Imaging prices at Palmetto General Hospital
Hialeah, FL · every code in this section with a posted price and a Medicare benchmark.
312 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) | $948.30 | $948.30 | 10.4× |
| Abdomen 2 views (74019) | $815.32 | $815.32 | 7.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,526.15 | $3,526.15 | 8.4× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$8,848.41–$9,169.07 | $8,848.41–$9,169.07 | varies |
| Angio pulmonary bilat (75743) | $12,444.53 | $12,444.53 | 3.8× |
| Angiography extremity bilateral rs&i (75716) | $12,260.32 | $12,260.32 | 3.7× |
| Angiography extremity unilateral rs&i (75710) | $8,825.73 | $8,825.73 | 2.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $9,169.07 | $9,169.07 | 2.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,169.07 | $9,169.07 | 2.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,227.34–$1,841.01 | $1,227.34–$1,841.01 | varies |
| Aortography thoracic serialography rs&i (75605) | $14,348.76 | $14,348.76 | 2.5× |
| Artery X-Rays Abdomen (75726) | $14,247.39 | $14,247.39 | 2.5× |
| Artery X-Rays Adrenal Gland (75731) | $9,169.07 | $9,169.07 | 2.8× |
| Artery X-Rays Pelvis (75736) | $14,247.39 | $14,247.39 | 2.5× |
| Artery X-Rays Spine (75705) | $7,064.29 | $7,064.29 | 1.2× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$1,179.49–$1,769.23 | $1,179.49–$1,769.23 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,179.49–$1,769.23 | $1,179.49–$1,769.23 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$1,179.49–$1,769.23 | $1,179.49–$1,769.23 | varies |
| Bone age studies (77072) | $1,241.51 | $1,241.51 | 11.4× |
| Bone Imaging 3 Phase (78315) | $2,515.72 | $2,515.72 | 6.0× |
| Bone Imaging Whole Body (78306) | $4,987.84 | $4,987.84 | 11.9× |
| Bone survey infant (77076) | $348.71 | $348.71 | 3.2× |
| Brain Image W/Flow < 4 Views (78601) | $1,207.40 | $1,207.40 | 2.9× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,567.41 | $1,567.41 | 2.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,179.49 | $1,179.49 | 3.2× |
| Cerebrospinal Fluid Scan (78630) | $1,706.94 | $1,706.94 | 3.0× |
| Chest 1 view (71045) | $1,243.69 | $1,243.69 | 13.7× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$259.08–$2,416.53 | $259.08–$2,416.53 | varies |
| Chest 3 views (71047) | $259.08 | $259.08 | 2.9× |
| Chest 4 or more views (71048) | $2,751.16 | $2,751.16 | 25.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$922.14–$1,383.21 | $922.14–$1,383.21 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,397.06–$9,169.07 | $4,397.06–$9,169.07 | varies |
| Contrast X-Ray Bladder (74430) | $1,641.54 | $1,641.54 | 4.5× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$1,179.49–$1,769.23 | $1,179.49–$1,769.23 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,179.49–$1,769.23 | $1,179.49–$1,769.23 | varies |
| 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 Abdomen and Pelvis (74174) | $5,820.45 | $5,820.45 | 16.0× |
| CT Angio Chest (71275) | $8,828 | $8,828 | 48.2× |
| CT Angio Head (70496) | $6,118.78 | $6,118.78 | 33.4× |
| CT angio hrt w/3d image (75574) | $4,620.51 | $4,620.51 | 12.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$5,295.22–$7,482.53 | $5,295.22–$7,482.53 | varies |
| CT Angio Neck (70498) | $6,782.25 | $6,782.25 | 37.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$6,857.19–$6,871.04 | $6,857.19–$6,871.04 | varies |
| CT cervical spine w/ contrast (72126) | $7,667.06 | $7,667.06 | 21.0× |
| CT cervical spine w/o contrast (72125) | $8,908.59 | $8,908.59 | 81.6× |
| CT cervical spine w/wo cont (72127) | $572.13 | $572.13 | 3.1× |
| 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 no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$248.91–$2,203.98 | $248.91–$2,203.98 | varies |
