| Abdomen 2 views (74019) |
$424.78 |
$530.97 |
4.1× |
| Ankle 2 views (73600) |
$481.36 |
$601.70 |
5.5× |
| Bone age studies (77072) |
$184.80 |
$231 |
1.8× |
| Bone Imaging 3 Phase (78315) |
$1,980 |
$2,475 |
4.9× |
| Bone survey complete (77075) |
$579.04 |
$723.80 |
5.5× |
| Cervical spine 2 or 3 views (72040) |
$526.26 |
$657.83 |
6.0× |
| Chest 1 view (71045) |
$262.24 |
$327.80 |
3.0× |
| Chest 3 views (71047) |
$310.64 |
$388.30 |
3.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) |
$480.48 |
$600.60 |
2.7× |
| Clavicle complete (73000) |
$250.80 |
$313.50 |
2.9× |
| CT abdomen w contrast (74160) |
$1,112.32 |
$1,390.40 |
6.3× |
| CT abdomen w wo contrast (74170) |
$1,297.12 |
$1,621.40 |
7.4× |
| CT abdomen w/o contrast (74150) |
$848.94 |
$1,061.17 |
8.1× |
| CT c-spine w/o contrast (72125) |
$1,845.98 |
$2,307.47 |
17.6× |
| CT cervical spine w&w/o contrast (72127) |
$2,197.98 |
$2,747.47 |
12.5× |
| CT cervical spine with contrast (72126) |
$2,021.98 |
$2,527.47 |
5.8× |
| CT chest w/wo contrast (71270) |
$1,664.08 |
$2,080.10 |
9.5× |
| CT chest with contrast (71260) |
$1,488.08 |
$1,860.10 |
8.5× |
| CT head/brain with contrast (70460) |
$1,772.32 |
$2,215.40 |
10.1× |
| CT head/brain without and with contrast (70470) |
$2,036.32 |
$2,545.40 |
11.6× |
| CT lumbar spine w & w/o contrast (72133) |
$1,886.90 |
$2,358.62 |
10.7× |
| CT lumbar spine w/o contrast (72131) |
$1,534.90 |
$1,918.62 |
14.7× |
| CT lumbar spine with contrast (72132) |
$1,710.90 |
$2,138.62 |
4.9× |
| CT maxillofacial w contrast (70487) |
$1,936.80 |
$2,420.99 |
11.0× |
| CT maxillofacial w/o contrast (70486) |
$1,760.80 |
$2,200.99 |
16.8× |
| CT maxillofacial w/wo contrast (70488) |
$2,112.80 |
$2,640.99 |
12.0× |
| CT pelvis w & w/o contrast (72194) |
$2,065.36 |
$2,581.70 |
11.8× |
| CT pelvis w/o contrast (72192) |
$1,713.36 |
$2,141.70 |
16.4× |
| CT thoracic spine w/contrast (72129) |
$2,021.98 |
$2,527.47 |
11.5× |
| CT thoracic spine w/o contrast (72128) |
$1,845.98 |
$2,307.47 |
17.6× |
| CT thoracic spine w/wo contrast (72130) |
$2,197.98 |
$2,747.47 |
12.5× |
| CT thorax w/o contrast (71250) |
$1,312.08 |
$1,640.10 |
12.5× |
| Echoencephalography real time imaging (76506) |
$586.08 |
$732.60 |
5.6× |
| Fluoroscopy up to 1 hr (76000) |
$852.72 |
$1,065.90 |
3.6× |
| Foot 2 views (73620) |
$368.81 |
$461.01 |
4.2× |
| Forearm 2 views (73090) |
$216.48 |
$270.60 |
2.5× |
| Hand 3 views (73130) |
$251.68 |
$314.60 |
2.9× |
| Humerus Min 2 Views Left (73060) |
$331.76 |
$414.70 |
3.8× |
| Knee 3 views (73562) |
$258.37 |
$322.96 |
3.0× |
| MRI any jnt lwr ext with con lt (73722) |
$579.52 |
$724.39 |
0.7× |
| MRI any jt upper extremity w/contrast matrl (73222) |
$2,022.24 |
$2,527.80 |
2.6× |
| MRI c-spine with contrast (72142) |
$2,461.36 |
$3,076.70 |
7.0× |
| MRI cervical spine w/o contrast (72141) |
$2,285.36 |
$2,856.70 |
9.6× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) |
$1,711.60 |
$2,139.50 |
4.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) |
$519.45 |
$649.31 |
1.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) |
$466.11 |
$582.63 |
2.0× |
| MRI scan of arm joint before and after contrast (73223) |
$2,022.24 |
$2,527.80 |
5.8× |
| MRI scan of leg joint before and after contrast (73723) |
$713.27 |
$891.58 |
2.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) |
$2,637.36 |
$3,296.70 |
7.5× |
| MRI spinal canal lumbar w/contrast material (72149) |
$2,150.72 |
$2,688.40 |
6.2× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) |
