Imaging prices at Oviedo Medical Center
Oviedo, FL · every code in this section with a posted price and a Medicare benchmark.
340 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) | $8,943.89 | $8,943.89 | 6.2× |
| Abdomen 2 views (74019) | $2,590.80 | $2,590.80 | 23.7× |
| Acute gi blood loss imaging (78278) | $4,111.17 | $4,111.17 | 9.8× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $3,500.88 | $3,500.88 | 2.6× |
| Angiography extremity bilateral rs&i (75716) | $4,935.78 | $4,935.78 | 1.5× |
| Angiography extremity unilateral rs&i (75710) | $4,857.24 | $4,857.24 | 1.5× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $5,359.08 | $5,359.08 | 0.9× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $4,937.82 | $4,937.82 | 1.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,689.96 | $4,689.96 | 1.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $4,689.96 | $4,689.96 | 0.8× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $1,134.24 | $1,134.24 | 0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $10,561.08 | $10,561.08 | 3.2× |
| Ankle 2 views (73600) | $361.08 | $361.08 | 4.0× |
| Aortogram thoracic (75605) | $4,765.44 | $4,765.44 | 0.8× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $12,688.80 | $12,688.80 | 3.8× |
| Aortography abdominal serialography rs&i (75625) | $12,688.80 | $12,688.80 | 3.8× |
| Arthrogram ankle (73615) | $970.02 | $970.02 | 2.7× |
| Arthrogram elbow (73085) | $970.02 | $970.02 | 2.7× |
| Arthrogram hip (73525) | $970.02 | $970.02 | 2.7× |
| Arthrogram knee (73580) | $1,173 | $1,173 | 3.2× |
| Arthrogram shoulder (73040) | $1,202.58 | $1,202.58 | 3.3× |
| Arthrogram wrist (73115) | $970.02 | $970.02 | 2.7× |
| Basic dosimetry (77300) | $1,495.97 | $1,495.97 | 10.7× |
| Bone &/Joint Imaging Limited Area (78300) | $4,734.68 | $4,734.68 | 11.3× |
| Bone &/Joint Imaging Multiple Areas (78305) | $6,554.52 | $6,554.52 | 15.7× |
| Bone &/joint imaging whole body (78306) | $12,411.73 | $12,411.73 | 29.7× |
| Bone age studies (77072) | $334.56 | $334.56 | 3.1× |
| Bone Imaging 3 Phase (78315) | $11,659.33 | $11,659.33 | 27.9× |
| Bone survey complete (77075) | $4,312.56 | $4,312.56 | 39.5× |
| Bone survey infant (77076) | $2,552.04 | $2,552.04 | 23.4× |
| Bowel imaging (78290) | $7,046.94 | $7,046.94 | 16.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $8,197.01 | $8,197.01 | 14.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $17,844.95 | $17,844.95 | 12.0× |
| Brain Imaging Vascular Flow Only (78610) | $7,952.45 | $7,952.45 | 14.0× |
| Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) | $5,890.26 | $5,890.26 | 14.1× |
| Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or… (78483) | $6,498.34 | $6,498.34 | 11.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $6,643.75 | $6,643.75 | 11.7× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $3,372 | $3,372 | 5.9× |
| Cervical spine 2 or 3 views (72040) | $2,036.94 | $2,036.94 | 22.4× |
| Chest 1 view (71045) | $1,669.74 | $1,669.74 | 18.4× |
| Chest xray 3 views (71047) | $2,019.60 | $2,019.60 | 22.2× |
| Cholecystography, oral contrast Non-Facility (74290) | $3,295.62 | $3,295.62 | 18.0× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $902.70 | $902.70 | 4.9× |
| Cisternography Positive Contrast Rs&I (70015) | $8,572.08 | $8,572.08 | 10.5× |
| Clavicle complete (73000) | $1,964.52 | $1,964.52 | 21.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $438.84 | $438.84 | 4.0× |
| Continuing medical physics consltj pr wk (77336) | $674.18 | $674.18 | 4.8× |
| Contrast Xray Throat/Cerv Esopha (74210) | $902.70 | $902.70 | 4.9× |