| CT iac w contrast (70481) | $8,873.37 | $8,873.37 | 48.4× |
| CT l-spine w&w/o contrast (72133) | $11,222.64 | $11,222.64 | 61.3× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$5,774.17–$8,661.25 | $5,774.17–$8,661.25 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$5,126.27–$8,299.26 | $5,126.27–$8,299.26 | varies |
| 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 wo contrast (70486) | $8,200.16 | $8,200.16 | 75.1× |
| CT neck tissue combo (70492) | $9,896.91 | $9,896.91 | 54.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (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&w/o contrast (72194) | $17,023.62 | $17,023.62 | 92.9× |
| CT pelvis w/o contrast (72192) | $7,633.43 | $7,633.43 | 69.9× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$572.13–$7,571.86 | $572.13–$7,571.86 | varies |
| CT scans face/jaw combo (70488) | $13,672.96 | $13,672.96 | 74.6× |
| CT soft tissue neck w contrast (70491) | $9,277.18 | $9,277.18 | 50.6× |
| 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 cont (72130) | $13,154.12 | $13,154.12 | 71.8× |
| CT thorax w/o contrast (71250) | $6,306.61 | $6,306.61 | 57.8× |
| CT unlisted procedure (76497) | $259.08 | $259.08 | 2.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,287.91–$6,268.74 | $2,287.91–$6,268.74 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$10,740.86–$16,111.29 | $10,740.86–$16,111.29 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$4,857.59–$8,158.88 | $4,857.59–$8,158.88 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,807.14 | $7,807.14 | 42.6× |
| Cta Abdomen (74175) | $7,861.85 | $7,861.85 | 42.9× |
| CTA pelvis (72191) | $9,550.80 | $9,550.80 | 52.1× |
| Dilation ureters/urethra rs&i (74485) | $2,974.61 | $2,974.61 | 1.4× |
| Dxa Bone Density Axial (77080) | $1,914.04 | $1,914.04 | 17.5× |
| Echo exam uterus (76831) | $737 | $737 | 3.0× |
| Echo Guide For Artery Repair (76936) | $847.68 | $847.68 | 3.8× |
| Echograp Trans R Pros Study (76873) | $348.71 | $348.71 | 3.2× |
| Esophagram (74220) | $1,478.04 | $1,478.04 | 8.1× |
| Fetal Biophys Profile W/Nst (76818) | $1,985.98 | $1,985.98 | 18.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,294.92 | $1,294.92 | 11.9× |
| Fluoroscopy up to 1 hr (76000) | $737 | $737 | 3.0× |
| Follow-Up Angiography (75898) | $3,308.15 | $3,308.15 | 1.0× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,324.35–$1,986.53 | $1,324.35–$1,986.53 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,822.48–$2,733.72 | $1,822.48–$2,733.72 | varies |
| Gastric emptying imaging study (78264) | $2,515.72 | $2,515.72 | 6.0× |
| Gastroesophageal Reflux Exam (78262) | $1,207.40 | $1,207.40 | 2.9× |
| Gated Heart Planar Single (78472) | $3,044.37 | $3,044.37 | 7.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$893.80–$1,340.70 | $893.80–$1,340.70 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $9,169.07 | $9,169.07 | 2.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $9,169.07 | $9,169.07 | 2.8× |
| Hepatobil Syst Image W/Drug (78227) | $2,423.07 | $2,423.07 | 4.3× |
| Hepatobiliary System Imaging (78226) | $2,760.97 | $2,760.97 | 6.6× |
| Ht Muscle Image Spect Sing (78451) | $4,185.62 | $4,185.62 | 3.1× |
| Hysterosalpingogram (74740) | $3,303.79 | $3,303.79 | 13.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,189.19 | $1,189.19 | 13.1× |
| Infusion Ivp (74410) | $572.13 | $572.13 | 3.1× |
| K Flow/Funct Image W/Drug (78708) | $3,467.29 | $3,467.29 | 6.1× |
| K Flow/Funct Image W/O Drug (78707) | $5,109.92 | $5,109.92 | 9.0× |
| Kidney Imaging Morphol (78700) | $1,207.40 | $1,207.40 | 2.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,207.40 | $1,207.40 | 2.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$2,081.90–$3,122.85 | $2,081.90–$3,122.85 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,472.12 | $2,472.12 | 5.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,207.40 | $1,207.40 | 2.9× |
