× |
| Radiological examination surgical specimen (76098) | $913.42 | $913.42 | 1.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,752.72 | $1,752.72 | 4.4× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,621.92 | $1,621.92 | 4.0× |
| Renal Cyst Study (74470) | $644.28 | $644.28 | 1.1× |
| Ribs bilateral 3 views (71110) | $2,861.25 | $2,861.25 | 26.2× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $2,980.06 | $2,980.06 | 7.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,735.43 | $3,735.43 | 8.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,790.55 | $4,790.55 | 8.4× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $7,192.91 | $7,192.91 | 12.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $5,942.68 | $5,942.68 | 10.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $5,942.68 | $5,942.68 | 4.4× |
| Rp therapy intra-arterial particulate admn (79445) | $2,060.10 | $2,060.10 | 8.5× |
| Rp Therapy Intravenous Administration (79101) | $2,513.54 | $2,513.54 | 10.3× |
| Sacroiliac Joints < 3 Views (72200) | $1,321.08 | $1,321.08 | 12.1× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $2,245.40 | $2,245.40 | 9.0× |
| Scapula (73010) | $1,086.73 | $1,086.73 | 10.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $172.22 | $172.22 | 7.4× |
| Shoulder 1 view (73020) | $1,013.70 | $1,013.70 | 11.2× |
| Simulation intermediate (77285) | $3,398.62 | $3,398.62 | 8.7× |
| Small bowel series (74250) | $1,842.10 | $1,842.10 | 10.1× |
| Spec telethx port pln parts hemibdy tot bdy (77321) | $4,205.22 | $4,205.22 | 10.8× |
| Special dosimetry (77331) | $2,206.16 | $2,206.16 | 15.7× |
| Special Physics Consult (77370) | $3,575.20 | $3,575.20 | 25.5× |
| Special treatment procedure (77470) | $7,379.30 | $7,379.30 | 12.8× |
| Spine thoracic 3 views (72072) | $2,292.27 | $2,292.27 | 21.0× |
| Stereotactic Body Radiation Delivery (77373) | $16,832.87 | $16,832.87 | 9.0× |
| Superior sagittal sinus venogram (75870) | $9,169.07 | $9,169.07 | 2.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $7,965.72 | $7,965.72 | 20.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $10,178.42 | $10,178.42 | 26.0× |
| Testicular Imaging With Vascular Flow (78761) | $3,037.83 | $3,037.83 | 7.3× |
| Ther rad simulaj-aided field setting complex (77290) | $5,200.39 | $5,200.39 | 13.3× |
| Ther rad simulaj-aided field setting simple (77280) | $3,315.78 | $3,315.78 | 23.6× |
| Thoracolumbar 2 views (72080) | $1,847.55 | $1,847.55 | 20.3× |
| Thyroid carcinoma metastases img whole body (78018) | $2,654.15 | $2,654.15 | 4.7× |
| Thyroid imaging w/blood flow (78013) | $3,142.47 | $3,142.47 | 7.5× |
| Thyroid uptake measurement (78012) | $1,870.44 | $1,870.44 | 4.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $6,147.60 | $6,147.60 | 14.7× |
| Tmj unilateral (70328) | $359.08 | $359.08 | 4.0× |
| Tomogram (76100) | $2,588.75 | $2,588.75 | 23.7× |
| Treatment device complex (77334) | $2,931.01 | $2,931.01 | 7.5× |
| Treatment device intermediate (77333) | $2,089.53 | $2,089.53 | 14.9× |
| Treatment devices simple (77332) | $1,252.41 | $1,252.41 | 8.9× |
| Ultrasound breast complete (76641) | $1,800.68 | $1,800.68 | 16.5× |
| Ultrasound elastography first target lesion (76982) | $535.19 | $535.19 | 4.9× |
| Ultrasound Exam Aaa Screen (76706) | $1,159.76 | $1,159.76 | 10.6× |
| Ultrasound, abdomen limited (76705) | $3,093.42 | $3,093.42 | 28.3× |
| Umbilical-artery Doppler (OB) (76820) | $1,193.55 | $1,193.55 | 10.9× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $4,143.09 | $4,143.09 | 38.9× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $661.63 | $661.63 | 59.8× |
| Urea breath test, C-14 (isotopic); analysis Facility (78268) | $661.63 | $661.63 | 7.0× |
| Urethrocystogram voiding (74455) | $3,670.03 | $3,670.03 | 14.7× |
| Urethrocystography retrograde rs&i (74450) | $2,450.32 | $2,450.32 | 9.8× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) | $2,153.84 | $2,153.84 | 11.8× |
| Us breast unilateral limited (76642) | $1,492.21 | $1,492.21 | 16.4× |
| Us chest (76604) | $1,727.65 | $1,727.65 | 15.8× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $1,183.20 | $1,183.20 | 5.2× |
| Us elastography parenchyma (76981) | $772.33 | $772.33 | 7.1× |
| Us encephalogram (76506) | $1,444.25 | $1,444.25 | 13.2× |
| Us infant hips w manipulation (76885) | $2,202.89 | $2,202.89 | 24.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,550.60 | $2,550.60 | 23.4× |