| Corpora cavernosography (74445) | $5,142.84 | $5,142.84 | 47.1× |
| CT abdomen and pelvis without and with contrast (74178) | $23,406.08 | $23,406.08 | 64.2× |
| CT abdomen and pelvis without contrast (74176) | $23,406.08 | $23,406.08 | 93.9× |
| CT abdomen w contrast (74160) | $16,183.48 | $16,183.48 | 88.4× |
| CT abdomen w wo contrast (74170) | $18,726.68 | $18,726.68 | 102.2× |
| CT abdomen w/o contrast (74150) | $15,745.78 | $15,745.78 | 144.2× |
| CT angio hrt w/3d image (75574) | $14,039.33 | $14,039.33 | 38.5× |
| CT angio lwr extr w/o&w/dye (73706) | $14,562.29 | $14,562.29 | 79.5× |
| CT angiography upper extremity lt (73206) | $14,562.29 | $14,562.29 | 79.5× |
| CT c-spine w/contrast (72126) | $11,431.32 | $11,431.32 | 31.4× |
| CT c-spine w/o contrast (72125) | $10,993.63 | $10,993.63 | 100.7× |
| CT cervical spine w&w/o contrast (72127) | $14,091.62 | $14,091.62 | 76.9× |
| CT chest w contrast (71260) | $15,717.36 | $15,717.36 | 85.8× |
| CT chest w/wo contrast (71270) | $18,580.02 | $18,580.02 | 101.4× |
| CT head/brain with contrast (70460) | $16,006.13 | $16,006.13 | 87.4× |
| CT head/brain without and with contrast (70470) | $20,726.45 | $20,726.45 | 113.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $17,550.01 | $17,550.01 | 48.2× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $1,007.28 | $1,007.28 | 11.1× |
| CT hrt w/3d image congen (75573) | $14,039.33 | $14,039.33 | 38.5× |
| CT iac w contrast (70481) | $10,065.93 | $10,065.93 | 55.0× |
| CT limited/localized follow up study (76380) | $2,864.94 | $2,864.94 | 31.5× |
| CT lower ext w/o (73700) | $6,418.82 | $6,418.82 | 58.8× |
| CT lower extremity w wo contrast (73702) | $14,623.68 | $14,623.68 | 79.8× |
| CT lower extremity w/contrast material (73701) | $12,539.78 | $12,539.78 | 68.5× |
| CT lumbar spine w & w/o contrast (72133) | $14,091.62 | $14,091.62 | 76.9× |
| CT lumbar spine w/contrast (72132) | $11,431.32 | $11,431.32 | 31.4× |
| CT lumbar spine w/o contrast (72131) | $10,993.63 | $10,993.63 | 100.7× |
| CT maxillofacial w contrast (70487) | $10,065.93 | $10,065.93 | 55.0× |
| CT maxillofacial w/wo contrast (70488) | $13,037.73 | $13,037.73 | 71.2× |
| CT maxillofacial wo contrast (70486) | $9,625.96 | $9,625.96 | 88.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $13,037.73 | $13,037.73 | 71.2× |
| CT orbits w/o contrast (70480) | $9,625.96 | $9,625.96 | 88.2× |
| CT pelvis w/o contrast (72192) | $15,210.31 | $15,210.31 | 139.3× |
| CT pelvis w/wo contrast (72194) | $17,407.90 | $17,407.90 | 95.0× |
| CT scan of arm combo (73202) | $14,623.68 | $14,623.68 | 79.8× |
| CT soft tissue neck w contrast (70491) | $10,065.93 | $10,065.93 | 55.0× |
| CT soft tissue neck w/o & w/contrast material (70492) | $13,037.73 | $13,037.73 | 71.2× |
| CT soft tissue neck w/o contrast (70490) | $9,625.96 | $9,625.96 | 88.2× |
| CT thoracic spine w/contrast (72129) | $11,431.32 | $11,431.32 | 62.4× |
| CT thoracic spine w/o contrast (72128) | $10,993.63 | $10,993.63 | 100.7× |
| CT thoracic spine w/wo contrast (72130) | $14,091.62 | $14,091.62 | 76.9× |
| CT thorax w/o contrast (71250) | $15,279.66 | $15,279.66 | 140.0× |
| CT upper ext wo (73200) | $12,104.36 | $12,104.36 | 110.9× |
| CT upper extremity with contrast (73201) | $12,539.78 | $12,539.78 | 34.4× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $14,562.29 | $14,562.29 | 79.5× |
| Cta Abdomen (74175) | $14,562.29 | $14,562.29 | 79.5× |
| CTA abdomen pelvis (74174) | $23,406.08 | $23,406.08 | 64.2× |
| CTA chest (71275) | $14,562.29 | $14,562.29 | 79.5× |
| Cta Head (70496) | $13,311.72 | $13,311.72 | 72.7× |
| Cta Neck (70498) | $13,311.72 | $13,311.72 | 72.7× |