| Liver imaging static only (78201) | $1,567.41 | $1,567.41 | 2.8× |
| Lung Ventilat&Perfus Imaging (78582) | $3,577.38 | $3,577.38 | 6.3× |
| Lymph System Imaging (78195) | $1,741.82 | $1,741.82 | 3.1× |
| Magnetic Image Jaw Joint (70336) | $8,304.71 | $8,304.71 | 33.3× |
| Mammary ductogram or galactogram multiple (77054) | $737 | $737 | 3.0× |
| Mammary ductogram or galactogram single (77053) | $1,863.90 | $1,863.90 | 7.5× |
| Meckels Divert Exam (78290) | $1,207.40 | $1,207.40 | 2.9× |
| Mra Head W/O & W/Contrast Material (70546) | $5,739.94 | $5,739.94 | 15.8× |
| MRA head w/o contrast (70544) | $4,274.98 | $4,274.98 | 17.2× |
| MRA head with contrast (70545) | $1,179.49 | $1,179.49 | 3.2× |
| MRA neck w contrast (70548) | $6,874.63 | $6,874.63 | 18.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,215.18 | $6,215.18 | 17.1× |
| MRA neck w/o contrast (70547) | $6,732.93 | $6,732.93 | 27.0× |
| MRI abdomen w contrast (74182) | $1,179.49 | $1,179.49 | 3.2× |
| MRI abdomen w/o contrast (74181) | $7,309.54 | $7,309.54 | 29.3× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,291.52–$3,437.28 | $2,291.52–$3,437.28 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$10,841.14–$16,261.71 | $10,841.14–$16,261.71 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$7,056.66–$10,584.99 | $7,056.66–$10,584.99 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,105.51 | $1,105.51 | 4.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $737 | $737 | 3.0× |
| MRI cardiac w/o contrast (75557) | $737 | $737 | 3.0× |
| MRI cervical spine w contrast (72142) | $9,481.91 | $9,481.91 | 26.0× |
| MRI cervical spine w/o cont (72141) | $11,484.24 | $11,484.24 | 46.1× |
| MRI chest w/o contrast (71550) | $737 | $737 | 3.0× |
| MRI chest with contrast (71551) | $2,291.52 | $2,291.52 | 2.8× |
| MRI chest wo w contrast (71552) | $1,179.49 | $1,179.49 | 3.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,179.49–$1,769.23 | $1,179.49–$1,769.23 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$10,947.96–$16,421.94 | $10,947.96–$16,421.94 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$8,240.40–$12,360.60 | $8,240.40–$12,360.60 | varies |
| MRI lumbar spine w contrast (72149) | $12,059.76 | $12,059.76 | 33.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $20,258.74 | $20,258.74 | 55.6× |
| MRI orbit face &/neck w/o contrast (70540) | $7,622.37 | $7,622.37 | 30.6× |
| MRI orbit face neck w contrast (70542) | $1,179.49 | $1,179.49 | 3.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,972.11 | $5,972.11 | 16.4× |
| MRI pelvis w contrast (72196) | $1,179.49 | $1,179.49 | 3.2× |
| MRI pelvis w/o & w contrast (72197) | $8,621.90 | $8,621.90 | 23.7× |
| MRI pelvis w/o contrast (72195) | $7,866.53 | $7,866.53 | 31.6× |
| MRI spectroscopy (76390) | $5,319.20 | $5,319.20 | 58.5× |
| MRI thoracic spine w/o contrast (72146) | $9,013.21 | $9,013.21 | 36.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$9,229.03–$13,843.55 | $9,229.03–$13,843.55 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$6,560.71–$9,841.07 | $6,560.71–$9,841.07 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$9,229.03–$13,843.55 | $9,229.03–$13,843.55 | varies |
| MRI, abdomen, combo (74183) | $5,070.68 | $5,070.68 | 13.9× |
| MRI, dorsal spine combo (72157) | $9,581.10 | $9,581.10 | 26.3× |
| MRI, dorsal spine contrast (72147) | $5,945.95 | $5,945.95 | 16.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$9,229.03–$13,843.55 | $9,229.03–$13,843.55 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$7,056.66–$10,584.99 | $7,056.66–$10,584.99 | varies |
| MRI, lumbar spine combo (72158) | $15,575.01 | $15,575.01 | 42.8× |
