Imaging prices at Sacred Heart Hospital on the Emerald Coast
Miramar Beach, FL · every code in this section with a posted price and a Medicare benchmark.
352 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) | $713.60 | $1,784 | 7.9× |
| Abdomen 2 views (74019) | $756.40 | $1,891 | 6.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $996.40 | $2,491 | 2.4× |
| Angio internal mammary (75756) | $4,113.60 | $10,284 | 1.2× |
| Angio pulmonary bilat (75743) | $2,200.80 | $5,502 | 0.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,350.40 | $10,876 | 1.3× |
| Angiography extremity bilateral rs&i (75716) | $3,113.60 | $7,784 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,885.60 | $7,214 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,472.40 | $6,181 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,185.20 | $5,463 | 0.7× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$201.60–$402.40 | $504–$1,006 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,550 | $8,875 | 0.6× |
| Aortography thoracic w/o serialography rs&i (75600) | $4,113.60 | $10,284 | 1.2× |
| Artery X-Rays Abdomen (75726) | $9,960.80 | $24,902 | 1.7× |
| Artery X-Rays Adrenal Gland (75731) | $4,350.40 | $10,876 | 1.3× |
| Artery X-Rays Pelvis (75736) | $9,960.80 | $24,902 | 1.7× |
| Artery X-Rays Spine (75705) | $4,113.60 | $10,284 | 0.7× |
| Arthrogram ankle (73615) | $666.80 | $1,667 | 1.8× |
| Arthrogram hip (73525) | $770 | $1,925 | 2.1× |
| Arthrogram Wrist (73115) | $579.20 | $1,448 | 1.6× |
| Bone age studies (77072) | $782 | $1,955 | 7.2× |
| Bone Imaging 3 Phase (78315) | $1,380.80 | $3,452 | 3.3× |
| Bone Imaging Limited Area (78300) | $777.60 | $1,944 | 1.9× |
| Bone Imaging Whole Body (78306) | $1,456 | $3,640 | 3.5× |
| Bone survey infant (77076) | $611.20 | $1,528 | 5.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $965.20 | $2,413 | 1.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,529.60 | $3,824 | 1.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,936 | $4,840 | 5.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,841.20 | $4,603 | 2.2× |
| Cat Scan Follow-Up Study (76380) | $578.40 | $1,446 | 6.4× |
| Cerebrospinal Fluid Scan (78630) | $1,190 | $2,975 | 2.1× |
| Chest 1 view (71045) | $486.80 | $1,217 | 5.4× |
| Chest 2 views (71046) | $560 | $1,400 | 6.2× |
| Chest 3 views (71047) | $813.20 | $2,033 | 8.9× |
| Chest 4 or more views (71048) | $875.60 | $2,189 | 8.0× |
| Cholecystography Oral Contrast (74290) | $761.60 | $1,904 | 4.2× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$883.60–$1,767.20 | $2,209–$4,418 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,045.60 | $2,614 | 9.6× |
| Contrast Exam Abdominl Aorta (75625) | $2,296.40 | $5,741 | 0.7× |
| Contrast X-Ray Bladder (74430) | $473.20 | $1,183 | 1.3× |
| Contrast X-Ray Of Elbow (73085) | $666.80 | $1,667 | 1.8× |
| Contrast X-Ray Of Knee Joint (73580) | $785.60 | $1,964 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $2,104 | $5,260 | 5.8× |
| CT abdomen and pelvis without contrast (74176) | $2,104 | $5,260 | 8.4× |
| CT abdomen w contrast (74160) | $2,004 | $5,010 | 10.9× |
| CT abdomen w wo contrast (74170) | $2,090.80 | $5,227 | 11.4× |
| CT abdomen w/o contrast (74150) | $1,412.80 | $3,532 | 12.9× |
| CT Angio Abdomen and Pelvis (74174) | $2,104 | $5,260 | 5.8× |
| CT Angio Chest (71275) | $2,104 | $5,260 | 11.5× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,521.20–$2,104 | $3,803–$5,260 | varies |
| CT angio hrt w/3d image (75574) | $806.40 | $2,016 | 2.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,479.20 | $6,198 | 13.5× |
| CT Angio Neck (70498) | $2,104 | $5,260 | 11.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,104 | $5,260 | 11.5× |
| CT cervical spine w/ contrast (72126) | $1,611.20 | $4,028 | 4.4× |
| CT cervical spine w/o contrast (72125) | $2,104 | $5,260 | 19.3× |
| CT cervical spine w/wo cont (72127) | $1,966.40 | $4,916 | 10.7× |
| CT chest w contrast (71260) | $1,858.80 | $4,647 | 10.1× |
| CT chest w/wo contrast (71270) | $2,104 | $5,260 | 11.5× |
