Imaging prices at Tallahassee Memorial Hospital
Tallahassee, FL · every code in this section with a posted price and a Medicare benchmark.
347 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) | $7,078.89 | $10,112.70 | 4.9× |
| Abdomen 1 View (74018) | $422.77 | $603.96 | 4.7× |
| Abdomen 2 views (74019) | $598.01 | $854.30 | 5.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,850.14 | $2,643.06 | 4.4× |
| Angio internal mammary (75756) | $2,782.37 | $3,974.82 | 0.8× |
| Angio pulmonary bilat (75743) | $6,075.43 | $8,679.18 | 1.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $6,571.59 | $9,387.99 | 2.0× |
| Angiography extremity bilateral rs&i (75716) | $6,834.44 | $9,763.48 | 2.1× |
| Angiography extremity unilateral rs&i (75710) | $5,467.55 | $7,810.78 | 1.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,621.40 | $6,602 | 1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,991.03 | $4,272.90 | 0.9× |
| Ankle 2 views (73600) | $501.20 | $716 | 5.5× |
| Aortography thoracic serialography rs&i (75605) | $5,467.55 | $7,810.78 | 0.9× |
| Artery X-Rays Abdomen (75726) | $6,792.31 | $9,703.30 | 1.2× |
| Artery X-Rays Adrenal Gland (75731) | $5,257.27 | $7,510.38 | 1.6× |
| Artery X-Rays Pelvis (75736) | $6,531.08 | $9,330.12 | 1.1× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,169.87 | $3,099.82 | 0.4× |
| Arthrogram hip (73525) | $973.22 | $1,390.32 | 2.7× |
| Basic radiation dosimetry calculation (77300) | $607.03 | $867.18 | 4.3× |
| Bone age studies (77072) | $564.90 | $807 | 5.2× |
| Bone Imaging 3 Phase (78315) | $2,603.73 | $3,719.62 | 6.2× |
| Bone Imaging Limited Area (78300) | $1,538.55 | $2,197.93 | 3.7× |
| Bone Imaging Whole Body (78306) | $2,332.67 | $3,332.38 | 5.6× |
| Bone marrow imaging limited area (78102) | $1,277.35 | $1,824.78 | 3.1× |
| Bone marrow imaging; multiple areas (78103) | $1,550.58 | $2,215.12 | 3.7× |
| Bone marrow imaging; whole body (78104) | $1,523.47 | $2,176.38 | 3.6× |
| Bone survey infant (77076) | $1,005.90 | $1,437 | 9.2× |
| Brachytx isodose complex (77318) | $2,219.44 | $3,170.63 | 5.7× |
| Brachytx isodose intermed (77317) | $1,329.56 | $1,899.37 | 3.4× |
| Brachytx Isodose Plan Simple (77316) | $1,046.65 | $1,495.21 | 2.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,202.44 | $3,146.34 | 3.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $592.90 | $847 | 1.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $474.08 | $677.25 | 0.6× |
| Cat Scan Follow-Up Study (76380) | $1,310.36 | $1,871.94 | 14.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,402.02 | $2,002.88 | 2.5× |
| Cerebrospinal Fluid Scan (78630) | $2,202.44 | $3,146.34 | 3.9× |
| Chest 1 view (71045) | $460.41 | $657.73 | 5.1× |
| Chest 2 views (71046) | $564.07 | $805.81 | 6.2× |
| Chest 3 views (71047) | $597.18 | $853.12 | 6.6× |
| Chest 4 or more views (71048) | $564.35 | $806.22 | 5.2× |
| Clavicle complete (73000) | $655.20 | $936 | 7.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $288.54 | $412.20 | 2.6× |
| Continuing medical physics consltj pr wk (77336) | $717.17 | $1,024.53 | 5.1× |
| Contrast Exam Abdominl Aorta (75625) | $5,877.61 | $8,396.59 | 1.8× |
| Contrast X-Ray Bladder (74430) | $878.76 | $1,255.37 | 2.4× |
| Contrast X-Ray Of Elbow (73085) | $872.35 | $1,246.22 | 2.4× |
| Contrast X-Ray Of Knee Joint (73580) | $1,187.62 | $1,696.60 | 3.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $718.60 | $1,026.57 | 3.9× |
| CT abdomen and pelvis without and with contrast (74178) | $5,506.85 | $7,866.93 | 15.1× |
| CT abdomen and pelvis without contrast (74176) | $3,924.24 | $5,606.06 | 15.7× |
