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.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $8,943.89 $8,943.89 6.2×
Abdomen 1 View (74018) $1,902.30 $1,902.30 20.9×
Abdomen 2 views (74019) $2,590.80 $2,590.80 23.7×
Acute Gastrointestinal 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×
Angio pulmonary bilat (75743) $4,937.82 $4,937.82 1.5×
Angiography extremity bilateral rs&i (75716) $4,935.78 $4,935.78 1.5×
Angiography extremity unilateral rs&i (75710)
range across 3 matching MRF lines
$4,857.24–$4,985.76 $4,857.24–$4,985.76 varies
Angiography pulmonary unilateral slctv rs&i (75741) $4,689.96 $4,689.96 1.4×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $10,561.08 $10,561.08 3.2×
Ankle 2 views (73600)
range across 3 matching MRF lines
$361.08–$664.02 $361.08–$664.02 varies
Aortography thoracic serialography rs&i (75605) $4,765.44 $4,765.44 0.8×
Artery X-Rays Abdomen (75726) $4,689.96 $4,689.96 0.8×
Artery X-Rays Pelvis (75736) $5,359.08 $5,359.08 0.9×
Arthrogram ankle (73615) $970.02 $970.02 2.7×
Arthrogram hip (73525)
range across 3 matching MRF lines
$970.02–$4,989.84 $970.02–$4,989.84 varies
Arthrogram Wrist (73115) $970.02 $970.02 2.7×
Basic radiation dosimetry calculation (77300) $1,495.97 $1,495.97 10.7×
Bone age studies (77072) $334.56 $334.56 3.1×
Bone Imaging 3 Phase (78315) $11,659.33 $11,659.33 27.9×
Bone Imaging Limited Area (78300) $4,734.68 $4,734.68 11.3×
Bone Imaging Multiple Areas (78305) $6,554.52 $6,554.52 15.7×
Bone Imaging Whole Body (78306) $12,411.73 $12,411.73 29.7×
Bone survey infant (77076) $2,552.04 $2,552.04 23.4×
Brain Flow Imaging Only (78610) $7,952.45 $7,952.45 14.0×
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×
Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) $6,498.34 $6,498.34 11.5×
Cat Scan Follow-Up Study (76380) $2,864.94 $2,864.94 31.5×
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×
Cerebrospinal Fluid Scan (78630) $2,671.38 $2,671.38 4.7×
Chest 1 view (71045) $1,669.74 $1,669.74 18.4×
Chest 2 views (71046) $1,716.66 $1,716.66 18.9×
Chest 3 views (71047) $2,019.60 $2,019.60 22.2×
Chest 4 or more views (71048) $2,281.74 $2,281.74 20.9×
Cholecystography Oral Contrast (74290) $3,295.62 $3,295.62 18.0×
Cisternography Positive Contrast Rs&I (70015) $8,572.08 $8,572.08 10.5×
Clavicle complete (73000)
range across 3 matching MRF lines
$664.02–$1,964.52 $664.02–$1,964.52 varies
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 Exam Abdominl Aorta (75625) $12,688.80 $12,688.80 3.8×
Contrast X-Ray Bladder (74430) $4,163.64 $4,163.64 11.4×
Contrast X-Ray Of Elbow (73085) $970.02 $970.02 2.7×
Contrast X-Ray Of Knee Joint (73580) $1,173 $1,173 3.2×
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 Abdomen and Pelvis (74174) $23,406.08 $23,406.08 64.2×
CT Angio Chest (71275) $14,562.29 $14,562.29 79.5×
CT Angio Head (70496) $13,311.72 $13,311.72 72.7×
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 Angio Neck (70498) $13,311.72 $13,311.72 72.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $14,562.29 $14,562.29 79.5×
CT cervical spine w/ contrast (72126) $11,431.32 $11,431.32 31.4×
CT cervical spine w/o contrast (72125) $10,993.63 $10,993.63 100.7×
CT cervical spine w/wo cont (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 no contrast quant eval coronry 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 l-spine w&w/o contrast (72133) $14,091.62 $14,091.62 76.9×
CT lower ext w/o (73700)
range across 4 matching MRF lines
$721.92–$12,104.36 $721.92–$12,104.36 varies
CT lower extremity w/contrast material (73701)
