Imaging prices at Sarasota Memorial Hospital
Sarasota, FL · every code in this section with a posted price and a Medicare benchmark.
376 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 5 matching MRF lines |
$248.40–$2,068 | $621–$5,170 | varies |
| Abdomen 1 View (74018) | $234.80 | $587 | 2.6× |
| Abdomen 2 views (74019) | $393.60 | $984 | 3.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,136 | $2,840 | 2.7× |
| Angio internal mammary (75756) | $2,299.60 | $5,749 | 0.7× |
| Angio pulmonary bilat (75743) | $3,374 | $8,435 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $4,484.80 | $11,212 | 1.4× |
| Angiography extremity unilateral rs&i (75710) | $3,870.40 | $9,676 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,638.40 | $6,596 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,190 | $5,475 | 0.7× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$274–$411.60 | $685–$1,029 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,862.80 | $7,157 | 0.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $2,444.40 | $6,111 | 0.7× |
| Artery X-Rays Abdomen (75726) | $2,976 | $7,440 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $2,010 | $5,025 | 0.6× |
| Artery X-Rays Pelvis (75736) | $3,316.80 | $8,292 | 0.6× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,210.80 | $5,527 | 0.4× |
| Arthrogram hip (73525) | $556 | $1,390 | 1.5× |
| Arthrogram Wrist (73115) | $723.20 | $1,808 | 2.0× |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$70.80–$200 | $177–$500 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$155.20–$158.40 | $388–$396 | varies |
| Bone Imaging 3 Phase (78315) | $1,837.60 | $4,594 | 4.4× |
| Bone Imaging Limited Area (78300) | $1,083.20 | $2,708 | 2.6× |
| Bone Imaging Multiple Areas (78305) | $643.20 | $1,608 | 1.5× |
| Bone Imaging Whole Body (78306) | $1,309.60 | $3,274 | 3.1× |
| Bone marrow imaging; whole body (78104) | $893.60 | $2,234 | 2.1× |
| Bone survey infant (77076) | $313.60 | $784 | 2.9× |
| Brain Image W/Flow < 4 Views (78601) | $1,152 | $2,880 | 2.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,132.40 | $7,831 | 2.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,358 | $3,395 | 3.7× |
| Cardiac Shunt Detection (78428) | $861.20 | $2,153 | 2.1× |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$605.20–$823.20 | $1,513–$2,058 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $931.20 | $2,328 | 1.6× |
| Cerebrospinal Fluid Scan (78630) | $802.40 | $2,006 | 1.4× |
| Chest 1 view (71045) | $242 | $605 | 2.7× |
| Chest 2 views (71046) | $275.20 | $688 | 3.0× |
| Chest 3 views (71047) | $274 | $685 | 3.0× |
| Chest 4 or more views (71048) | $310.80 | $777 | 2.8× |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$289.60–$295.20 | $724–$738 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$228–$349.20 | $570–$873 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 4 matching MRF lines |
$1,184.80–$1,208.40 | $2,962–$3,021 | varies |
| Continuing medical physics consltj pr wk (77336) range across 3 matching MRF lines |
$84–$168.40 | $210–$421 | varies |
| Contrast Exam Abdominl Aorta (75625) | $3,250.80 | $8,127 | 1.0× |
| Contrast X-Ray Bladder (74430) | $480 | $1,200 | 1.3× |
| Contrast X-Ray Of Elbow (73085) | $531.60 | $1,329 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $636 | $1,590 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) | $3,212.40 | $8,031 | 8.8× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,758–$2,813.20 | $6,895–$7,033 | varies |
| CT abdomen w contrast (74160) | $1,511.60 | $3,779 | 8.3× |
| CT abdomen w wo contrast (74170) | $2,095.20 | $5,238 | 11.4× |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$592–$1,407.60 | $1,480–$3,519 | varies |
| CT Angio Abdomen and Pelvis (74174) | $4,621.20 | $11,553 | 12.7× |
| CT Angio Chest (71275) | $3,168.80 | $7,922 | 17.3× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,878.40–$3,628.80 | $7,196–$9,072 | varies |
| CT angio hrt w/3d image (75574) | $908.40 | $2,271 | 2.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,813.60 | $7,034 | 15.4× |
| CT Angio Neck (70498) | $2,849.60 | $7,124 | 15.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,067.60 | $5,169 | 11.3× |
| CT cervical spine w/ contrast (72126) | $2,019.20 | $5,048 | 5.5× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,876–$1,913.60 | $4,690–$4,784 | varies |
| CT cervical spine w/wo cont (72127) | $2,125.60 | $5,314 | 11.6× |
| CT chest w contrast (71260) | $1,538.40 | $3,846 | 8.4× |
| CT chest w/wo contrast (71270) | $1,609.60 | $4,024 | 8.8× |