| Myelogram cervical (72240) | $4,811.26 | $4,811.26 | 5.9× |
| Myocardial Spect Multiple Studies (78452) | $12,064.12 | $12,064.12 | 8.9× |
| Neck soft tissue (70360) | $1,106.35 | $1,106.35 | 12.2× |
| Nuclear Rx Intra-Arterial (79445) | $2,048.11 | $2,048.11 | 8.4× |
| Nuclear Rx Oral Admin (79005) | $3,974.14 | $3,974.14 | 16.3× |
| Parathyroid Planar Imaging (78070) | $2,418.71 | $2,418.71 | 5.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $15,443.12 | $15,443.12 | 37.0× |
| Pelvis 1 or 2 views (72170) | $1,290.56 | $1,290.56 | 11.8× |
| Pet Image W/Ct Lmtd (78814) | $4,740.54 | $4,740.54 | 3.2× |
| PET image w/CT, full body (78816) | $4,740.54 | $4,740.54 | 3.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,740.54 | $4,740.54 | 3.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $9,169.07 | $9,169.07 | 2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,949.54 | $2,949.54 | 7.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,547.65 | $1,547.65 | 2.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,981.62–$2,972.43 | $1,981.62–$2,972.43 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$1,111.80–$1,667.70 | $1,111.80–$1,667.70 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,965.27–$2,947.91 | $1,965.27–$2,947.91 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,072.56 | $1,072.56 | 9.8× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$1,584.86–$2,377.29 | $1,584.86–$2,377.29 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$2,019.77–$3,029.66 | $2,019.77–$3,029.66 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$2,012.14–$3,018.21 | $2,012.14–$3,018.21 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$259.08–$388.63 | $259.08–$388.63 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$348.71–$523.07 | $348.71–$523.07 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,486.76 | $1,486.76 | 16.4× |
| Radex Ribs Unilateral 2 Views (71100) | $2,759.88 | $2,759.88 | 30.4× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$2,101.52–$3,152.28 | $2,101.52–$3,152.28 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $259.08 | $259.08 | 2.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $668.17 | $668.17 | 3.6× |
| Radex Spine 1 View Specify Level (72020) | $1,341.79 | $1,341.79 | 14.8× |
| Radex Sternum Minimum 2 Views (71120) | $1,423.54 | $1,423.54 | 15.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $259.08 | $259.08 | 2.9× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$966.83–$1,450.25 | $966.83–$1,450.25 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$2,084.08–$3,126.12 | $2,084.08–$3,126.12 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $348.71 | $348.71 | 3.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,006.07 | $1,006.07 | 9.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $348.71 | $348.71 | 3.2× |
| Radiologic exam colon double contrast study (74280) | $572.13 | $572.13 | 3.1× |
| Radiologic exam colon single contrast study (74270) | $1,385.39 | $1,385.39 | 7.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,782.15–$2,673.23 | $1,782.15–$2,673.23 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,582.68 | $1,582.68 | 14.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,067.73 | $2,067.73 | 11.3× |
| Radiologic exam swallow function contrast study (74230) | $1,436.62 | $1,436.62 | 7.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,526.15 | $3,526.15 | 19.3× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$259.08–$388.63 | $259.08–$388.63 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$1,917.31–$2,875.97 | $1,917.31–$2,875.97 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,254.59–$1,881.89 | $1,254.59–$1,881.89 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $456.71 | $456.71 | 4.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,413.73–$2,120.60 | $1,413.73–$2,120.60 | varies |