range across 3 matching MRF lines
$1,640.52–$12,539.78 $1,640.52–$12,539.78 varies
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 wo contrast (70486) $9,625.96 $9,625.96 88.2×
CT neck tissue combo (70492) $13,037.73 $13,037.73 71.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (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&w/o contrast (72194) $17,407.90 $17,407.90 95.0×
CT pelvis w/o contrast (72192) $15,210.31 $15,210.31 139.3×
CT scan of leg combo (73702)
range across 3 matching MRF lines
$1,235.79–$14,623.68 $1,235.79–$14,623.68 varies
CT scans face/jaw combo (70488) $13,037.73 $13,037.73 71.2×
CT soft tissue neck w contrast (70491) $10,065.93 $10,065.93 55.0×
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 cont (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)
range across 3 matching MRF lines
$721.92–$12,104.36 $721.92–$12,104.36 varies
CT upper extremity w/o & w/contrast material (73202) $14,623.68 $14,623.68 79.8×
CT upper extremity with contrast (73201)
range across 3 matching MRF lines
$1,640.52–$12,539.78 $1,640.52–$12,539.78 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $14,562.29 $14,562.29 79.5×
Cta Abdomen (74175) $14,562.29 $14,562.29 79.5×
CTA pelvis (72191) $14,562.29 $14,562.29 79.5×
Dilation ureters/urethra rs&i (74485) $8,814.84 $8,814.84 4.0×
Dxa Bone Density Axial (77080) $792.54 $792.54 7.3×
Dxa bone density study 1/>sites appendiclr skel (77081) $748.68 $748.68 8.2×
Echo Guide For Artery Repair (76936) $5,120.28 $5,120.28 22.7×
Echograp Trans R Pros Study (76873) $4,279.18 $4,279.18 39.2×
Esophagram (74220) $902.70 $902.70 4.9×
Fetal Biophys Profile W/Nst (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)
range across 2 matching MRF lines
$2,557.14–$2,610.18 $2,557.14–$2,610.18 varies
Follow-Up Angiography (75898) $1,134.24 $1,134.24 0.3×
Foot 2 views (73620) $1,135.26 $1,135.26 12.5×
Forearm 2 views (73090)
range across 3 matching MRF lines
$1,870.68–$3,741.36 $1,870.68–$3,741.36 varies
Gastric emptying imaging study (78264) $2,772.73 $2,772.73 6.6×
Gated Heart Planar Single (78472) $5,890.26 $5,890.26 14.1×
Gated Heart, Multiple (78473) $6,999.57 $6,999.57 16.8×
Hand 2 views (73120)
range across 3 matching MRF lines
$1,346.40–$2,503.08 $1,346.40–$2,503.08 varies
Heart first pass single,planar (78481) $3,093.29 $3,093.29 5.5×
Hepatobil Syst Image W/Drug (78227) $11,258.35 $11,258.35 19.9×
Hepatobiliary System Imaging (78226) $11,258.35 $11,258.35 27.0×
Ht Muscle Image Spect Sing (78451) $9,648.91 $9,648.91 7.1×
Hysterosalpingogram (74740) $3,730.14 $3,730.14 15.0×
Infusion Ivp (74410) $4,285.02 $4,285.02 23.4×
Intracavitary radiation source applic simple (77761) $2,018.13 $2,018.13 3.5×
K Flow/Funct Image Multiple (78709) $15,711.02 $15,711.02 27.7×
K Flow/Funct Image W/Drug (78708) $2,328.78 $2,328.78 4.1×
K Flow/Funct Image W/O Drug (78707) $11,194.46 $11,194.46 19.7×
Knee 3 Views (73562)
range across 4 matching MRF lines
$344.76–$4,847.04 $344.76–$4,847.04 varies
Leveen/Shunt Patency Exam (78291) $6,263.70 $6,263.70 15.0×
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 Ventilat&Perfus Imaging (78582) $20,255.12 $20,255.12 35.7×
Lung Ventilation Imaging (78579) $10,742.80 $10,742.80 25.7×
Lymph System Imaging (78195) $5,528.93 $5,528.93 9.8×
Magnetic Image Jaw Joint (70336) $16,528.05 $16,528.05 66.3×
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×
Meckels Divert Exam (78290) $7,046.94 $7,046.94 16.9×