| CT head/brain with contrast (70460) | $2,104 | $5,260 | 11.5× |
| CT head/brain without and with contrast (70470) | $2,104 | $5,260 | 11.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $806.40 | $2,016 | 2.2× |
| CT iac w contrast (70481) | $2,104 | $5,260 | 11.5× |
| CT l-spine w&w/o contrast (72133) | $1,608.40 | $4,021 | 8.8× |
| CT lower ext w/o (73700) | $2,104 | $5,260 | 19.3× |
| CT lower extremity w/contrast material (73701) | $1,539.20 | $3,848 | 8.4× |
| CT lumbar spine w contrast (72132) | $1,318.40 | $3,296 | 3.6× |
| CT lumbar spine w/o contrast (72131) | $1,843.60 | $4,609 | 16.9× |
| CT maxillofacial w contrast (70487) | $1,795.60 | $4,489 | 9.8× |
| CT maxillofacial wo contrast (70486) | $1,896 | $4,740 | 17.4× |
| CT neck tissue combo (70492) | $1,588 | $3,970 | 8.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,104 | $5,260 | 11.5× |
| CT orbits w/o contrast (70480) | $2,104 | $5,260 | 19.3× |
| CT pelvis w&w/o contrast (72194) | $2,104 | $5,260 | 11.5× |
| CT pelvis w/o contrast (72192) | $1,925.20 | $4,813 | 17.6× |
| CT scan of leg combo (73702) | $1,532 | $3,830 | 8.4× |
| CT scans face/jaw combo (70488) | $2,104 | $5,260 | 11.5× |
| CT soft tissue neck w contrast (70491) | $1,147.20 | $2,868 | 6.3× |
| CT soft tissue neck w/o contrast (70490) | $1,221.20 | $3,053 | 11.2× |
| CT thoracic spine w contrast (72129) | $1,709.20 | $4,273 | 9.3× |
| CT thoracic spine w/o contrast (72128) | $1,530 | $3,825 | 14.0× |
| CT thoracic spine w/wo cont (72130) | $2,084.40 | $5,211 | 11.4× |
| CT thorax w/o contrast (71250) | $995.20 | $2,488 | 9.1× |
| CT upper ext wo (73200) | $1,557.20 | $3,893 | 14.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,900.80 | $4,752 | 10.4× |
| CT upper extremity with contrast (73201) | $1,557.20 | $3,893 | 4.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,162.80 | $5,407 | 11.8× |
| Cta Abdomen (74175) | $2,104 | $5,260 | 11.5× |
| CTA pelvis (72191) | $3,310.80 | $8,277 | 18.1× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $304.80 | $762 | 1.2× |
| Dilation ureters/urethra rs&i (74485) | $1,049.20 | $2,623 | 0.5× |
| Discography Cerv/Thor Spine (72285) | $4,440 | $11,100 | 2.2× |
| Diskography lumbar (72295) | $5,315.20 | $13,288 | 2.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $368.40 | $921 | 3.4× |
| Dxa Bone Density Axial (77080) | $697.60 | $1,744 | 6.4× |
| Dxa bone density study (77085) | $496.40 | $1,241 | 4.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $260.80 | $652 | 2.9× |
| Echo exam uterus (76831) | $879.20 | $2,198 | 3.5× |
| Echo Guide For Artery Repair (76936) | $4,052.40 | $10,131 | 18.0× |
| Esophagram (74220) | $970 | $2,425 | 5.3× |
| Fetal Biophys Profile W/Nst (76818) | $236 | $590 | 2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$197.20–$777.60 | $493–$1,944 | varies |
| Fluoroscopy up to 1 hr (76000) | $2,310.80 | $5,777 | 9.3× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$355.20–$711.20 | $888–$1,778 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$719.20–$1,437.60 | $1,798–$3,594 | varies |
| Gastric emptying imaging study (78264) | $938 | $2,345 | 2.2× |
| Gated Heart Planar Single (78472) | $1,465.60 | $3,664 | 3.5× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$353.20–$707.60 | $883–$1,769 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,113.60 | $10,284 | 1.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,113.60 | $10,284 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $2,670.40 | $6,676 | 4.7× |
| Hepatobiliary System Imaging (78226) | $2,670.40 | $6,676 | 6.4× |
| Ht Muscle Image Spect Sing (78451) | $3,898.40 | $9,746 | 2.9× |
| Hysterosalpingogram (74740) | $724 | $1,810 | 2.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,142.40 | $2,856 | 12.6× |
| Infant hip ultrasound, limited static exam (76886) | $879.20 | $2,198 | 9.7× |
| Joint Survey Single View (77077) | $914.40 | $2,286 | 8.4× |
| K Flow/Funct Image W/Drug (78708) | $2,561.20 | $6,403 | 4.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,377.60 | $3,444 | 2.4× |
