Imaging prices at Palm Beach Gardens Medical Center
Palm Beach Gardens, FL · every code in this section with a posted price and a Medicare benchmark.
295 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $1,191.75 | $1,589 | 13.1× |
| Abdomen 2 views (74019) | $1,631.25 | $2,175 | 14.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,418.25 | $1,891 | 3.4× |
| Angio pulmonary bilat (75743) | $4,289.25 | $5,719 | 1.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines |
$15,840–$20,453.25 | $21,120–$27,271 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$8,136.75–$9,250.50 | $10,849–$12,334 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$5,393.25–$23,337.75 | $7,191–$31,117 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,578.50 | $7,438 | 1.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $5,978.25 | $7,971 | 1.8× |
| Ankle 2 views (73600) | $814.50 | $1,086 | 9.0× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$7,725–$10,295.25 | $10,300–$13,727 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$10,755.75–$11,220 | $14,341–$14,960 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines |
$6,558–$10,662 | $8,744–$14,216 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$12,270.75–$12,804 | $16,361–$17,072 | varies |
| Artery X-Rays Spine (75705) | $10,949.25 | $14,599 | 1.9× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,091.25–$1,301.25 | $1,455–$1,735 | varies |
| Arthrogram Wrist (73115) | $2,377.50 | $3,170 | 6.5× |
| Bone age studies (77072) | $315 | $420 | 2.9× |
| Bone Imaging 3 Phase (78315) | $2,244.75 | $2,993 | 5.4× |
| Bone Imaging Limited Area (78300) | $1,650.75 | $2,201 | 4.0× |
| Bone Imaging Whole Body (78306) | $2,264.25 | $3,019 | 5.4× |
| Brain Flow Imaging Only (78610) | $1,134.75 | $1,513 | 2.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,933.25 | $3,911 | 5.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $7,086.75 | $9,449 | 19.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $9,786 | $13,048 | 12.0× |
| Cerebrospinal Fluid Scan (78630) | $3,297.75 | $4,397 | 5.8× |
| Chest 1 view (71045) | $887.25 | $1,183 | 9.8× |
| Chest 2 views (71046) | $1,340.25 | $1,787 | 14.7× |
| Chest 3 views (71047) | $744.75 | $993 | 8.2× |
| Chest 4 or more views (71048) | $1,134.75 | $1,513 | 10.4× |
| Cisternography Positive Contrast Rs&I (70015) | $3,216 | $4,288 | 3.9× |
| Clavicle complete (73000) | $1,278 | $1,704 | 14.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,025.25 | $1,367 | 9.4× |
| Contrast Exam Abdominl Aorta (75625) | $4,741.50 | $6,322 | 1.4× |
| Contrast X-Ray Bladder (74430) | $2,060.25 | $2,747 | 5.7× |
| Contrast X-Ray Of Knee Joint (73580) | $1,581 | $2,108 | 4.3× |
| CT abdomen and pelvis without and with contrast (74178) | $10,899.75 | $14,533 | 29.9× |
| CT abdomen and pelvis without contrast (74176) | $10,467.75 | $13,957 | 42.0× |
| CT abdomen w contrast (74160) | $9,396 | $12,528 | 51.3× |
| CT abdomen w wo contrast (74170) | $9,625.50 | $12,834 | 52.5× |
| CT abdomen w/o contrast (74150) | $8,890.50 | $11,854 | 81.4× |
| CT Angio Abdomen and Pelvis (74174) | $9,913.50 | $13,218 | 27.2× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$8,623.50–$8,891.25 | $11,498–$11,855 | varies |
| CT Angio Head (70496) | $14,142 | $18,856 | 77.2× |
| CT angio hrt w/3d image (75574) | $5,988 | $7,984 | 16.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$5,819.25–$9,663 | $7,759–$12,884 | varies |
| CT Angio Neck (70498) | $11,943.75 | $15,925 | 65.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,478 | $7,304 | 29.9× |
| CT cervical spine w/ contrast (72126) | $6,701.25 | $8,935 | 18.4× |
| CT cervical spine w/o contrast (72125) | $10,533.75 | $14,045 | 96.5× |
| CT cervical spine w/wo cont (72127) | $7,717.50 | $10,290 | 42.1× |
| CT chest w contrast (71260) | $9,045.75 | $12,061 | 49.4× |
| CT chest w/wo contrast (71270) | $10,771.50 | $14,362 | 58.8× |
| CT head/brain with contrast (70460) | $9,049.50 | $12,066 | 49.4× |
| CT head/brain without and with contrast (70470) | $9,498.75 | $12,665 | 51.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,558 | $4,744 | 9.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,911 | $2,548 | 21.0× |