| CT abdomen w contrast (74160) | $2,879.94 | $4,114.20 | 15.7× |
| CT abdomen w wo contrast (74170) | $3,568.23 | $5,097.47 | 19.5× |
| CT abdomen w/o contrast (74150) | $2,365.36 | $3,379.08 | 21.7× |
| CT Angio Abdomen and Pelvis (74174) | $5,009.63 | $7,156.62 | 13.8× |
| CT Angio Chest (71275) | $4,335 | $6,192.86 | 23.7× |
| CT Angio Head (70496) | $3,353.70 | $4,791 | 18.3× |
| CT angio hrt w/3d image (75574) | $289.32 | $413.32 | 0.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,019.58 | $4,313.68 | 16.5× |
| CT Angio Neck (70498) | $3,119.90 | $4,457 | 17.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,019.58 | $4,313.68 | 16.5× |
| CT cervical spine w/ contrast (72126) | $3,071.60 | $4,388 | 8.4× |
| CT cervical spine w/o contrast (72125) | $2,552.20 | $3,646 | 23.4× |
| CT cervical spine w/wo cont (72127) | $3,325.70 | $4,751 | 18.2× |
| CT chest w contrast (71260) | $3,195.82 | $4,565.45 | 17.4× |
| CT chest w/wo contrast (71270) | $3,219.90 | $4,599.86 | 17.6× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,512.43 | $2,160.62 | 8.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,458.48 | $2,083.54 | 13.4× |
| CT head/brain with contrast (70460) | $2,456.30 | $3,509 | 13.4× |
| CT head/brain without and with contrast (70470) | $3,071.60 | $4,388 | 16.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $154.20 | $220.29 | 0.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $67.38 | $96.26 | 0.7× |
| CT hrt w/3d image congen (75573) | $289.32 | $413.32 | 0.8× |
| CT iac w contrast (70481) | $2,640.40 | $3,772 | 14.4× |
| CT l-spine w&w/o contrast (72133) | $3,460.71 | $4,943.87 | 18.9× |
| CT lower ext w/o (73700) | $2,979.62 | $4,256.60 | 27.3× |
| CT lower extremity w/contrast material (73701) | $3,315.98 | $4,737.12 | 18.1× |
| CT lumbar spine w contrast (72132) | $2,972.85 | $4,246.93 | 8.2× |
| CT lumbar spine w/o contrast (72131) | $2,470.40 | $3,529.15 | 22.6× |
| CT maxillofacial w contrast (70487) | $2,640.40 | $3,772 | 14.4× |
| CT maxillofacial wo contrast (70486) | $2,193.10 | $3,133 | 20.1× |
| CT neck tissue combo (70492) | $4,409.30 | $6,299 | 24.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,815.70 | $5,451 | 20.8× |
| CT orbits w/o contrast (70480) | $2,193.10 | $3,133 | 20.1× |
| CT pelvis w&w/o contrast (72194) | $3,087.70 | $4,411 | 16.9× |
| CT pelvis w/o contrast (72192) | $3,068.98 | $4,384.26 | 28.1× |
| CT scan of leg combo (73702) | $5,375.11 | $7,678.73 | 29.3× |
| CT scans face/jaw combo (70488) | $4,102 | $5,860 | 22.4× |
| CT soft tissue neck w contrast (70491) | $2,640.40 | $3,772 | 14.4× |
| CT soft tissue neck w/o contrast (70490) | $2,193.10 | $3,133 | 20.1× |
| CT thoracic spine w contrast (72129) | $3,970.16 | $5,671.65 | 21.7× |
| CT thoracic spine w/o contrast (72128) | $3,299.16 | $4,713.08 | 30.2× |
| CT thoracic spine w/wo cont (72130) | $4,299.22 | $6,141.75 | 23.5× |
| CT thorax w/o contrast (71250) | $2,485.73 | $3,551.04 | 22.8× |
| CT unlisted procedure (76497) | $1,847.33 | $2,639.04 | 20.3× |
| CT upper ext wo (73200) | $2,075.49 | $2,964.98 | 19.0× |
| CT upper extremity w/o & w/contrast material (73202) | $5,000.10 | $7,143 | 27.3× |
| CT upper extremity with contrast (73201) | $2,483 | $3,547.15 | 6.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,246.05 | $4,637.21 | 17.7× |
| Cta Abdomen (74175) | $3,246.05 | $4,637.21 | 17.7× |
| CTA pelvis (72191) | $3,019.58 | $4,313.68 | 16.5× |
| Dilation ureters/urethra rs&i (74485) | $811.20 | $1,158.86 | 0.4× |
| Discography Cerv/Thor Spine (72285) | $3,368.76 | $4,812.52 | 1.7× |