| Cta Pelvis (72191) | $14,562.29 | $14,562.29 | 79.5× |
| Cystography minimum 3 views rs&i (74430) | $4,163.64 | $4,163.64 | 11.4× |
| Dilation of ureter(s) or urethra, radiological supervision and interpretation Non-Facility (74485) | $8,814.84 | $8,814.84 | 4.0× |
| Dxa bone density study 1/> sites axial skel (77080) | $792.54 | $792.54 | 7.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $748.68 | $748.68 | 8.2× |
| Esophagus (74220) | $902.70 | $902.70 | 4.9× |
| Facial bones min 3 views (70150) | $2,105.28 | $2,105.28 | 19.3× |
| Fetal biophysical profile non-stress testing (76818) | $3,047.22 | $3,047.22 | 27.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,147.61 | $1,147.61 | 10.5× |
| Fluoroscopy up to 1 hr (76000) | $2,583.66 | $2,583.66 | 10.4× |
| Foot 2 views (73620) | $1,135.26 | $1,135.26 | 12.5× |
| Forearm 2 views (73090) | $1,870.68 | $1,870.68 | 20.6× |
| Hand 2 views (73120) | $1,346.40 | $1,346.40 | 12.3× |
| Heart first pass single,planar (78481) | $3,093.29 | $3,093.29 | 5.5× |
| Heart Infarct Image (78466) | $4,128.80 | $4,128.80 | 9.9× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $11,258.35 | $11,258.35 | 19.9× |
| Hepatobiliary syst imaging including gallbladder (78226) | $11,258.35 | $11,258.35 | 27.0× |
| Hysterosalpingogram (74740) | $3,730.14 | $3,730.14 | 15.0× |
| Intracavitary Radiation Source Applic Simple (77761) | $2,018.13 | $2,018.13 | 3.5× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $11,194.46 | $11,194.46 | 19.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $2,328.78 | $2,328.78 | 4.1× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $15,711.02 | $15,711.02 | 27.7× |
| Knee 3 views (73562) | $2,244 | $2,244 | 24.7× |
| Liver & spleen imaging static only (78215) | $9,815.26 | $9,815.26 | 23.5× |
| Lung perf&ventilat diferentl (78598) | $20,255.12 | $20,255.12 | 35.7× |
| Lung perfusion differential (78597) | $9,061.76 | $9,061.76 | 21.7× |
| Lung ventilation imaging (78579) | $10,742.80 | $10,742.80 | 25.7× |
| Lymphoscintigraphy (78195) | $5,528.93 | $5,528.93 | 9.8× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $16,630.66 | $16,630.66 | 20.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) | $14,458.40 | $14,458.40 | 39.7× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $15,006.42 | $15,006.42 | 41.2× |
| Mammary ductogram or galactogram multiple (77054) | $2,417.40 | $2,417.40 | 9.7× |
| Mammary ductogram or galactogram single (77053) | $989.40 | $989.40 | 4.0× |
| MRA head w & w/o contrast (70546) | $13,010.23 | $13,010.23 | 35.7× |
| MRA head w/o contrast (70544) | $10,844.97 | $10,844.97 | 43.5× |
| MRA head with contrast (70545) | $12,288.47 | $12,288.47 | 33.7× |
| MRA neck w contrast (70548) | $12,288.47 | $12,288.47 | 33.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $13,010.23 | $13,010.23 | 35.7× |
| MRA neck w/o contrast (70547) | $10,844.97 | $10,844.97 | 43.5× |
| MRI abdomen w contrast (74182) | $10,844.97 | $10,844.97 | 29.8× |
| MRI abdomen w/o & w/contrast material (74183) | $10,877.61 | $10,877.61 | 29.9× |
| MRI abdomen w/o contrast (74181) | $9,206.74 | $9,206.74 | 36.9× |
| MRI any jt lower extrem w/contrast material (73722) | $16,630.66 | $16,630.66 | 20.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $17,353.58 | $17,353.58 | 47.6× |
| MRI bone marrow blood supply (77084) | $15,750.33 | $15,750.33 | 63.2× |
| MRI breast w/o contrast bilateral (77047) | $1,132.19 | $1,132.19 | 4.5× |
| MRI breast wo contrast unilateral (77046) | $1,132.19 | $1,132.19 | 4.5× |
| MRI c-spine with contrast (72142) | $17,730.20 | $17,730.20 | 48.7× |