| CT iac w contrast (70481) | $10,184.25 | $13,579 | 55.6× |
| CT l-spine w&w/o contrast (72133) | $12,527.25 | $16,703 | 68.4× |
| CT lower ext w/o (73700) | $7,405.50 | $9,874 | 67.8× |
| CT lower extremity w/contrast material (73701) | $11,128.50 | $14,838 | 60.8× |
| CT lumbar spine w contrast (72132) | $8,603.25 | $11,471 | 23.6× |
| CT lumbar spine w/o contrast (72131) | $9,289.50 | $12,386 | 85.1× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$9,316.50–$9,357.75 | $12,422–$12,477 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$8,868–$10,439.25 | $11,824–$13,919 | varies |
| CT neck tissue combo (70492) | $4,377.75 | $5,837 | 23.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $8,466 | $11,288 | 46.2× |
| CT orbits w/o contrast (70480) | $7,454.25 | $9,939 | 68.3× |
| CT pelvis w&w/o contrast (72194) | $12,317.25 | $16,423 | 67.2× |
| CT pelvis w/o contrast (72192) | $8,298.75 | $11,065 | 76.0× |
| CT scan of leg combo (73702) | $15,540.75 | $20,721 | 84.8× |
| CT scans face/jaw combo (70488) | $14,178 | $18,904 | 77.4× |
| CT soft tissue neck w contrast (70491) | $9,468.75 | $12,625 | 51.7× |
| CT soft tissue neck w/o contrast (70490) | $8,091 | $10,788 | 74.1× |
| CT thoracic spine w contrast (72129) | $5,922.75 | $7,897 | 32.3× |
| CT thoracic spine w/o contrast (72128) | $7,976.25 | $10,635 | 73.1× |
| CT thoracic spine w/wo cont (72130) | $7,793.25 | $10,391 | 42.5× |
| CT thorax w/o contrast (71250) | $7,386.75 | $9,849 | 67.7× |
| CT upper ext wo (73200) | $3,951 | $5,268 | 36.2× |
| CT upper extremity w/o & w/contrast material (73202) | $4,197.75 | $5,597 | 22.9× |
| CT upper extremity with contrast (73201) | $4,323.75 | $5,765 | 11.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,611.75 | $10,149 | 41.6× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$4,779.75–$8,502.75 | $6,373–$11,337 | varies |
| CTA pelvis (72191) | $6,314.25 | $8,419 | 34.5× |
| Dilation ureters/urethra rs&i (74485) | $2,377.50 | $3,170 | 1.1× |
| Diskography lumbar (72295) | $3,831 | $5,108 | 1.9× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$861–$1,210.50 | $1,148–$1,614 | varies |
| Echo Guide For Artery Repair (76936) | $2,967.75 | $3,957 | 13.2× |
| Esophagram (74220) | $845.25 | $1,127 | 4.6× |
| Fetal Biophys Profile W/Nst (76818) | $1,164 | $1,552 | 10.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $2,706 | $3,608 | 10.9× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$1,271.25–$1,719 | $1,695–$2,292 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$12,914.25–$13,364.25 | $17,219–$17,819 | varies |
| Foot 2 views (73620) | $793.50 | $1,058 | 8.7× |
| Forearm 2 views (73090) | $1,293.75 | $1,725 | 14.2× |
| Gastric emptying imaging study (78264) | $3,136.50 | $4,182 | 7.5× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $3,288.75 | $4,385 | 7.9× |
| Gated Heart Planar Single (78472) | $3,630 | $4,840 | 8.7× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $4,578 | $6,104 | 8.1× |
| Hand 2 views (73120) | $952.50 | $1,270 | 8.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $8,241 | $10,988 | 2.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $7,535.25 | $10,047 | 2.3× |
| Hepatobil Syst Image W/Drug (78227) | $4,085.25 | $5,447 | 7.2× |
| Hepatobiliary System Imaging (78226) | $4,701.75 | $6,269 | 11.3× |
| Ht Musc Image Planar Mult (78454) | $11,320.50 | $15,094 | 8.4× |
| Ht Muscle Image Spect Sing (78451) | $10,800 | $14,400 | 8.0× |
| Hysterosalpingogram (74740) | $2,885.25 | $3,847 | 11.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,700.25 | $2,267 | 18.7× |
| K Flow/Funct Image W/Drug (78708) | $1,271.25 | $1,695 | 2.2× |
| K Flow/Funct Image W/O Drug (78707) | $2,418 | $3,224 | 4.3× |
| Knee 3 Views (73562) | $1,301.25 | $1,735 | 14.3× |
| Liver & Spleen Imaging Static Only (78215) | $4,023 | $5,364 | 9.6× |
| Lung Ventilat&Perfus Imaging (78582) | $4,917 | $6,556 | 8.7× |
| Lymph System Imaging (78195) | $4,187.25 | $5,583 | 7.4× |
| Magnetic Image Jaw Joint (70336) | $6,478.50 | $8,638 | 26.0× |
| Meckels Divert Exam (78290) | $3,766.50 | $5,022 | 9.0× |