| Diskography lumbar (72295) | $4,371.50 | $6,245 | 2.1× |
| Echo exam uterus (76831) | $941.93 | $1,345.61 | 3.8× |
| Echo Guide For Artery Repair (76936) | $1,463.82 | $2,091.17 | 6.5× |
| Echograp Trans R Pros Study (76873) | $537.46 | $767.80 | 4.9× |
| Esophagram (74220) | $811.95 | $1,159.93 | 4.4× |
| Fetal Biophys Profile W/Nst (76818) | $1,019.90 | $1,457 | 9.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $577.12 | $824.45 | 5.3× |
| Fluoroscopy up to 1 hr (76000) | $922.05 | $1,317.21 | 3.7× |
| Follow-Up Angiography (75898) | $1,841 | $2,630 | 0.6× |
| Foot 2 views (73620) | $607.60 | $868 | 6.7× |
| Forearm 2 views (73090) | $505.40 | $722 | 5.6× |
| Gastric emptying imaging study (78264) | $2,133.80 | $3,048.29 | 5.1× |
| Gated Heart Planar Single (78472) | $1,889.58 | $2,699.40 | 4.5× |
| Hand 2 views (73120) | $544.60 | $778 | 5.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $3,501.22 | $5,001.74 | 4.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $6,119.71 | $8,742.44 | 8.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,281.14 | $4,687.34 | 4.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,257.27 | $7,510.38 | 1.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,991.03 | $4,272.90 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,961.41 | $2,802.02 | 3.5× |
| Hepatobiliary System Imaging (78226) | $1,961.41 | $2,802.02 | 4.7× |
| Ht Muscle Image Spect Sing (78451) | $3,172.35 | $4,531.93 | 2.3× |
| Image fusion (77399) | $520.60 | $743.72 | 3.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $626.50 | $895 | 6.9× |
| Infant hip ultrasound, limited static exam (76886) | $626.50 | $895 | 6.9× |
| Infusion Ivp (74410) | $878.76 | $1,255.37 | 4.8× |
| Interstitial radiation source applic complex (77778) | $5,587.04 | $7,981.49 | 7.7× |
| Intracavitary Radiation Source Applic Complex (77763) | $3,454.15 | $4,934.50 | 4.7× |
| Intracavitary Radiation Source Applic Intermed (77762) | $2,415.57 | $3,450.81 | 4.2× |
| Intracavitary radiation source applic simple (77761) | $2,023.62 | $2,890.89 | 3.5× |
| K Flow/Funct Image Multiple (78709) | $2,168.67 | $3,098.10 | 3.8× |
| K Flow/Funct Image W/Drug (78708) | $1,881.92 | $2,688.46 | 3.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,770.79 | $2,529.70 | 3.1× |
| Leveen/Shunt Patency Exam (78291) | $1,394.72 | $1,992.46 | 3.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,129.34 | $3,041.92 | 5.1× |
| Liver imaging static only (78201) | $1,218.70 | $1,741 | 2.1× |
| Lung Perf&Ventilat Diferentl (78598) | $2,173.39 | $3,104.84 | 3.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,745.54 | $2,493.63 | 3.1× |
| Lymph System Imaging (78195) | $1,860.80 | $2,658.29 | 3.3× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,187.67 | $1,696.67 | 0.7× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,187.67 | $1,696.67 | 1.8× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,187.67 | $1,696.67 | 0.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,187.67 | $1,696.67 | 0.4× |
| Magnetic Image Jaw Joint (70336) | $413.88 | $591.25 | 1.7× |
| Mammary ductogram or galactogram multiple (77054) | $988.11 | $1,411.59 | 4.0× |
| Mammary ductogram or galactogram single (77053) | $744.45 | $1,063.50 | 3.0× |
| Meckels Divert Exam (78290) | $1,405.09 | $2,007.27 | 3.4× |
| Mlc imrt design & construction per imrt plan (77338) | $3,027.54 | $4,325.05 | 7.7× |
| Mra Head W/O & W/Contrast Material (70546) | $1,284.50 | $1,835 | 3.5× |
| MRA head w/o contrast (70544) | $611.10 | $873 | 2.5× |