| MRI cervical spine w/o contrast (72141) | $5,830 | $5,830 | 23.4× |
| MRI chest w/o & w/contrast material (71552) | $10,119.71 | $10,119.71 | 27.8× |
| MRI chest w/o contrast (71550) | $7,984.77 | $7,984.77 | 32.0× |
| MRI chest with contrast (71551) | $9,399.13 | $9,399.13 | 11.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $15,899.58 | $15,899.58 | 43.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $16,617.83 | $16,617.83 | 45.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $14,458.40 | $14,458.40 | 58.0× |
| MRI orbit face &/neck w/o contrast (70540) | $10,888.11 | $10,888.11 | 43.7× |
| MRI orbit face neck w contrast (70542) | $12,288.47 | $12,288.47 | 33.7× |
| MRI orbit/face/neck w&w/o cont (70543) | $13,010.23 | $13,010.23 | 35.7× |
| MRI pelvis w/contrast (72196) | $17,304.61 | $17,304.61 | 47.5× |
| MRI pelvis w/o & w/contrast material (72197) | $16,630.66 | $16,630.66 | 45.6× |
| MRI pelvis w/o contrast (72195) | $13,886.48 | $13,886.48 | 55.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $19,468.70 | $19,468.70 | 53.4× |
| MRI spinal canal lumbar w/contrast material (72149) | $16,470.92 | $16,470.92 | 45.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $19,518.84 | $19,518.84 | 53.6× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $16,055.82 | $16,055.82 | 44.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $20,423.66 | $20,423.66 | 56.1× |
| MRI temporomandibular joint (70336) | $16,528.05 | $16,528.05 | 66.3× |
| MRI thoracic spine w/o contrast (72146) | $5,741.38 | $5,741.38 | 23.0× |
| MRI up ext w/o contrast (73218) | $13,010.23 | $13,010.23 | 52.2× |
| MRI upper ext joint w/o contrast (73221) | $14,922.47 | $14,922.47 | 59.9× |
| MRI, joint upper extrem combo (73223) | $17,353.58 | $17,353.58 | 47.6× |
| Myelogram Cervical (72240) | $6,635.10 | $6,635.10 | 8.1× |
| Myelogram Lumbar (72265) | $10,807.92 | $10,807.92 | 13.2× |
| Myelogram thoracic (72255) | $10,807.92 | $10,807.92 | 13.2× |
| Myelography 2 or more regions (72270) | $11,282.22 | $11,282.22 | 13.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $14,044.54 | $14,044.54 | 10.4× |
| Myocardial Spect Multiple Studies (78452) | $18,400.02 | $18,400.02 | 13.6× |
| Myocardial spect single study at rest or stress (78451) | $9,648.91 | $9,648.91 | 7.1× |
| Neck soft tissue (70360) | $1,713.60 | $1,713.60 | 18.9× |
| Nm cardiac blood pool multiple (78473) | $6,999.57 | $6,999.57 | 16.8× |
| Nm cisternogram (78630) | $2,671.38 | $2,671.38 | 4.7× |
| Nm csf leak detection (78650) | $8,138.62 | $8,138.62 | 6.0× |
| Nm gastric emptying study (78264) | $2,772.73 | $2,772.73 | 6.6× |
| Nm peritoneal-venous shunt patency (78291) | $6,263.70 | $6,263.70 | 15.0× |
| Nonvascular shunt X-ray (75809) | $623.22 | $623.22 | 5.7× |
| Nuclear Rx Oral Admin (79005) | $10,763.73 | $10,763.73 | 44.2× |
| Orthopantogram (70355) | $1,516.74 | $1,516.74 | 16.7× |
| Osseous survey limited (77074) | $4,312.56 | $4,312.56 | 39.5× |
| Parathyroid Planar Imaging (78070) | $5,576.30 | $5,576.30 | 13.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,300.14 | $2,300.14 | 5.5× |
| Pelvis 1 or 2 views (72170) | $2,086.92 | $2,086.92 | 19.1× |
| Peritoneogram after injection (74190) | $4,598.16 | $4,598.16 | 8.1× |
| PET image w/CT, skull-thigh (78815) | $17,844.95 | $17,844.95 | 12.0× |
| PET imaging CT for attenuation limited area (78814) | $17,844.95 | $17,844.95 | 12.0× |
| PET imaging for CT attenuation whole body (78816) | $17,844.95 | $17,844.95 | 12.0× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $8,146.74 | $8,146.74 | 2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $9,518.93 | $9,518.93 | 22.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $20,255.12 | $20,255.12 | 35.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $883.32 | $883.32 | 1.5× |