| Mr safety determination physician/other qhp (76016) | $360 | $480 | 4.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $99.75 | $133 | 3.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $375 | $500 | 3.8× |
| Mr safety implt pos&/immoblj (76019) | $243 | $324 | 3.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $987.75 | $1,317 | 4.0× |
| Mra Head W/O & W/Contrast Material (70546) | $4,963.50 | $6,618 | 13.6× |
| MRA head w/o contrast (70544) | $4,501.50 | $6,002 | 18.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,963.50 | $6,618 | 13.6× |
| MRA neck w/o contrast (70547) | $4,501.50 | $6,002 | 18.1× |
| MRI abdomen w contrast (74182) | $4,765.50 | $6,354 | 13.1× |
| MRI abdomen w/o contrast (74181) | $4,238.25 | $5,651 | 17.0× |
| MRI any jt lower extrem w/contrast material (73722) | $6,087 | $8,116 | 7.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,127.50 | $8,170 | 16.8× |
| MRI brain functional w/o physician admnistration (70554) | $7,780.50 | $10,374 | 31.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,175.50 | $4,234 | 12.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,161.25 | $4,215 | 12.7× |
| MRI cardiac w/o cont stress (75559) | $7,388.25 | $9,851 | 12.9× |
| MRI cardiac w/o contrast (75557) | $6,257.25 | $8,343 | 25.1× |
| MRI cervical spine w contrast (72142) | $7,755 | $10,340 | 21.3× |
| MRI cervical spine w/o cont (72141) | $12,495.75 | $16,661 | 50.1× |
| MRI chest w/o contrast (71550) | $4,748.25 | $6,331 | 19.1× |
| MRI chest with contrast (71551) | $8,419.50 | $11,226 | 10.3× |
| MRI chest wo w contrast (71552) | $5,991.75 | $7,989 | 16.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $7,593.75 | $10,125 | 20.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,418.25 | $5,891 | 12.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,848.50 | $3,798 | 11.4× |
| MRI lumbar spine w contrast (72149) | $7,659.75 | $10,213 | 21.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $15,152.25 | $20,203 | 41.6× |
| MRI orbit face &/neck w/o contrast (70540) | $5,352.75 | $7,137 | 21.5× |
| MRI orbit face neck w contrast (70542) | $8,495.25 | $11,327 | 23.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,737.25 | $8,983 | 18.5× |
| MRI pelvis w/o & w contrast (72197) | $11,038.50 | $14,718 | 30.3× |
| MRI pelvis w/o contrast (72195) | $8,650.50 | $11,534 | 34.7× |
| MRI spectroscopy (76390) | $6,910.50 | $9,214 | 76.0× |
| MRI thoracic spine w/o contrast (72146) | $11,911.50 | $15,882 | 47.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $5,928 | $7,904 | 23.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $9,768 | $13,024 | 26.8× |
| MRI, abdomen, combo (74183) | $6,649.50 | $8,866 | 18.3× |
| MRI, dorsal spine combo (72157) | $13,745.25 | $18,327 | 37.7× |
| MRI, dorsal spine contrast (72147) | $6,875.25 | $9,167 | 18.9× |
| MRI, joint upper extrem (73221) | $5,928 | $7,904 | 23.8× |
| MRI, joint upper extrem combo (73223) | $9,768 | $13,024 | 26.8× |
| MRI, lumbar spine combo (72158) | $10,084.50 | $13,446 | 27.7× |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$5,367–$6,982.50 | $7,156–$9,310 | varies |
| Myelogram Lumbar (72265) | $5,253 | $7,004 | 6.4× |
| Myelography thoracic (72255) | $7,503 | $10,004 | 9.2× |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$5,106–$7,175.25 | $6,808–$9,567 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $11,227.50 | $14,970 | 8.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $9,342.75 | $12,457 | 6.9× |
| Myocardial Spect Multiple Studies (78452) | $18,569.25 | $24,759 | 13.7× |
| Neck soft tissue (70360) | $1,098.75 | $1,465 | 12.1× |
| Nonvascular Shunt X-Ray (75809) | $1,404 | $1,872 | 12.9× |
| Nuclear Rx Oral Admin (79005) | $3,545.25 | $4,727 | 14.5× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$1,687.50–$1,824 | $2,250–$2,432 | varies |
| Panoramic X-ray of jaws (70355) | $721.50 | $962 | 7.9× |
| Parathyroid Planar Imaging (78070) | $2,577 | $3,436 | 6.2× |
| Pelvis 1 or 2 views (72170) | $1,411.50 | $1,882 | 12.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,307.50 | $4,410 | 7.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,343 | $3,124 | 21.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,255.25 | $3,007 | 4.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,518 | $2,024 | 16.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,191.75 | $1,589 | 13.1× |