| MRA head with contrast (70545) | $611.10 | $873 | 1.7× |
| MRA neck w contrast (70548) | $611.10 | $873 | 1.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,284.50 | $1,835 | 3.5× |
| MRA neck w/o contrast (70547) | $611.10 | $873 | 2.5× |
| MRI abdomen w contrast (74182) | $738.50 | $1,055 | 2.0× |
| MRI abdomen w/o contrast (74181) | $686.70 | $981 | 2.8× |
| MRI any jt lower extrem w/contrast material (73722) | $3,072.61 | $4,389.44 | 3.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,417.50 | $2,025 | 3.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $580.63 | $829.47 | 0.7× |
| MRI cardiac w/o contrast (75557) | $592.90 | $847 | 2.4× |
| MRI cervical spine w contrast (72142) | $734.30 | $1,049 | 2.0× |
| MRI cervical spine w/o cont (72141) | $592.90 | $847 | 2.4× |
| MRI chest w/o contrast (71550) | $549.32 | $784.75 | 2.2× |
| MRI chest with contrast (71551) | $590.56 | $843.66 | 0.7× |
| MRI chest wo w contrast (71552) | $1,189.25 | $1,698.93 | 3.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $725.90 | $1,037 | 2.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,417.50 | $2,025 | 3.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $686.70 | $981 | 2.8× |
| MRI lumbar spine w contrast (72149) | $828.10 | $1,183 | 2.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,082.20 | $1,546 | 3.0× |
| MRI orbit face &/neck w/o contrast (70540) | $592.90 | $847 | 2.4× |
| MRI orbit face neck w contrast (70542) | $580.63 | $829.47 | 1.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,417.50 | $2,025 | 3.9× |
| MRI pelvis w contrast (72196) | $590.56 | $843.66 | 1.6× |
| MRI pelvis w/o & w contrast (72197) | $1,431.50 | $2,045 | 3.9× |
| MRI pelvis w/o contrast (72195) | $686.70 | $981 | 2.8× |
| MRI spectroscopy (76390) | $474.08 | $677.25 | 5.2× |
| MRI thoracic spine w/o contrast (72146) | $686.70 | $981 | 2.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $580.63 | $829.47 | 1.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $686.70 | $981 | 2.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,417.50 | $2,025 | 3.9× |
| MRI, abdomen, combo (74183) | $1,431.50 | $2,045 | 3.9× |
| MRI, dorsal spine combo (72157) | $1,082.20 | $1,546 | 3.0× |
| MRI, dorsal spine contrast (72147) | $828.10 | $1,183 | 2.3× |
| MRI, joint upper extrem (73221) | $686.70 | $981 | 2.8× |
| MRI, joint upper extrem combo (73223) | $1,417.50 | $2,025 | 3.9× |
| MRI, lumbar spine combo (72158) | $1,082.20 | $1,546 | 3.0× |
| Myelogram cervical (72240) | $1,247.11 | $1,781.58 | 1.5× |
| Myelogram Lumbar (72265) | $1,032.88 | $1,475.55 | 1.3× |
| Myelography thoracic (72255) | $1,002.72 | $1,432.46 | 1.2× |
| Myelograpy 2/more regions rs&i (72270) | $2,867.70 | $4,096.71 | 3.5× |
| Myocardial Spect Multiple Studies (78452) | $4,784.97 | $6,835.67 | 3.5× |
| N-invas est c ffr sw aly CTA (75580) | $2,440.64 | $3,486.63 | 2.7× |
| Neck soft tissue (70360) | $467.86 | $668.37 | 5.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,588.18 | $9,411.68 | 4.6× |
| Nuclear Rx Intra-Arterial (79445) | $581 | $830 | 2.4× |
| Nuclear Rx Oral Admin (79005) | $1,540.71 | $2,201.01 | 6.3× |
| Panoramic X-ray of jaws (70355) | $590.80 | $844 | 6.5× |
| Parathyroid Planar Imaging (78070) | $1,889.47 | $2,699.24 | 4.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,783.85 | $5,405.50 | 9.1× |
| Pelvis 1 or 2 views (72170) | $527.80 | $754 | 4.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,231.89 | $6,045.56 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,601.45 | $2,287.79 | 3.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,055.60 | $1,508 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $560 | $800 | 6.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $451.50 | $645 | 5.0× |