| Ribs bilateral 3 views (71110) | $2,463.40 | $2,463.40 | 22.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,653.06 | $2,653.06 | 6.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,827.14 | $5,827.14 | 10.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$4,185.62–$9,516.79 | $4,185.62–$9,516.79 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$1,900.96–$2,851.44 | $1,900.96–$2,851.44 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$107.91–$168.95 | $107.91–$168.95 | varies |
| Sella turcica (70240) | $259.08 | $259.08 | 2.9× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$1,963.09–$2,944.64 | $1,963.09–$2,944.64 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,179.49–$1,769.23 | $1,179.49–$1,769.23 | varies |
| Sialogram (70390) | $737 | $737 | 3.0× |
| Skull less than 4 views (70250) | $1,093.27 | $1,093.27 | 10.0× |
| Sternoclavicular joints (71130) | $259.08 | $259.08 | 2.9× |
| Superior sagittal sinus venogram (75870) | $9,169.07 | $9,169.07 | 2.8× |
| Testicular Imaging W/Flow (78761) | $1,207.40 | $1,207.40 | 2.9× |
| Thoracic spine 2 views (72070) | $1,600.12 | $1,600.12 | 14.7× |
| Thoracic spine 3 views (72072) | $1,738.55 | $1,738.55 | 15.9× |
| Thoracolumbar 2 views (72080) | $568.98 | $568.98 | 6.3× |
| Thyroid Imaging With Vascular Flow (78013) | $1,207.40 | $1,207.40 | 2.9× |
| Thyroid Met Imaging Body (78018) | $4,826.52 | $4,826.52 | 8.5× |
| Thyroid Uptake Measurement (78012) | $2,798.03 | $2,798.03 | 6.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,207.40 | $1,207.40 | 2.9× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$839.30–$1,258.95 | $839.30–$1,258.95 | varies |
| Ultrasound elastography first target lesion (76982) | $686.70 | $686.70 | 6.3× |
| Ultrasound Elastography Parenchyma (76981) | $348.71 | $348.71 | 3.2× |
| Ultrasound Exam Aaa Screen (76706) | $858.92 | $858.92 | 7.9× |
| Ultrasound, abdomen limited (76705) | $3,110.86 | $3,110.86 | 28.5× |
| Umbilical-artery Doppler (OB) (76820) | $348.71 | $348.71 | 3.2× |
| Unlisted Dx Radiographic Procedure (76499) | $248.91 | $248.91 | 2.7× |
| Upper gi w/o kub (74240) | $1,778.88 | $1,778.88 | 9.7× |
| Urethrocystogram voiding (74455) | $2,140.76 | $2,140.76 | 8.6× |
| Urethrocystography retrograde (74450) | $737 | $737 | 3.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$2,294.45–$3,441.68 | $2,294.45–$3,441.68 | varies |
| Us chest (76604) | $1,850.82 | $1,850.82 | 17.0× |
| Us complete joint (76881) | $1,451.88 | $1,451.88 | 13.3× |
| Us exam, pelvic, limited (76857) | $348.71 | $348.71 | 3.2× |
| Us head (76506) | $1,486.76 | $1,486.76 | 13.6× |
| Us kidney transplant (76776) | $348.71 | $348.71 | 3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,421.36 | $1,421.36 | 13.0× |
| Us ob detailed single fetus (76811) | $737 | $737 | 3.0× |
| Us ob limited 1 or more fetuses (76815) | $1,051.85 | $1,051.85 | 9.6× |
| Us ob transvaginal (76817) | $1,024.60 | $1,024.60 | 9.4× |
| Us pelvic non ob complete (76856) | $3,337.58 | $3,337.58 | 30.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,227.96 | $2,227.96 | 20.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,346.15 | $1,346.15 | 12.3× |
| Us retroperitoneal complete (76770) | $1,182.65 | $1,182.65 | 10.8× |
| Us retroperitoneal limited (76775) | $2,203.98 | $2,203.98 | 20.2× |
| Us scrotum and contents (76870) | $2,574.58 | $2,574.58 | 23.6× |
| Us spinal canal and contents (76800) | $907.97 | $907.97 | 8.3× |
| Us thyroid (76536) | $2,087.35 | $2,087.35 | 19.1× |
| Us transrectal (76872) | $1,543.44 | $1,543.44 | 14.1× |
| Vascular Flow Imaging (78445) | $1,207.40 | $1,207.40 | 2.9× |
| Vein X-Ray Chest (75827) | $3,238.39 | $3,238.39 | 2.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $9,169.07 | $9,169.07 | 2.8× |