| Radex Ankle Compl Minimum 3 Views (73610) | $2,163.42 | $2,163.42 | 23.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,889.04 | $1,889.04 | 20.8× |
| Radex Elbw Compl Minimum 3 Views (73080) | $2,457.18 | $2,457.18 | 27.0× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $335.58 | $335.58 | 3.7× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $553.86 | $553.86 | 5.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) | $1,056.72 | $1,056.72 | 9.7× |
| Radex fingr minimum 2 views (73140) | $1,672.80 | $1,672.80 | 18.4× |
| Radex Foot Compl Minimum 3 Views (73630) | $2,143.02 | $2,143.02 | 23.6× |
| Radex Hand Minimum 3 Views (73130) | $2,000.22 | $2,000.22 | 22.0× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $335.58 | $335.58 | 3.7× |
| Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) | $553.86 | $553.86 | 5.1× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $553.86 | $553.86 | 5.1× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $1,056.72 | $1,056.72 | 9.7× |
| Radex Humerus Minimum 2 Views (73060) | $2,032.86 | $2,032.86 | 22.4× |
| Radex Kne 1/2 Views (73560) | $2,244 | $2,244 | 24.7× |
| Radex Kne Compl 4/More Views (73564) | $2,276.64 | $2,276.64 | 20.9× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $2,057.34 | $2,057.34 | 18.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,105.28 | $2,105.28 | 23.2× |
| Radex Sho Compl Minimum 2 Views (73030) | $2,244 | $2,244 | 24.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $1,335.18 | $1,335.18 | 14.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,213.80 | $1,213.80 | 13.4× |
| Radex Toe Minimum 2 Views (73660) | $1,628.94 | $1,628.94 | 17.9× |
| Radex upper extremity infant minimum 2 views (73092) | $508.98 | $508.98 | 4.7× |
| Radex Wrst Compl Minimum 3 Views (73110) | $1,929.84 | $1,929.84 | 21.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,056.72 | $1,056.72 | 9.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,902.30 | $1,902.30 | 20.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,859.06 | $2,859.06 | 26.2× |
| Radiologic exam chest 2 views (71046) | $1,716.66 | $1,716.66 | 18.9× |
| Radiologic exam colon single contrast study (74270) | $902.70 | $902.70 | 4.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $902.70 | $902.70 | 4.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $902.70 | $902.70 | 4.9× |
| Radiologic exam upr gi trc single contrast study (74240) | $902.70 | $902.70 | 4.9× |
| Radiologic examination femur 1 view (73551) | $335.58 | $335.58 | 3.7× |
| Radiologic Examination Salivary Gland Calculus (70380) | $1,425.96 | $1,425.96 | 15.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,975.74 | $1,975.74 | 21.7× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $2,517.36 | $2,517.36 | 4.4× |
| Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) | $2,144.04 | $2,144.04 | 19.6× |
| Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) | $1,143.42 | $1,143.42 | 10.5× |
| Radiological examination surgical specimen (76098) | $1,872.72 | $1,872.72 | 3.3× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $7,089.90 | $7,089.90 | 29.1× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $7,876.44 | $7,876.44 | 32.3× |
| Ribs bilateral 3 views (71110) | $3,240.54 | $3,240.54 | 29.7× |
| Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) | $2,126.09 | $2,126.09 | 5.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,126.09 | $2,126.09 | 5.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,848.49 | $5,848.49 | 10.3× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $5,848.49 | $5,848.49 | 10.3× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $7,346.57 | $7,346.57 | 13.0× |
| Rp Therapy Intravenous Administration (79101) | $7,876.44 | $7,876.44 | 32.3× |
| Sacroiliac Joints < 3 Views (72200) | $375.36 | $375.36 | 3.4× |
| Salivary gland imaging (78230) | $2,778.24 | $2,778.24 | 6.7× |
| Scapula (73010) | $1,947.18 | $1,947.18 | 17.8× |
| Sella turcica (70240) | $992.46 | $992.46 | 10.9× |
| Shoulder 1 view (73020) | $940.44 | $940.44 | 10.3× |
| Sialogram (70390) | $786.42 | $786.42 | 3.2× |
| Small bowel series (74250) | $902.70 | $902.70 | 4.9× |
| Special Physics Consult (77370) | $674.18 | $674.18 | 4.8× |
| Spine thoracic 3 views (72072) | $2,206.26 | $2,206.26 | 20.2× |
| Splenoportograpy rs&i (75810) | $4,689.96 | $4,689.96 | 1.4× |
| Temporomandibular joint arthrography, radiological supervision and interpretation Non-Facility (70332) | $4,078.98 | $4,078.98 | 16.4× |
| Testicular Imaging With Vascular Flow (78761) | $8,810.60 | $8,810.60 | 21.1× |
| Thoracolumbar 2 views (72080) | $2,036.94 | $2,036.94 | 22.4× |
| Thyroid carcinoma metastases img whole body (78018) | $12,481.13 | $12,481.13 | 22.0× |
| Thyroid imaging w/blood flow (78013) | $1,074.06 | $1,074.06 | 2.6× |
| Thyroid uptake measurement (78012) | $2,999.66 | $2,999.66 | 7.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,665.62 | $1,665.62 | 4.0× |
| Tmj unilateral (70328) | $1,213.80 | $1,213.80 | 13.4× |
| Tomogram (76100) | $2,021.64 | $2,021.64 | 18.5× |
| Treatment device complex (77334) | $2,237.35 | $2,237.35 | 5.7× |
| Ultrasound breast complete (76641) | $3,356.10 | $3,356.10 | 30.7× |
| Ultrasound Exam Aaa Screen (76706) | $705.67 | $705.67 | 6.5× |
| Ultrasound, abdomen limited (76705) | $1,858.03 | $1,858.03 | 17.0× |
| Umbilical-artery Doppler (OB) (76820) | $788.83 | $788.83 | 7.2× |
| Unlisted magnetic resonance procedure (76498) | $17,610.10 | $17,610.10 | 193.8× |
| Ureteral reflux study (78740) | $3,238.70 | $3,238.70 | 7.8× |
| Urethrocystogram voiding (74455) | $3,973.92 | $3,973.92 | 15.9× |
| Urethrocystography retrograde rs&i (74450) | $5,445.78 | $5,445.78 | 21.9× |
| Urography, infusion, drip technique and/or bolus technique; Non-Facility (74410) | $4,285.02 | $4,285.02 | 23.4× |
| Urography, infusion, drip technique and/or bolus technique; with nephrotomography Non-Facility (74415) | $5,961.90 | $5,961.90 | 32.5× |
| Us breast unilateral limited (76642) | $3,356.10 | $3,356.10 | 36.9× |
| Us chest (76604) | $957.53 | $957.53 | 8.8× |
| Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl (76936) | $5,120.28 | $5,120.28 | 22.7× |
| Us compl joint r-t w/image documentation (76881) | $1,651.32 | $1,651.32 | 15.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,553.90 | $1,553.90 | 14.2× |
| Us ob detailed single fetus (76811) | $788.83 | $788.83 | 3.2× |
| Us ob limited (76815) | $1,928.12 | $1,928.12 | 17.7× |
| Us ob transvaginal (76817) | $4,155.62 | $4,155.62 | 38.1× |
| Us pelvic non ob complete (76856) | $4,637.95 | $4,637.95 | 42.5× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,937.63 | $1,937.63 | 17.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,721.71 | $2,721.71 | 24.9× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) | $1,416.10 | $1,416.10 | 13.0× |
| Us retroperitoneal complete (76770) | $2,721.71 | $2,721.71 | 24.9× |
| Us retroperitoneal limited (76775) | $1,553.90 | $1,553.90 | 14.2× |
| Us scrotum and contents (76870) | $4,279.18 | $4,279.18 | 39.2× |
| Us soft tissue head/neck (76536) | $4,030.88 | $4,030.88 | 36.9× |