$2,326.72 |
$2,908.40 |
6.7× |
| MRI spinal canal thoracic w/contrast matrl (72147) |
$2,461.36 |
$3,076.70 |
7.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) |
$2,104.08 |
$2,630.10 |
6.0× |
| MRI thoracic spine w/o contrast (72146) |
$2,285.36 |
$2,856.70 |
9.6× |
| MRI upper ext joint w/o contrast (73221) |
$2,022.24 |
$2,527.80 |
8.5× |
| MRI upper extrem other than jt w/o & w/contras (73220) |
$1,711.60 |
$2,139.50 |
4.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) |
$1,711.60 |
$2,139.50 |
7.2× |
| Osseous survey infant (77076) |
$557.04 |
$696.30 |
5.3× |
| Osseous survey limited (77074) |
$403.04 |
$503.80 |
3.8× |
| Pelvis 1 or 2 views (72170) |
$249.92 |
$312.40 |
2.4× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) |
$646.28 |
$807.85 |
1.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) |
$1,175.68 |
$1,469.60 |
11.2× |
| Radex hips bilateral with pelvis 2 views (73521) |
$403.92 |
$504.90 |
3.9× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) |
$248.78 |
$310.97 |
2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) |
$451.18 |
$563.97 |
4.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) |
$310.64 |
$388.30 |
3.6× |
| Radiologic exam upr gi trc single contrast study (74240) |
$564.08 |
$705.10 |
3.2× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) |
$542.92 |
$678.65 |
6.2× |
| Ribs bilateral 3 views (71110) |
$344.96 |
$431.20 |
3.3× |
| Spine thoracic 3 views (72072) |
$351.12 |
$438.90 |
3.4× |
| Ultrasound, abdomen limited (76705) |
$698.72 |
$873.40 |
6.7× |
| Urethrocystography retrograde rs&i (74450) |
$999.68 |
$1,249.60 |
4.2× |
| Urethrocystography voiding (74455) |
$662.64 |
$828.30 |
2.8× |
| Us chest (76604) |
$557.04 |
$696.30 |
5.3× |
| Us infant hips dynamic (76885) |
$624.80 |
$781 |
7.2× |
| Us infant hips limited static (76886) |
$448.80 |
$561 |
5.1× |
| Us pelvic non ob complete (76856) |
$836 |
$1,045 |
8.0× |
| Us retroperitoneal complete (76770) |
$720.72 |
$900.90 |
6.9× |
| Us retroperitoneal limited (76775) |
$544.72 |
$680.90 |
5.2× |
| Us soft tissue head/neck (76536) |
$550 |
$687.50 |
5.3× |
| Wrist 2 views (73100) |
$278.79 |
$348.48 |
3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) |
$240.07 |
$300.08 |
2.8× |
| X-ray exam hip uni 1 view (73501) |
$273.20 |
$341.50 |
3.1× |
| X-ray exam of femur 1 (73551) |
$406.56 |
$508.20 |
4.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) |
$335.28 |
$419.10 |
3.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) |
$210.32 |
$262.90 |
2.4× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) |
$244.91 |
$306.13 |
2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) |
$412.72 |
$515.90 |
3.9× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) |
$462 |
$577.50 |
4.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) |
$337.40 |
$421.74 |
3.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) |
$212.96 |
$266.20 |
2.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) |
$428.56 |
$535.70 |
4.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) |
$667.04 |
$833.80 |
6.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) |
$287.76 |
$359.70 |
2.7× |
| X-Ray Spine One View - Xr Spine (72020) |
$384.56 |
$480.70 |
4.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) |
$316.01 |
$395.01 |
3.0× |
| Xr shoulder 1 view (73020) |
$363.44 |
$454.30 |
4.2× |
| Xr tibia/fibula 2 views (73590) |
$307.12 |
$383.90 |
3.5× |
| Xray knee 1 or 2 views rt (73560) |
$232.06 |
$290.07 |
2.7× |