| Kidney Imaging Morphol (78700) | $1,253.20 | $3,133 | 3.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,520.80 | $3,802 | 3.6× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$638.40–$1,276.40 | $1,596–$3,191 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,877.20 | $4,693 | 4.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,348.80 | $5,872 | 5.6× |
| Lung perfusion differential (78597) | $745.60 | $1,864 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $902 | $2,255 | 1.6× |
| Lung Ventilation Imaging (78579) | $600.80 | $1,502 | 1.4× |
| Lymph System Imaging (78195) | $2,683.20 | $6,708 | 4.7× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,768 | $4,420 | 1.1× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,768 | $4,420 | 2.7× |
| Magnetic Image Jaw Joint (70336) | $1,325.60 | $3,314 | 5.3× |
| Mammary ductogram or galactogram multiple (77054) | $446.40 | $1,116 | 1.8× |
| Mammary ductogram or galactogram single (77053) | $446.40 | $1,116 | 1.8× |
| Meckels Divert Exam (78290) | $539.60 | $1,349 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,325.60 | $3,314 | 3.6× |
| MRA head w/o contrast (70544) | $828 | $2,070 | 3.3× |
| MRA head with contrast (70545) | $905.60 | $2,264 | 2.5× |
| MRA neck w contrast (70548) | $905.60 | $2,264 | 2.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,325.60 | $3,314 | 3.6× |
| MRA neck w/o contrast (70547) | $701.60 | $1,754 | 2.8× |
| MRI abdomen w contrast (74182) | $1,328 | $3,320 | 3.6× |
| MRI abdomen w/o contrast (74181) | $1,325.60 | $3,314 | 5.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,156 | $2,890 | 1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,325.60 | $3,314 | 3.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $996.40 | $2,491 | 1.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,722 | $4,305 | 6.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,235.20 | $3,088 | 5.0× |
| MRI cardiac w/o cont stress (75559) | $1,202.80 | $3,007 | 2.1× |
| MRI cardiac w/o contrast (75557) | $1,374 | $3,435 | 5.5× |
| MRI cervical spine w contrast (72142) | $878.40 | $2,196 | 2.4× |
| MRI cervical spine w/o cont (72141) | $1,204.80 | $3,012 | 4.8× |
| MRI chest w/o contrast (71550) | $1,090.40 | $2,726 | 4.4× |
| MRI chest with contrast (71551) | $1,090.40 | $2,726 | 1.3× |
| MRI chest wo w contrast (71552) | $1,090.40 | $2,726 | 3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,156 | $2,890 | 3.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,090.40 | $2,726 | 3.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,090.40 | $2,726 | 4.4× |
| MRI lumbar spine w contrast (72149) | $1,096.80 | $2,742 | 3.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,274.40 | $3,186 | 3.5× |
| MRI orbit face &/neck w/o contrast (70540) | $701.60 | $1,754 | 2.8× |
| MRI orbit face neck w contrast (70542) | $756 | $1,890 | 2.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,325.60 | $3,314 | 3.6× |
| MRI pelvis w contrast (72196) | $1,526.80 | $3,817 | 4.2× |
| MRI pelvis w/o & w contrast (72197) | $1,325.60 | $3,314 | 3.6× |
| MRI pelvis w/o contrast (72195) | $1,325.60 | $3,314 | 5.3× |
| MRI spectroscopy (76390) | $973.60 | $2,434 | 10.7× |
| MRI thoracic spine w/o contrast (72146) | $1,029.20 | $2,573 | 4.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $996.40 | $2,491 | 2.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $939.60 | $2,349 | 3.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $939.60 | $2,349 | 2.6× |
| MRI, abdomen, combo (74183) | $1,325.60 | $3,314 | 3.6× |
| MRI, dorsal spine combo (72157) | $1,078.80 | $2,697 | 3.0× |
| MRI, dorsal spine contrast (72147) | $877.60 | $2,194 | 2.4× |
| MRI, joint upper extrem (73221) | $1,296.80 | $3,242 | 5.2× |
| MRI, joint upper extrem combo (73223) | $1,162 | $2,905 | 3.2× |
| MRI, lumbar spine combo (72158) | $1,325.60 | $3,314 | 3.6× |
| Myelogram cervical (72240) | $2,564 | $6,410 | 3.1× |
| Myelogram Lumbar (72265) | $2,203.20 | $5,508 | 2.7× |
| Myelography thoracic (72255) | $2,344.80 | $5,862 | 2.9× |