| Radex elbow complete minimum 3 views (73080) | $1,641.75 | $2,189 | 18.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,078.50 | $1,438 | 9.9× |
| Radex fingr minimum 2 views (73140) | $1,161.75 | $1,549 | 12.8× |
| Radex foot complete minimum 3 views (73630) | $1,236.75 | $1,649 | 13.6× |
| Radex Hand Minimum 3 Views (73130) | $1,314 | $1,752 | 14.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,190.25 | $1,587 | 13.1× |
| Radex Ribs Unilateral 2 Views (71100) | $897.75 | $1,197 | 9.9× |
| Radex shoulder complete minimum 2 views (73030) | $1,619.25 | $2,159 | 17.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $596.25 | $795 | 6.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $4,387.50 | $5,850 | 24.0× |
| Radex Spine 1 View Specify Level (72020) | $1,042.50 | $1,390 | 11.5× |
| Radex Sternum Minimum 2 Views (71120) | $863.25 | $1,151 | 9.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,013.75 | $2,685 | 22.2× |
| Radex Toe Minimum 2 Views (73660) | $1,542 | $2,056 | 17.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,433.25 | $1,911 | 15.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $2,202 | $2,936 | 20.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $913.50 | $1,218 | 8.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,833.75 | $2,445 | 16.8× |
| Radiologic exam colon double contrast study (74280) | $1,802.25 | $2,403 | 9.8× |
| Radiologic exam colon single contrast study (74270) | $1,771.50 | $2,362 | 9.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,078.50 | $1,438 | 5.9× |
| Radiologic exam knee complete 4/more views (73564) | $1,888.50 | $2,518 | 17.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,596.75 | $2,129 | 14.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,407 | $1,876 | 7.7× |
| Radiologic exam swallow function contrast study (74230) | $966.75 | $1,289 | 5.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,374 | $1,832 | 7.5× |
| Radiologic examination femur 1 view (73551) | $621.75 | $829 | 6.8× |
| Radiologic examination femur minimum 2 views (73552) | $723.75 | $965 | 8.0× |
| Radiologic examination knee 1/2 views (73560) | $1,227.75 | $1,637 | 13.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,159.50 | $1,546 | 12.8× |
| Ribs bilateral 3 views (71110) | $1,025.25 | $1,367 | 9.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,562 | $3,416 | 6.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,198 | $4,264 | 7.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,526.25 | $10,035 | 13.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,593 | $6,124 | 8.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,999 | $5,332 | 7.1× |
| Scapula (73010) | $1,102.50 | $1,470 | 10.1× |
| Shoulder 1 view (73020) | $689.25 | $919 | 7.6× |
| Shoulder Arthrography (73040) | $1,815 | $2,420 | 5.0× |
| Skull less than 4 views (70250) | $1,078.50 | $1,438 | 9.9× |
| Sternoclavicular joints (71130) | $561 | $748 | 6.2× |
| Testicular Imaging W/Flow (78761) | $3,621 | $4,828 | 8.7× |
| Thoracic spine 2 views (72070) | $1,983.75 | $2,645 | 18.2× |
| Thoracic spine 3 views (72072) | $1,154.25 | $1,539 | 10.6× |
| Thyroid Uptake Measurement (78012) | $2,585.25 | $3,447 | 6.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,788 | $6,384 | 11.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$418.50–$423 | $558–$564 | varies |
| Ultrasound, abdomen limited (76705) | $3,018 | $4,024 | 27.6× |
| Unlisted magnetic resonance procedure (76498) | $6,951 | $9,268 | 76.5× |
| Upper gi w/o kub (74240) | $1,254.75 | $1,673 | 6.9× |
| Urethrocystogram voiding (74455) | $2,149.50 | $2,866 | 8.6× |
| Urethrocystography retrograde (74450) | $1,520.25 | $2,027 | 6.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$435–$951 | $580–$1,268 | varies |
| Us chest (76604) | $1,130.25 | $1,507 | 10.4× |
| Us complete joint (76881) | $1,274.25 | $1,699 | 11.7× |
| Us exam, pelvic, limited (76857) | $1,051.50 | $1,402 | 9.6× |
| Us head (76506) | $1,742.25 | $2,323 | 16.0× |
| Us kidney transplant (76776) | $1,482 | $1,976 | 13.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $712.50 | $950 | 6.5× |