| Us ob detailed single fetus (76811) | $1,982.71 | $1,982.71 | 8.0× |
| Us ob limited (76815) | $954.84 | $954.84 | 8.7× |
| Us ob transvaginal (76817) | $2,120.05 | $2,120.05 | 19.4× |
| Us pelvic non ob complete (76856) | $3,937.08 | $3,937.08 | 36.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $779.35 | $779.35 | 7.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,461.69 | $1,461.69 | 13.4× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) | $1,329.80 | $1,329.80 | 12.2× |
| Us retroperitoneal complete (76770) | $13,151.94 | $13,151.94 | 120.5× |
| Us retroperitoneal limited (76775) | $2,782.77 | $2,782.77 | 25.5× |
| Us scrotum and contents (76870) | $3,001.86 | $3,001.86 | 27.5× |
| Us soft tissue head/neck (76536) | $3,176.26 | $3,176.26 | 29.1× |
| Us spinal canal and contents (76800) | $1,189.19 | $1,189.19 | 10.9× |
| Us transrectal (76872) | $2,586.57 | $2,586.57 | 23.7× |
| Us transrectal prostate volume (76873) | $2,641.07 | $2,641.07 | 24.2× |
| Us,transplanted kidney, real time/ doppler (76776) | $1,742.91 | $1,742.91 | 16.0× |
| Venogram extremity bilateral (75822) | $2,950.63 | $2,950.63 | 1.8× |
| Venogram Extremity Unilateral (75820) | $1,391.93 | $1,391.93 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $15,508.52 | $15,508.52 | 4.7× |
| Venography caval superior serialography rs&i (75827) | $3,628.61 | $3,628.61 | 2.2× |
| Venography Renal Bilateral (75833) | $10,652.57 | $10,652.57 | 3.2× |
| Venography renal unilateral selective rs&i (75831) | $10,231.28 | $10,231.28 | 3.1× |
| Venography venous sinus/jugular cath rs&i (75860) | $5,073.95 | $5,073.95 | 1.5× |
| Venous sampling by catheter (75893) | $28,736.76 | $28,736.76 | 4.9× |
| Wrist 2 views (73100) | $1,314.54 | $1,314.54 | 14.5× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $5,054.33 | $5,054.33 | 46.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $805.51 | $805.51 | 8.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $2,587.66 | $2,587.66 | 14.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $972.28 | $972.28 | 10.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,339.14 | $2,339.14 | 25.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,678.60 | $1,678.60 | 15.4× |
| X-ray exam of femur 2/> (73552) | $1,725.47 | $1,725.47 | 19.0× |
| X-ray eye for foreign body (70030) | $736.84 | $736.84 | 8.1× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $259.08 | $259.08 | 2.9× |
| X-ray IV pyelogram (ivp) (74400) | $3,098.87 | $3,098.87 | 16.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $384.77 | $384.77 | 4.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,042.04 | $1,042.04 | 11.5× |
| X-ray leg, infant (73592) | $1,655.71 | $1,655.71 | 18.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,156.02 | $2,156.02 | 19.7× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $234.35 | $234.35 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $1,069.29 | $1,069.29 | 11.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,243.69 | $1,243.69 | 11.4× |
| X-ray retrograde pyelogram (74420) | $2,744.62 | $2,744.62 | 7.5× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,604.01 | $2,604.01 | 28.7× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $2,177.82 | $2,177.82 | 19.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,040.48 | $2,040.48 | 18.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,620.83 | $1,620.83 | 14.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,056.21 | $1,056.21 | 11.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,510.74 | $1,510.74 | 16.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,224.07 | $1,224.07 | 11.2× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $945.03 | $945.03 | 8.7× |
| X-Ray Small Bowel Enteroclysis (74251) | $572.13 | $572.13 | 3.1× |
| X-Ray Spine One View - Xr Spine (72020) | $759.73 | $759.73 | 8.4× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $665.99 | $665.99 | 7.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,436.62 | $1,436.62 | 15.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,241.04 | $2,241.04 | 20.5× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $2,375.11 | $2,375.11 | 21.8× |
| Xr bone length studies (77073) | $1,166.30 | $1,166.30 | 10.7× |
| Xr c-spine 4 or 5 views (72050) | $4,631.41 | $4,631.41 | 42.4× |
| Xr c-spine 6 or more views (72052) | $2,529.89 | $2,529.89 | 23.2× |
| Xr chest 4+ views (71048) | $573.34 | $573.34 | 5.3× |
| Xr urogram antegrade (74425) | $2,051.38 | $2,051.38 | 5.6× |