| CT colonography screening (74263) | $285.60 | $714 | 1.1× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $542.40 | $1,356 | 3.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $490.80 | $1,227 | 4.5× |
| CT head/brain with contrast (70460) | $1,856 | $4,640 | 10.1× |
| CT head/brain without and with contrast (70470) | $1,758.80 | $4,397 | 9.6× |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$363.60–$2,611.60 | $909–$6,529 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $252 | $630 | 2.8× |
| CT hrt w/3d image congen (75573) | $472.80 | $1,182 | 1.3× |
| CT iac w contrast (70481) | $1,460.80 | $3,652 | 8.0× |
| CT l-spine w&w/o contrast (72133) | $2,072 | $5,180 | 11.3× |
| CT lower ext w/o (73700) range across 7 matching MRF lines |
$1,325.20–$1,728.40 | $3,313–$4,321 | varies |
| CT lower extremity w/contrast material (73701) | $1,644 | $4,110 | 9.0× |
| CT lumbar spine w contrast (72132) | $1,968 | $4,920 | 5.4× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,828.40–$1,864.80 | $4,571–$4,662 | varies |
| CT maxillofacial w contrast (70487) | $1,624 | $4,060 | 8.9× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,401.60–$1,429.60 | $3,504–$3,574 | varies |
| CT neck tissue combo (70492) | $2,315.20 | $5,788 | 12.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,510.80 | $3,777 | 8.2× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$1,340.40–$1,822.80 | $3,351–$4,557 | varies |
| CT pelvis w&w/o contrast (72194) | $3,120 | $7,800 | 17.0× |
| CT pelvis w/o contrast (72192) | $2,433.20 | $6,083 | 22.3× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,750.40–$1,785.60 | $4,376–$4,464 | varies |
| CT scans face/jaw combo (70488) | $2,158.80 | $5,397 | 11.8× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,482.40–$1,534.40 | $3,706–$3,836 | varies |
| CT soft tissue neck w/o contrast (70490) | $1,764.80 | $4,412 | 16.2× |
| CT thoracic spine w contrast (72129) | $1,642 | $4,105 | 9.0× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,589.60–$1,621.20 | $3,974–$4,053 | varies |
| CT thoracic spine w/wo cont (72130) | $1,801.60 | $4,504 | 9.8× |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$256.40–$1,675.20 | $641–$4,188 | varies |
| CT unlisted procedure (76497) | $279.60 | $699 | 3.1× |
| CT upper ext wo (73200) | $1,289.20 | $3,223 | 11.8× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,422–$1,450.40 | $3,555–$3,626 | varies |
| CT upper extremity with contrast (73201) | $1,303.60 | $3,259 | 3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,910.80 | $7,277 | 15.9× |
| Cta Abdomen (74175) | $3,347.20 | $8,368 | 18.3× |
| CTA pelvis (72191) | $2,516.80 | $6,292 | 13.7× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $492.80 | $1,232 | 2.0× |
| Dilation ureters/urethra rs&i (74485) | $1,313.20 | $3,283 | 0.6× |
| Discography Cerv/Thor Spine (72285) | $1,785.20 | $4,463 | 0.9× |
| Diskography lumbar (72295) | $1,547.20 | $3,868 | 0.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $276.40 | $691 | 2.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$280.80–$358 | $702–$895 | varies |
| Dxa bone density study (77085) | $129.60 | $324 | 1.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $126 | $315 | 1.4× |
| Echo exam of fetal heart (76825) | $714 | $1,785 | 1.3× |
| Echo exam uterus (76831) | $314 | $785 | 1.3× |
| Echo Guide For Artery Repair (76936) | $330.80 | $827 | 1.5× |
| Echograp Trans R Pros Study (76873) | $309.60 | $774 | 2.8× |
| Esophageal Motility Study (78258) | $842.80 | $2,107 | 2.0× |
| Esophagram (74220) range across 2 matching MRF lines |
$366.80–$374 | $917–$935 | varies |
| Fetal Biophys Profile W/Nst (76818) | $375.60 | $939 | 3.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $401.60 | $1,004 | 3.7× |
| Fluoroscopy up to 1 hr (76000) range across 8 matching MRF lines |
$235.20–$724.40 | $588–$1,811 | varies |
| Follow-Up Angiography (75898) | $936.80 | $2,342 | 0.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$226.80–$340.40 | $567–$851 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$270.80–$406 | $677–$1,015 | varies |
| Gastric emptying imaging study (78264) | $1,276.40 | $3,191 | 3.1× |
| Gated Heart Planar Single (78472) | $1,906.80 | $4,767 | 4.6× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$230.40–$346 | $576–$865 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 2 matching MRF lines |
$310.40–$912.40 | $776–$2,281 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$220.80–$912.40 | $552–$2,281 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$112.80–$912.40 | $282–$2,281 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,179.20 | $7,948 | 1.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,825.60 | $7,064 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,426.80 | $3,567 | 2.5× |