| Us spinal canal and contents (76800) | $4,420.55 | $4,420.55 | 40.5× |
| Us transrectal (76872) | $2,972.38 | $2,972.38 | 27.2× |
| Us transrectal prostate volume (76873) | $4,279.18 | $4,279.18 | 39.2× |
| Us,transplanted kidney, real time/ doppler (76776) | $4,003.56 | $4,003.56 | 36.7× |
| Venogram adrenal unilat (75840) | $6,847.26 | $6,847.26 | 2.1× |
| Venogram extremity bilateral (75822) | $987.36 | $987.36 | 0.6× |
| Venogram Extremity Unilateral (75820) | $1,866.09 | $1,866.09 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $4,857.24 | $4,857.24 | 1.5× |
| Venography caval superior serialography rs&i (75827) | $4,689.96 | $4,689.96 | 2.9× |
| Venography Renal Bilateral (75833) | $11,967.66 | $11,967.66 | 3.6× |
| Venography renal unilateral selective rs&i (75831) | $4,689.96 | $4,689.96 | 1.4× |
| Venography venous sinus/jugular cath rs&i (75860) | $4,689.96 | $4,689.96 | 1.4× |
| Venous sampling by catheter (75893) | $4,414.56 | $4,414.56 | 0.8× |
| Wrist 2 views (73100) | $361.08 | $361.08 | 4.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $555.90 | $555.90 | 5.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,966.56 | $1,966.56 | 21.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $902.70 | $902.70 | 4.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,276.02 | $1,276.02 | 14.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $335.58 | $335.58 | 3.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $553.86 | $553.86 | 5.1× |
| X-ray exam of femur 2/> (73552) | $335.58 | $335.58 | 3.7× |
| X-ray eye for foreign body (70030) | $706.86 | $706.86 | 7.8× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,986.96 | $1,986.96 | 21.9× |
| X-ray IV pyelogram (ivp) (74400) | $5,194.86 | $5,194.86 | 28.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,135.26 | $1,135.26 | 12.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,278.68 | $2,278.68 | 25.1× |
| X-ray leg, infant (73592) | $361.08 | $361.08 | 4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,036.94 | $2,036.94 | 18.7× |
| X-ray nose-rectum child f.b. (76010) | $2,135.88 | $2,135.88 | 23.5× |
| X-ray optic foramen (70190) | $1,349.46 | $1,349.46 | 14.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $2,775.42 | $2,775.42 | 25.4× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,507.16 | $2,507.16 | 27.6× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $3,240.54 | $3,240.54 | 29.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $7,198.14 | $7,198.14 | 65.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $745.62 | $745.62 | 6.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,251.14 | $2,251.14 | 24.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,713.20 | $2,713.20 | 29.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,338.46 | $3,338.46 | 30.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $2,110.38 | $2,110.38 | 19.3× |
| X-Ray Small Bowel Enteroclysis (74251) | $902.70 | $902.70 | 4.9× |
| X-Ray Spine One View - Xr Spine (72020) | $1,751.34 | $1,751.34 | 19.3× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $1,492.26 | $1,492.26 | 16.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $2,232.78 | $2,232.78 | 24.6× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,036.94 | $2,036.94 | 18.7× |
| Xr bone length studies (77073) | $663 | $663 | 6.1× |
| Xr c-spine 4 or 5 views (72050) | $2,869.26 | $2,869.26 | 26.3× |
| Xr c-spine 6 or more views (72052) | $3,449.64 | $3,449.64 | 31.6× |
| Xr chest 4+ views (71048) | $2,281.74 | $2,281.74 | 20.9× |
| Xr urogram antegrade (74425) | $2,494.92 | $2,494.92 | 6.8× |