| Myelograpy 2/more regions rs&i (72270) | $3,316 | $8,290 | 4.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,529.60 | $3,824 | 1.1× |
| Myocardial Spect Multiple Studies (78452) | $7,710.40 | $19,276 | 5.7× |
| Neck soft tissue (70360) | $1,077.20 | $2,693 | 11.9× |
| Ob us nuchal meas 1 gest (76813) | $890 | $2,225 | 8.2× |
| Optic foramina (70190) | $474.40 | $1,186 | 5.2× |
| Parathyroid Planar Imaging (78070) | $1,456.40 | $3,641 | 3.5× |
| Pelvis 1 or 2 views (72170) | $833.20 | $2,083 | 7.6× |
| Peritoneogram Rs&I (74190) | $1,136.80 | $2,842 | 2.0× |
| Pet Image W/Ct Lmtd (78814) | $1,529.60 | $3,824 | 1.0× |
| PET image w/CT, full body (78816) | $2,025.20 | $5,063 | 1.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,025.20 | $5,063 | 1.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,113.60 | $10,284 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $676.40 | $1,691 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,092.80 | $2,732 | 10.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $347.20 | $868 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$597.60–$1,195.20 | $1,494–$2,988 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$876.80–$1,754.40 | $2,192–$4,386 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$890.80–$1,781.20 | $2,227–$4,453 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $708.80 | $1,772 | 6.5× |
| Radex fingr minimum 2 views (73140) | $719.20 | $1,798 | 7.9× |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$559.20–$1,118 | $1,398–$2,795 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$563.20–$1,125.60 | $1,408–$2,814 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$237.60–$474.40 | $594–$1,186 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $736.80 | $1,842 | 6.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $740.80 | $1,852 | 8.2× |
| Radex Ribs Unilateral 2 Views (71100) | $216 | $540 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$1,118.80–$2,237.60 | $2,797–$5,594 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $464 | $1,160 | 5.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $3,489.20 | $8,723 | 19.0× |
| Radex Spine 1 View Specify Level (72020) | $1,048.80 | $2,622 | 11.5× |
| Radex Sternum Minimum 2 Views (71120) | $448 | $1,120 | 4.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $566.40 | $1,416 | 6.2× |
| Radex Toe Minimum 2 Views (73660) | $648.80 | $1,622 | 7.1× |
| Radex upper extremity infant minimum 2 views (73092) | $237.60 | $594 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$676.80–$1,354.40 | $1,692–$3,386 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $950 | $2,375 | 8.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $652.40 | $1,631 | 6.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $801.60 | $2,004 | 7.3× |
| Radiologic exam colon double contrast study (74280) | $3,283.20 | $8,208 | 17.9× |
| Radiologic exam colon single contrast study (74270) | $2,038.40 | $5,096 | 11.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $809.20 | $2,023 | 4.4× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$1,156.80–$2,314 | $2,892–$5,785 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,705.60 | $4,264 | 15.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,006.40 | $5,016 | 11.0× |
| Radiologic exam swallow function contrast study (74230) | $1,214 | $3,035 | 6.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $594.40 | $1,486 | 3.2× |
| Radiologic examination femur 1 view (73551) | $300.40 | $751 | 3.3× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$300.40–$601.60 | $751–$1,504 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$692–$1,385.20 | $1,730–$3,463 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $431.20 | $1,078 | 3.9× |
| Radiologic Examination Salivary Gland Calculus (70380) | $724 | $1,810 | 8.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$506–$1,012.80 | $1,265–$2,532 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $724.80 | $1,812 | 1.3× |
| Renal Cyst Study (74470) | $526 | $1,315 | 0.9× |