| Hepatobiliary System Imaging (78226) | $1,276.80 | $3,192 | 3.1× |
| Ht Muscle Image Spect Sing (78451) | $1,600 | $4,000 | 1.2× |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$543.20–$739.20 | $1,358–$1,848 | varies |
| Image fusion (77399) | $132.80 | $332 | 0.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $372.40 | $931 | 4.1× |
| Interstitial radiation source applic complex (77778) | $1,062.80 | $2,657 | 1.5× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$170–$173.60 | $425–$434 | varies |
| K Flow/Funct Image W/Drug (78708) | $1,389.60 | $3,474 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,026–$1,160.80 | $2,565–$2,902 | varies |
| Kidney Imaging Morphol (78700) | $889.60 | $2,224 | 2.1× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$274–$411.60 | $685–$1,029 | varies |
| Leveen/Shunt Patency Exam (78291) | $926.80 | $2,317 | 2.2× |
| Liver & Spleen Imaging Static Only (78215) | $1,044.80 | $2,612 | 2.5× |
| Lung Perf&Ventilat Diferentl (78598) | $1,138.40 | $2,846 | 2.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,262 | $3,155 | 2.2× |
| Lung Ventilation Imaging (78579) | $519.20 | $1,298 | 1.2× |
| Lymph System Imaging (78195) | $1,651.60 | $4,129 | 2.9× |
| Lymphangiography extremity only unilateral rs&i (75801) | $900.40 | $2,251 | 1.4× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,408.80 | $3,522 | 0.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $939.20 | $2,348 | 0.3× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,195.60–$1,219.60 | $2,989–$3,049 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$204.80–$208.80 | $512–$522 | varies |
| Meckels Divert Exam (78290) | $536 | $1,340 | 1.3× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$519.60–$556 | $1,299–$1,390 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,873.20 | $4,683 | 5.1× |
| MRA head w/o contrast (70544) | $1,404.40 | $3,511 | 5.6× |
| MRA head with contrast (70545) | $1,511.20 | $3,778 | 4.1× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,259.60–$1,284.80 | $3,149–$3,212 | varies |
| MRI abdomen w contrast (74182) | $1,358 | $3,395 | 3.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,195.60–$1,219.60 | $2,989–$3,049 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $1,358 | $3,395 | 1.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,727.20 | $4,318 | 4.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,561.20 | $3,903 | 1.9× |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$211.60–$216 | $529–$540 | varies |
| MRI cardiac w/o cont stress (75559) | $1,358 | $3,395 | 2.4× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$1,358–$1,385.20 | $3,395–$3,463 | varies |
| MRI cervical spine w contrast (72142) | $1,678 | $4,195 | 4.6× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,533.60–$1,564.40 | $3,834–$3,911 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,195.60–$1,219.60 | $2,989–$3,049 | varies |
| MRI chest with contrast (71551) | $1,358 | $3,395 | 1.7× |
| MRI chest wo w contrast (71552) | $1,682.40 | $4,206 | 4.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,358 | $3,395 | 3.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,842.40 | $4,606 | 5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,258.40 | $3,146 | 5.1× |
| MRI lumbar spine w contrast (72149) | $1,930 | $4,825 | 5.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,049.20 | $5,123 | 5.6× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,195.60–$1,219.60 | $2,989–$3,049 | varies |
| MRI orbit face neck w contrast (70542) | $1,358 | $3,395 | 3.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,774.40 | $4,436 | 4.9× |
| MRI pelvis w contrast (72196) | $1,358 | $3,395 | 3.7× |
| MRI pelvis w/o & w contrast (72197) | $1,682.40 | $4,206 | 4.6× |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$1,195.60–$1,358 | $2,989–$3,395 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$1,358–$1,385.20 | $3,395–$3,463 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,608.80–$1,640.80 | $4,022–$4,102 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,358 | $3,395 | 3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,332.80 | $3,332 | 5.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,934.80 | $4,837 | 5.3× |
| MRI, abdomen, combo (74183) | $1,682.40 | $4,206 | 4.6× |
| MRI, dorsal spine combo (72157) | $2,115.20 | $5,288 | 5.8× |
| MRI, dorsal spine contrast (72147) | $1,678 | $4,195 | 4.6× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,272–$1,322.80 | $3,180–$3,307 | varies |
| MRI, joint upper extrem combo (73223) | $1,924 | $4,810 | 5.3× |