Mra Head W/O & W/Contrast Material (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 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 any jt upper extremity w/contrast matrl (73222) $16,630.66 $16,630.66 20.3×
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 Without Contrast Material Unilateral (77046) $1,132.19 $1,132.19 4.5×
MRI cervical spine w contrast (72142) $17,730.20 $17,730.20 48.7×
MRI cervical spine w/o cont (72141) $5,830 $5,830 23.4×
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 chest wo w contrast (71552) $10,119.71 $10,119.71 27.8×
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)
range across 3 matching MRF lines
$3,248.48–$14,458.40 $3,248.48–$14,458.40 varies
MRI lumbar spine w contrast (72149) $16,470.92 $16,470.92 45.2×
Mri Neck Spine W/O & W/Dye (72156) $19,468.70 $19,468.70 53.4×
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 Orbt/Fac/Nck W/O &W/Dye (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 (72197) $16,630.66 $16,630.66 45.6×
MRI pelvis w/o contrast (72195)
range across 2 matching MRF lines
$12,904.12–$14,868.83 $12,904.12–$14,868.83 varies
MRI thoracic spine w/o contrast (72146) $5,741.38 $5,741.38 23.0×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 3 matching MRF lines
$6,131.99–$14,458.40 $6,131.99–$14,458.40 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 3 matching MRF lines
$3,248.48–$13,010.23 $3,248.48–$13,010.23 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$6,131.99–$15,006.42 $6,131.99–$15,006.42 varies
MRI, abdomen, combo (74183) $10,877.61 $10,877.61 29.9×
MRI, dorsal spine combo (72157) $20,423.66 $20,423.66 56.1×
MRI, dorsal spine contrast (72147) $16,055.82 $16,055.82 44.1×
MRI, joint upper extrem (73221) $14,922.47 $14,922.47 59.9×
MRI, joint upper extrem combo (73223)
range across 3 matching MRF lines
$6,131.99–$17,353.58 $6,131.99–$17,353.58 varies
MRI, lumbar spine combo (72158) $19,518.84 $19,518.84 53.6×
Myelogram cervical (72240) $6,635.10 $6,635.10 8.1×
Myelogram Lumbar (72265) $10,807.92 $10,807.92 13.2×
Myelography thoracic (72255) $10,807.92 $10,807.92 13.2×
Myelograpy 2/more regions rs&i (72270) $11,282.22 $11,282.22 13.8×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $4,128.80 $4,128.80 9.9×
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×
Neck soft tissue (70360) $1,713.60 $1,713.60 18.9×
Nm csf leak detection (78650) $8,138.62 $8,138.62 6.0×
Nonvascular Shunt X-Ray (75809) $623.22 $623.22 5.7×
Nuclear Rx Oral Admin (79005) $10,763.73 $10,763.73 44.2×
Optic foramina (70190) $1,349.46 $1,349.46 14.8×
Panoramic X-ray of jaws (70355) $1,516.74 $1,516.74 16.7×
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 Rs&I (74190) $4,598.16 $4,598.16 8.1×
Pet Image W/Ct Lmtd (78814) $17,844.95 $17,844.95 12.0×
PET image w/CT, full body (78816) $17,844.95 $17,844.95 12.0×
PET imaging CT attenuation skull base mid-thigh (78815) $17,844.95 $17,844.95 12.0×
Pulmonary Perfusion Imaging Particulate (78580) $9,518.93 $9,518.93 22.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $555.90 $555.90 5.1×
Radex abscess/fistula/sinus tract rs&i (76080) $883.32 $883.32 1.5×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$664.02–$2,163.42 $664.02–$2,163.42 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$664.02–$1,889.04 $664.02–$1,889.04 varies
Radex elbow complete minimum 3 views (73080) $2,457.18 $2,457.18 27.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $2,105.28 $2,105.28 19.3×
Radex fingr minimum 2 views (73140) $1,672.80 $1,672.80 18.4×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$664.02–$2,143.02 $664.02–$2,143.02 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$2,000.22–$3,998.40 $2,000.22–$3,998.40 varies