| Ribs bilateral 3 views (71110) | $238.40 | $596 | 2.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,804.80 | $7,012 | 6.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,968.40 | $4,921 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,422.80 | $3,557 | 2.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $699.20 | $1,748 | 1.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $4,438.40 | $11,096 | 3.3× |
| Rp Therapy Intravenous Administration (79101) | $1,536 | $3,840 | 6.3× |
| Salivary Gland Imaging (78230) | $912.40 | $2,281 | 2.2× |
| Scapula (73010) range across 5 matching MRF lines |
$816.80–$1,633.60 | $2,042–$4,084 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $68.40 | $171 | 2.9× |
| Sella turcica (70240) | $527.20 | $1,318 | 5.8× |
| Shoulder 1 view (73020) | $388.40 | $971 | 4.3× |
| Shoulder Arthrography (73040) | $1,400 | $3,500 | 3.8× |
| Sialogram (70390) | $794 | $1,985 | 3.2× |
| Skull less than 4 views (70250) | $510.40 | $1,276 | 4.7× |
| Speech evaluation, complex (70371) | $437.60 | $1,094 | 1.8× |
| Sternoclavicular joints (71130) | $286 | $715 | 3.1× |
| Superior sagittal sinus venogram (75870) | $4,113.60 | $10,284 | 1.2× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $183.20 | $458 | 2.0× |
| Tbs technical calculation only (77091) | $183.20 | $458 | 2.0× |
| Temporomandble Jt Arthrography Rs&I (70332) | $666.80 | $1,667 | 2.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $3,126.80 | $7,817 | 17.1× |
| Thoracic spine 2 views (72070) | $452.80 | $1,132 | 4.1× |
| Thoracic spine 3 views (72072) | $152 | $380 | 1.4× |
| Thoracolumbar 2 views (72080) | $580 | $1,450 | 6.4× |
| Thyroid Imaging With Vascular Flow (78013) | $674 | $1,685 | 1.6× |
| Thyroid Met Imaging Body (78018) | $1,123.60 | $2,809 | 2.0× |
| Thyroid Uptake Measurement (78012) | $552.80 | $1,382 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $927.20 | $2,318 | 2.2× |
| Ultrasound Breast Limited (76642) | $622 | $1,555 | 6.8× |
| Ultrasound elastography first target lesion (76982) | $623.20 | $1,558 | 5.7× |
| Ultrasound Elastography Parenchyma (76981) | $546 | $1,365 | 5.0× |
| Ultrasound Exam Aaa Screen (76706) | $562 | $1,405 | 5.1× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $421.20 | $1,053 | 1.2× |
| Ultrasound, abdomen limited (76705) | $2,155.20 | $5,388 | 19.7× |
| Umbilical-artery Doppler (OB) (76820) | $593.20 | $1,483 | 5.4× |
| Unlisted Dx Radiographic Procedure (76499) | $607.60 | $1,519 | 6.7× |
| Unlisted fluoroscopic procedure (76496) | $522.40 | $1,306 | 5.7× |
| Unlisted us procedure (76999) | $449.20 | $1,123 | 4.9× |
| Upper gi w/o kub (74240) | $594.40 | $1,486 | 3.2× |
| Urethrocystogram voiding (74455) | $619.60 | $1,549 | 2.5× |
| Urethrocystography retrograde (74450) | $607.60 | $1,519 | 2.4× |
| Us breast unilateral complete (76641) | $373.20 | $933 | 3.4× |
| Us chest (76604) range across 2 matching MRF lines |
$611.60–$612 | $1,529–$1,530 | varies |
| Us complete joint (76881) | $1,194 | $2,985 | 10.9× |
| Us exam, pelvic, limited (76857) | $725.20 | $1,813 | 6.6× |
| Us head (76506) | $1,034 | $2,585 | 9.5× |
| Us kidney transplant (76776) | $858 | $2,145 | 7.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $886 | $2,215 | 8.1× |
| Us ob detailed single fetus (76811) | $1,339.20 | $3,348 | 5.4× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$402.80–$548 | $1,007–$1,370 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$280–$479.20 | $700–$1,198 | varies |
| Us pelvic non ob complete (76856) | $2,188 | $5,470 | 20.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $680.40 | $1,701 | 6.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $359.20 | $898 | 3.3× |
| Us retroperitoneal complete (76770) | $608 | $1,520 | 5.6× |
| Us retroperitoneal limited (76775) | $874 | $2,185 | 8.0× |
| Us scrotum and contents (76870) | $1,106 | $2,765 | 10.1× |
| Us spinal canal and contents (76800) | $1,034 | $2,585 | 9.5× |
| Us thyroid (76536) | $940 | $2,350 | 8.6× |
| Us transrectal (76872) | $935.20 | $2,338 | 8.6× |