| MRI, lumbar spine combo (72158) | $2,090.40 | $5,226 | 5.7× |
| Myocardial Spect Multiple Studies (78452) | $2,576.80 | $6,442 | 1.9× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $3,530.40 | $8,826 | 2.4× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$250.40–$255.60 | $626–$639 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $298.40 | $746 | 0.7× |
| Nm csf leak detection (78650) | $1,023.20 | $2,558 | 0.8× |
| Nonvascular Shunt X-Ray (75809) range across 3 matching MRF lines |
$281.60–$383.20 | $704–$958 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$2,068–$2,621.20 | $5,170–$6,553 | varies |
| Nuclear Rx Intra-Arterial (79445) | $792.40 | $1,981 | 3.3× |
| Nuclear Rx Oral Admin (79005) | $939.60 | $2,349 | 3.9× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,167.20 | $2,918 | 2.1× |
| Parathyroid Planar Imaging (78070) | $848.40 | $2,121 | 2.0× |
| Pelvis 1 or 2 views (72170) | $219.60 | $549 | 2.0× |
| Perineogram (74775) range across 2 matching MRF lines |
$168.40–$171.60 | $421–$429 | varies |
| Peritoneogram Rs&I (74190) | $436.40 | $1,091 | 0.8× |
| Pet Image W/Ct Lmtd (78814) | $3,671.60 | $9,179 | 2.5× |
| PET image w/CT, full body (78816) | $3,769.60 | $9,424 | 2.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,803.20 | $9,508 | 2.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,921.20 | $7,303 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,237.20 | $3,093 | 3.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $429.60 | $1,074 | 3.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $352 | $880 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$292–$438 | $730–$1,095 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$231.20–$347.20 | $578–$868 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$292.80–$439.60 | $732–$1,099 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $351.20 | $878 | 3.2× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$206.40–$310 | $516–$775 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$266–$398.80 | $665–$997 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$264.40–$397.60 | $661–$994 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$106.40–$159.60 | $266–$399 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $158.40 | $396 | 1.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$240–$244.80 | $600–$612 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $249.20 | $623 | 2.7× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$294–$440.80 | $735–$1,102 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $117.60 | $294 | 1.3× |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$231.60–$232 | $579–$580 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$293.20–$299.20 | $733–$748 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $272.40 | $681 | 3.0× |
| Radex Toe Minimum 2 Views (73660) | $179.60 | $449 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$225.20–$344.40 | $563–$861 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$258.40–$387.60 | $646–$969 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $256.40 | $641 | 2.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) likely a partial charge, not the full procedure |
$1,096.80 | $2,742 | 0.1× |
| Radiation treatment delivery level 1 (77402) | $147.20 | $368 | 1.4× |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$246.80–$276 | $617–$690 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$269.20–$272.80 | $673–$682 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $292.80 | $732 | 2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $420.40 | $1,051 | 3.9× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$712–$726.40 | $1,780–$1,816 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$602.40–$614.40 | $1,506–$1,536 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$398.80–$406.80 | $997–$1,017 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$328–$492 | $820–$1,230 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$217.20–$221.20 | $543–$553 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$454.80–$464 | $1,137–$1,160 | varies |
| Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines |
$383.60–$586.80 | $959–$1,467 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $482.80 | $1,207 | 2.6× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$214.40–$321.20 | $536–$803 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$260.40–$391.20 | $651–$978 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$217.20–$325.60 | $543–$814 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $313.60 | $784 | 2.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$272.80–$409.60 | $682–$1,024 | varies |