| Vein X-Ray Spleen/Liver (75810) | $7,996.24 | $7,996.24 | 2.4× |
| Venogram Sinus/Jugular (75860) | $3,758.32 | $3,758.32 | 1.1× |
| Venography Adrenal Unilateral (75840) | $9,169.07 | $9,169.07 | 2.8× |
| Venography caval inferior serialography rs&i (75825) | $3,154.46 | $3,154.46 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $4,751.31 | $4,751.31 | 2.9× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,717.37–$3,458.57 | $2,717.37–$3,458.57 | varies |
| Venography Orbital Rs&I (75880) | $1,657.40 | $1,657.40 | 2.5× |
| Venography Renal Bilateral (75833) | $9,169.07 | $9,169.07 | 2.8× |
| Venography Renal Unilateral (75831) | $9,169.07 | $9,169.07 | 2.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,207.40 | $1,207.40 | 2.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$1,500.93–$2,251.40 | $1,500.93–$2,251.40 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,502.02 | $1,502.02 | 16.5× |
| X-ray antegrade pyelogram tube (74425) | $2,057.92 | $2,057.92 | 5.6× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$9,169.07–$11,999.81 | $9,169.07–$11,999.81 | varies |
| X-Ray Bend Only L-S Spine (72120) | $348.71 | $348.71 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,654.62–$2,481.93 | $1,654.62–$2,481.93 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,117.25 | $1,117.25 | 2.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $259.08 | $259.08 | 2.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $348.71 | $348.71 | 3.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $348.71 | $348.71 | 3.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $638.74 | $638.74 | 7.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,948.92 | $1,948.92 | 21.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $348.71 | $348.71 | 3.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $2,047.02 | $2,047.02 | 18.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,678.60 | $1,678.60 | 15.4× |
| X-Ray Exam L-S Spine Bending (72114) | $348.71 | $348.71 | 3.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,087.35 | $2,087.35 | 23.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,074.27 | $2,074.27 | 19.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,469.32 | $1,469.32 | 13.5× |
| X-ray humerus (73060) | $1,931.48 | $1,931.48 | 21.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $259.08 | $259.08 | 2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $810.96 | $810.96 | 8.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,375.11 | $2,375.11 | 21.8× |
| X-ray nose-rectum child f.b. (76010) | $259.08 | $259.08 | 2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,718.46 | $2,718.46 | 24.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $802.24 | $802.24 | 7.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $348.71 | $348.71 | 3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,611.02 | $1,611.02 | 17.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,893.33 | $1,893.33 | 20.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,056.83 | $2,056.83 | 18.8× |
| X-ray thoracic spine 4 vw (72074) | $348.71 | $348.71 | 3.2× |
| X-Ray Tmj Unilat (70328) | $259.08 | $259.08 | 2.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,179.49 | $1,179.49 | 3.2× |
| X-Rays Bone Length Studies (77073) | $348.71 | $348.71 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $1,580.50 | $1,580.50 | 14.5× |
| Xr c-spine 4 or 5 views (72050) | $2,684.67 | $2,684.67 | 24.6× |
| Xr facial bones less than 3 views (70140) | $681.25 | $681.25 | 7.5× |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$348.71–$523.07 | $348.71–$523.07 | varies |
| Xr orbits complete 4 views (70200) | $348.71 | $348.71 | 3.2× |
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.