Radex lower extremity infant minimum 2 views (73592)
range across 3 matching MRF lines
$361.08–$664.02 $361.08–$664.02 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $2,144.04 $2,144.04 19.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $2,105.28 $2,105.28 23.2×
Radex Ribs Unilateral 2 Views (71100) $2,507.16 $2,507.16 27.6×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$2,244–$4,486.98 $2,244–$4,486.98 varies
Radex Sinuses Paransl < 3 Views (70210) $1,335.18 $1,335.18 14.7×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $902.70 $902.70 4.9×
Radex Spine 1 View Specify Level (72020) $1,751.34 $1,751.34 19.3×
Radex Sternum Minimum 2 Views (71120) $2,232.78 $2,232.78 24.6×
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 Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$1,929.84–$3,859.68 $1,929.84–$3,859.68 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $1,056.72 $1,056.72 9.7×
Radiolog exam mandible compl minimum 4 views (70110) $2,057.34 $2,057.34 18.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $2,859.06 $2,859.06 26.2×
Radiologic exam colon double contrast study (74280) $902.70 $902.70 4.9×
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 knee complete 4/more views (73564)
range across 3 matching MRF lines
$2,276.64–$4,554.30 $2,276.64–$4,554.30 varies
Radiologic Exam Small Int Single Contrast Study (74250) $902.70 $902.70 4.9×
Radiologic exam swallow function contrast study (74230) $902.70 $902.70 4.9×
Radiologic exam upr gi trc double contrast study (74246) $902.70 $902.70 4.9×
Radiologic examination femur 1 view (73551) $335.58 $335.58 3.7×
Radiologic examination femur minimum 2 views (73552) $335.58 $335.58 3.7×
Radiologic examination knee 1/2 views (73560) $2,244 $2,244 24.7×
Radiologic Examination Osseous Survey Limited (77074) $4,312.56 $4,312.56 39.5×
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×
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×
Salivary Gland Imaging (78230) $2,778.24 $2,778.24 6.7×
Scapula (73010)
range across 3 matching MRF lines
$664.02–$1,947.18 $664.02–$1,947.18 varies
Sella turcica (70240) $992.46 $992.46 10.9×
Shoulder 1 view (73020) $940.44 $940.44 10.3×
Shoulder Arthrography (73040) $1,202.58 $1,202.58 3.3×
Sialogram (70390) $786.42 $786.42 3.2×
Skull less than 4 views (70250) $2,110.38 $2,110.38 19.3×
Special Physics Consult (77370) $674.18 $674.18 4.8×
Sternoclavicular joints (71130) $1,492.26 $1,492.26 16.4×
Temporomandble Jt Arthrography Rs&I (70332) $4,078.98 $4,078.98 16.4×
Testicular Imaging W/Flow (78761) $8,810.60 $8,810.60 21.1×
Thoracic spine 2 views (72070) $2,036.94 $2,036.94 18.7×
Thoracic spine 3 views (72072) $2,206.26 $2,206.26 20.2×
Thoracolumbar 2 views (72080) $2,036.94 $2,036.94 22.4×
Thyroid Imaging With Vascular Flow (78013) $1,074.06 $1,074.06 2.6×
Thyroid Met Imaging Body (78018) $12,481.13 $12,481.13 22.0×
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×
Tx Devices Design & Construction Complex (77334) $2,237.35 $2,237.35 5.7×
Ultrasound Breast Limited (76642) $3,356.10 $3,356.10 36.9×
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×
Upper gi w/o kub (74240) $902.70 $902.70 4.9×
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 (74450) $5,445.78 $5,445.78 21.9×
Us breast unilateral complete (76641) $3,356.10 $3,356.10 30.7×
Us chest (76604) $957.53 $957.53 8.8×
Us complete joint (76881) $1,651.32 $1,651.32 15.1×
Us exam, pelvic, limited (76857) $1,937.63 $1,937.63 17.7×
Us kidney transplant (76776) $4,003.56 $4,003.56 36.7×