| Ribs bilateral 3 views (71110) | $374 | $935 | 3.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,100 | $2,750 | 2.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,104.40 | $2,761 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,044 | $5,110 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,210 | $3,025 | 2.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,425.20 | $3,563 | 2.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,815.20 | $4,538 | 1.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,600 | $4,000 | 1.2× |
| Rp Therapy Intravenous Administration (79101) | $1,058.40 | $2,646 | 4.3× |
| Salivary Gland Imaging (78230) | $478.40 | $1,196 | 1.1× |
| Scapula (73010) range across 4 matching MRF lines |
$215.20–$329.20 | $538–$823 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$37.02–$41.60 | $92.56–$104 | varies |
| Shoulder 1 view (73020) | $215.20 | $538 | 2.4× |
| Shoulder Arthrography (73040) | $766 | $1,915 | 2.1× |
| Sialogram (70390) range across 2 matching MRF lines |
$203.20–$207.20 | $508–$518 | varies |
| Skull less than 4 views (70250) | $246 | $615 | 2.3× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$70–$216 | $175–$540 | varies |
| Special Physics Consult (77370) range across 3 matching MRF lines |
$131.60–$426.80 | $329–$1,067 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$101.60–$556 | $254–$1,390 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$144.80–$876 | $362–$2,190 | varies |
| Srs Multisource (77371) | $8,325.20 | $20,813 | 1.1× |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$1,641.60–$2,116 | $4,104–$5,290 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$260.80–$266 | $652–$665 | varies |
| Superior sagittal sinus venogram (75870) | $3,766 | $9,415 | 1.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$310–$556 | $775–$1,390 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$159.60–$556 | $399–$1,390 | varies |
| Testicular Imaging W/Flow (78761) | $757.20 | $1,893 | 1.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 4 matching MRF lines |
$90.80–$680.80 | $227–$1,702 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $488.40 | $1,221 | 1.2× |
| Ther rad simulaj-aided field setting simple (77280) range across 3 matching MRF lines |
$42–$291.60 | $105–$729 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$306.40–$456 | $766–$1,140 | varies |
| Thoracic spine 3 views (72072) | $320.40 | $801 | 2.9× |
| Thoracolumbar 2 views (72080) | $216.80 | $542 | 2.4× |
| Thyroid Imaging With Vascular Flow (78013) | $286 | $715 | 0.7× |
| Thyroid Met Imaging Body (78018) | $1,991.20 | $4,978 | 3.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $458 | $1,145 | 1.1× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$176.80–$556 | $442–$1,390 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$130.80–$200 | $327–$500 | varies |
| Tx devices design & construction simple (77332) range across 4 matching MRF lines |
$50.80–$338 | $127–$845 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$202–$303.20 | $505–$758 | varies |
| Ultrasound Elastography Parenchyma (76981) | $135.20 | $338 | 1.2× |
| Ultrasound Exam Aaa Screen (76706) | $586 | $1,465 | 5.4× |
| Ultrasound, abdomen limited (76705) | $460 | $1,150 | 4.2× |
| Umbilical-artery Doppler (OB) (76820) | $261.20 | $653 | 2.4× |
| Unlis px ther radiol clinical tx planning (77299) | $132.80 | $332 | 0.9× |
| Unlisted Dx Radiographic Procedure (76499) range across 4 matching MRF lines |
$55.60–$87.60 | $139–$219 | varies |
| Unlisted fluoroscopic procedure (76496) | $691.20 | $1,728 | 7.6× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $815.60 | $2,039 | 7.7× |
| Upper gi w/o kub (74240) | $386.40 | $966 | 2.1× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $245.60 | $614 | 22.2× |
| Urea breath test c-14 isotopic analysis (78268) | $65.20 | $163 | 0.7× |
| Ureteral Reflux Study (78740) | $529.60 | $1,324 | 1.3× |
| Urethrocystogram voiding (74455) | $555.20 | $1,388 | 2.2× |
| Urethrocystography retrograde (74450) | $428 | $1,070 | 1.7× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$220.40–$331.20 | $551–$828 | varies |
| Us chest (76604) | $324 | $810 | 3.0× |
| Us complete joint (76881) | $342.40 | $856 | 3.1× |
| Us exam, pelvic, limited (76857) | $291.60 | $729 | 2.7× |
| Us head (76506) range across 2 matching MRF lines |
$278–$283.60 | $695–$709 | varies |
| Us kidney transplant (76776) | $429.60 | $1,074 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $273.20 | $683 | 2.5× |
| Us ob detailed single fetus (76811) | $488 | $1,220 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $376.80 | $942 | 3.5× |