| Vein X-Ray Chest (75827) | $3,882.80 | $9,707 | 2.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,113.60 | $10,284 | 1.2× |
| Vein X-Ray Skull Epidural (75872) | $4,113.60 | $10,284 | 6.3× |
| Vein X-Ray Spleen/Liver (75810) | $4,113.60 | $10,284 | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $4,217.20 | $10,543 | 1.3× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,313.20–$2,747.20 | $3,283–$6,868 | varies |
| Venography extremity unilateral rs&i (75820) | $2,747.20 | $6,868 | 1.7× |
| Venography Renal Bilateral (75833) | $2,090.40 | $5,226 | 0.6× |
| Venography Renal Unilateral (75831) | $1,674.40 | $4,186 | 0.5× |
| Venous sampling by catheter (75893) | $4,113.60 | $10,284 | 0.7× |
| Vertebral fracture assessment via dxa (77086) | $310.40 | $776 | 3.4× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$425.60–$850.40 | $1,064–$2,126 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $553.60 | $1,384 | 6.1× |
| X-ray antegrade pyelogram tube (74425) | $372.40 | $931 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) | $5,823.20 | $14,558 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) | $397.60 | $994 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$607.20–$1,214 | $1,518–$3,035 | varies |
| X-Ray Exam Breast Specimen (76098) | $263.60 | $659 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $300.80 | $752 | 3.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $497.60 | $1,244 | 4.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $950 | $2,375 | 8.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $300.40 | $751 | 3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $300.40 | $751 | 3.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $497.60 | $1,244 | 4.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $497.60 | $1,244 | 4.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $497.60 | $1,244 | 4.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $950 | $2,375 | 8.7× |
| X-Ray Exam L-S Spine Bending (72114) | $981.20 | $2,453 | 9.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $348 | $870 | 3.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,450.40 | $3,626 | 13.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $553.60 | $1,384 | 5.1× |
| X-ray eye for foreign body (70030) | $643.20 | $1,608 | 7.1× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$1,005.20–$2,011.60 | $2,513–$5,029 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,688.80 | $4,222 | 9.2× |
| X-ray IV pyelogram+tomography (74415) | $1,312.40 | $3,281 | 7.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $281.60 | $704 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $545.20 | $1,363 | 6.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $538 | $1,345 | 4.9× |
| X-ray nose-rectum child f.b. (76010) | $607.60 | $1,519 | 6.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $813.60 | $2,034 | 7.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $473.20 | $1,183 | 4.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $146 | $365 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $502.40 | $1,256 | 5.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $849.20 | $2,123 | 9.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $950.40 | $2,376 | 8.7× |
| X-Ray Stress View (77071) | $211.60 | $529 | 2.3× |
| X-ray thoracic spine 4 vw (72074) | $693.60 | $1,734 | 6.4× |
| X-Ray Tmj Unilat (70328) | $214 | $535 | 2.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $708.80 | $1,772 | 1.9× |
| X-Rays Bone Length Studies (77073) | $951.20 | $2,378 | 8.7× |
| X-Rays Bone Survey Complete (77075) | $1,651.60 | $4,129 | 15.1× |
| Xr c-spine 4 or 5 views (72050) | $1,906.40 | $4,766 | 17.5× |
| Xr facial bones less than 3 views (70140) | $592 | $1,480 | 6.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $94 | $235 | 0.9× |
| Xr myelogram posterior fossa (70010) | $1,375.60 | $3,439 | 3.8× |
| Xr orbits complete 4 views (70200) | $494 | $1,235 | 4.5× |
| Xr Tomogram Single Plane (76100) | $418 | $1,045 | 3.8× |
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.