| Us ob detailed single fetus (76811) | $1,241.25 | $1,655 | 5.0× |
| Us ob limited 1 or more fetuses (76815) | $399.75 | $533 | 3.7× |
| Us ob transvaginal (76817) | $2,224.50 | $2,966 | 20.4× |
| Us pelvic non ob complete (76856) | $2,299.50 | $3,066 | 21.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,324.50 | $1,766 | 12.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $351 | $468 | 3.2× |
| Us retroperitoneal complete (76770) | $1,847.25 | $2,463 | 16.9× |
| Us retroperitoneal limited (76775) | $750 | $1,000 | 6.9× |
| Us scrotum and contents (76870) | $3,414 | $4,552 | 31.3× |
| Us spinal canal and contents (76800) | $2,017.50 | $2,690 | 18.5× |
| Us thyroid (76536) | $1,387.50 | $1,850 | 12.7× |
| Vein X-Ray Chest (75827) | $3,805.50 | $5,074 | 2.3× |
| Venogram Sinus/Jugular (75860) | $4,325.25 | $5,767 | 1.3× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$4,287–$5,139.75 | $5,716–$6,853 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$1,608–$2,174.25 | $2,144–$2,899 | varies |
| Venography extremity unilateral rs&i (75820) | $6,564.75 | $8,753 | 4.0× |
| Venography Renal Bilateral (75833) | $13,708.50 | $18,278 | 4.2× |
| Venography Renal Unilateral (75831) | $13,708.50 | $18,278 | 4.2× |
| Venous sampling by catheter (75893) | $9,426 | $12,568 | 1.6× |
| Wrist 2 views (73100) | $1,171.50 | $1,562 | 12.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,026.50 | $2,702 | 22.3× |
| X-ray antegrade pyelogram tube (74425) | $726 | $968 | 2.0× |
| X-Ray Aorta Leg Arteries (75630) | $5,248.50 | $6,998 | 1.6× |
| X-Ray Bend Only L-S Spine (72120) | $957.75 | $1,277 | 8.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,238.25 | $1,651 | 13.6× |
| X-Ray Exam Breast Specimen (76098) | $1,084.50 | $1,446 | 1.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,047.75 | $1,397 | 11.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,693.50 | $2,258 | 15.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $2,001.75 | $2,669 | 18.3× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$408–$1,200.75 | $544–$1,601 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$986.25–$1,491 | $1,315–$1,988 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,362 | $1,816 | 12.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,595.25 | $2,127 | 14.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,370.25 | $1,827 | 12.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,595.25 | $2,127 | 14.6× |
| X-Ray Exam L-S Spine Bending (72114) | $1,861.50 | $2,482 | 17.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,997.25 | $2,663 | 22.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,313 | $3,084 | 21.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,319.25 | $1,759 | 12.1× |
| X-ray humerus (73060) | $1,502.25 | $2,003 | 16.5× |
| X-ray IV pyelogram (ivp) (74400) | $2,274.75 | $3,033 | 12.4× |
| X-ray IV pyelogram+tomography (74415) | $2,451.75 | $3,269 | 13.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $913.50 | $1,218 | 10.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,091.25 | $1,455 | 12.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$1,554–$1,709.25 | $2,072–$2,279 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,089.75 | $1,453 | 10.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,077.75 | $1,437 | 9.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,057.50 | $1,410 | 11.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,393.50 | $1,858 | 15.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,839 | $2,452 | 16.8× |
| X-ray thoracic spine 4 vw (72074) | $2,026.50 | $2,702 | 18.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,250 | $3,000 | 6.2× |
| X-Rays Bone Length Studies (77073) | $707.25 | $943 | 6.5× |
| X-Rays Bone Survey Complete (77075) | $3,770.25 | $5,027 | 34.5× |
| Xr c-spine 4 or 5 views (72050) | $2,313 | $3,084 | 21.2× |
| Xr facial bones less than 3 views (70140) | $861 | $1,148 | 9.5× |
| Xr orbits complete 4 views (70200) | $1,301.25 | $1,735 | 11.9× |
| Xr Tomogram Single Plane (76100) | $1,395.75 | $1,861 | 12.8× |
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.