| Us ob transvaginal (76817) | $416 | $1,040 | 3.8× |
| Us pelvic non ob complete (76856) | $440.80 | $1,102 | 4.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $398.80 | $997 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $260.40 | $651 | 2.4× |
| Us retroperitoneal complete (76770) | $592 | $1,480 | 5.4× |
| Us retroperitoneal limited (76775) | $439.60 | $1,099 | 4.0× |
| Us scrotum and contents (76870) | $445.60 | $1,114 | 4.1× |
| Us spinal canal and contents (76800) | $310.80 | $777 | 2.8× |
| Us thyroid (76536) range across 2 matching MRF lines |
$333.20–$454 | $833–$1,135 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$35.32–$502 | $88.29–$1,255 | varies |
| Vein X-Ray Chest (75827) | $2,159.60 | $5,399 | 1.3× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,460.80 | $3,652 | 0.4× |
| Vein X-Ray Spleen/Liver (75810) | $2,152.80 | $5,382 | 0.7× |
| Venogram Sinus/Jugular (75860) | $1,434.80 | $3,587 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $2,318.40 | $5,796 | 0.7× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,375.60–$1,870.80 | $3,439–$4,677 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$917.20–$1,247.20 | $2,293–$3,118 | varies |
| Venography Renal Bilateral (75833) | $2,272 | $5,680 | 0.7× |
| Venography Renal Unilateral (75831) | $1,514.80 | $3,787 | 0.5× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,480.80 | $3,702 | 0.3× |
| Vertebral fracture assessment via dxa (77086) | $83.20 | $208 | 0.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$248.40–$380.40 | $621–$951 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $310 | $775 | 3.4× |
| X-ray antegrade pyelogram tube (74425) | $529.20 | $1,323 | 1.5× |
| X-Ray Aorta Leg Arteries (75630) | $3,558 | $8,895 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) | $312 | $780 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$267.20–$400 | $668–$1,000 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$282.40–$368 | $706–$920 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $214.40 | $536 | 2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $228 | $570 | 2.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $241.60 | $604 | 2.2× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$194.40–$291.20 | $486–$728 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$216.80–$282.80 | $542–$707 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$200.80–$303.60 | $502–$759 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$106.40–$491.20 | $266–$1,228 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $406 | $1,015 | 3.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $423.60 | $1,059 | 3.9× |
| X-Ray Exam L-S Spine Bending (72114) | $644.40 | $1,611 | 5.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$306.40–$416.80 | $766–$1,042 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $412.80 | $1,032 | 3.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $370.80 | $927 | 3.4× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$270.80–$406.40 | $677–$1,016 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$822.80–$839.20 | $2,057–$2,098 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$824.80–$841.20 | $2,062–$2,103 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$169.20–$230.40 | $423–$576 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $325.60 | $814 | 3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$344–$467.60 | $860–$1,169 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $556.80 | $1,392 | 5.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $204.80 | $512 | 1.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $138 | $345 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $262.80 | $657 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $225.20 | $563 | 2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $370.80 | $927 | 3.4× |
| X-Ray Stress View (77071) range across 3 matching MRF lines |
$252.40–$343.20 | $631–$858 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$673.60–$1,010.40 | $1,684–$2,526 | varies |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$220.40–$224.80 | $551–$562 | varies |
| X-Rays Bone Survey Complete (77075) | $395.20 | $988 | 3.6× |
| Xr c-spine 4 or 5 views (72050) | $405.20 | $1,013 | 3.7× |
| Xr facial bones less than 3 views (70140) | $155.60 | $389 | 1.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $94 | $235 | 0.9× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$162.40–$165.60 | $406–$414 | varies |
| Xr Tomogram Single Plane (76100) | $427.60 | $1,069 | 3.9× |
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.