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 1 or more fetuses (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 pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $2,721.71 $2,721.71 24.9×
Us preg uterus real time f/u trnsabdl per 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 spinal canal and contents (76800) $4,420.55 $4,420.55 40.5×
Us thyroid (76536) $4,030.88 $4,030.88 36.9×
Us transrectal (76872) $2,972.38 $2,972.38 27.2×
Vein X-Ray Chest (75827) $4,689.96 $4,689.96 2.9×
Vein X-Ray Liver W/O Hemodyn (75887) $8,146.74 $8,146.74 2.5×
Vein X-Ray Spleen/Liver (75810) $4,689.96 $4,689.96 1.4×
Venogram Sinus/Jugular (75860) $4,689.96 $4,689.96 1.4×
Venography Adrenal Unilateral (75840) $6,847.26 $6,847.26 2.1×
Venography caval inferior serialography rs&i (75825) $4,857.24 $4,857.24 1.5×
Venography extremity bilateral rs&i (75822) $987.36 $987.36 0.6×
Venography extremity unilateral rs&i (75820)
range across 4 matching MRF lines
$650.76–$3,121.20 $650.76–$3,121.20 varies
Venography Renal Bilateral (75833) $11,967.66 $11,967.66 3.6×
Venography Renal Unilateral (75831) $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)
range across 3 matching MRF lines
$361.08–$722.16 $361.08–$722.16 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $1,966.56 $1,966.56 21.6×
X-ray antegrade pyelogram tube (74425)
range across 3 matching MRF lines
$724.20–$2,494.92 $724.20–$2,494.92 varies
X-Ray Aorta Leg Arteries (75630) $12,688.80 $12,688.80 3.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$1,276.02–$2,551.02 $1,276.02–$2,551.02 varies
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines
$1,176.06–$2,569.38 $1,176.06–$2,569.38 varies
X-Ray Exam Entire Spi 1 Vw (72081) $335.58 $335.58 3.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $553.86 $553.86 5.1×
X-Ray Exam Entire Spi 4/5 Vw (72083) $1,056.72 $1,056.72 9.7×
X-Ray Exam Hip Uni 1 View (73501) $335.58 $335.58 3.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $335.58 $335.58 3.7×
X-Ray Exam Hip Uni 4/> Views (73503) $553.86 $553.86 5.1×
X-Ray Exam Hips Bi 2 Views (73521) $553.86 $553.86 5.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $553.86 $553.86 5.1×
X-Ray Exam Hips Bi 5/> Views (73523) $1,056.72 $1,056.72 9.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $2,036.94 $2,036.94 22.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $3,449.64 $3,449.64 31.6×
X-Ray Exam Unilat Ribs/Chest (71101) $3,240.54 $3,240.54 29.7×
X-ray eye for foreign body (70030) $706.86 $706.86 7.8×
X-ray humerus (73060)
range across 3 matching MRF lines
$2,032.86–$4,065.72 $2,032.86–$4,065.72 varies
X-ray IV pyelogram (ivp) (74400) $5,194.86 $5,194.86 28.4×
X-ray IV pyelogram+tomography (74415) $5,961.90 $5,961.90 32.5×
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 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 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 Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $375.36 $375.36 3.4×
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 Tmj Unilat (70328) $1,213.80 $1,213.80 13.4×
X-Rays Bone Length Studies (77073) $663 $663 6.1×
X-Rays Bone Survey Complete (77075) $4,312.56 $4,312.56 39.5×
Xr c-spine 4 or 5 views (72050) $2,869.26 $2,869.26 26.3×
Xr facial bones less than 3 views (70140) $1,986.96 $1,986.96 21.9×
XR Mastoids < 3 Views Bilateral (70120) $1,143.42 $1,143.42 10.5×
Xr orbits complete 4 views (70200) $2,775.42 $2,775.42 25.4×
Xr Tomogram Single Plane (76100) $2,021.64 $2,021.64 18.5×

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.