| Radex elbow complete minimum 3 views (73080) | $614.60 | $878 | 6.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $983.50 | $1,405 | 9.0× |
| Radex fingr minimum 2 views (73140) | $544.60 | $778 | 6.0× |
| Radex foot complete minimum 3 views (73630) | $531.30 | $759 | 5.8× |
| Radex Hand Minimum 3 Views (73130) | $585.20 | $836 | 6.4× |
| Radex lower extremity infant minimum 2 views (73592) | $426.30 | $609 | 4.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $716.10 | $1,023 | 7.9× |
| Radex Ribs Unilateral 2 Views (71100) | $581.21 | $830.30 | 6.4× |
| Radex shoulder complete minimum 2 views (73030) | $680.40 | $972 | 7.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $499.13 | $713.04 | 5.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $789.15 | $1,127.36 | 4.3× |
| Radex Spine 1 View Specify Level (72020) | $388.50 | $555 | 4.3× |
| Radex Sternum Minimum 2 Views (71120) | $564.20 | $806 | 6.2× |
| Radex Toe Minimum 2 Views (73660) | $423.50 | $605 | 4.7× |
| Radex upper extremity infant minimum 2 views (73092) | $426.30 | $609 | 3.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $568.40 | $812 | 6.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $20,558.78 | $29,369.69 | 2.7× |
| Radiation treatment delivery level 1 (77402) | $653.27 | $933.24 | 6.1× |
| Radiation treatment delivery level 2 (77407) | $607.03 | $867.18 | 1.5× |
| Radiation treatment delivery level 3 (77412) | $985.71 | $1,408.16 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $665.23 | $950.33 | 6.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $696.63 | $995.18 | 6.4× |
| Radiologic exam colon double contrast study (74280) | $1,494.68 | $2,135.25 | 8.2× |
| Radiologic exam colon single contrast study (74270) | $981.87 | $1,402.67 | 5.4× |
| Radiologic exam knee complete 4/more views (73564) | $722.40 | $1,032 | 6.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $765.80 | $1,094 | 7.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $922.40 | $1,317.71 | 5.0× |
| Radiologic exam swallow function contrast study (74230) | $737.91 | $1,054.16 | 4.0× |
| Radiologic exam teeth complete full mouth (70320) | $251.30 | $359 | 1.0× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $186.96 | $267.09 | 0.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $933.68 | $1,333.83 | 5.1× |
| Radiologic examination femur minimum 2 views (73552) | $543.90 | $777 | 6.0× |
| Radiologic examination knee 1/2 views (73560) | $587.30 | $839 | 6.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $664.95 | $949.93 | 6.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $555.80 | $794 | 6.1× |
| Renal Cyst Study (74470) | $939.40 | $1,411.36 | 1.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,382.82 | $1,975.46 | 3.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,150.74 | $3,072.48 | 5.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,775.22 | $5,393.17 | 6.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,337.17 | $3,338.82 | 4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,154.33 | $3,077.61 | 3.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,108.48 | $3,012.12 | 1.6× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $1,674.58 | $2,392.26 | 6.9× |
| Rp Therapy Intravenous Administration (79101) | $1,760.07 | $2,514.39 | 7.2× |
| Scapula (73010) | $573.30 | $819 | 5.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $314.40 | $449.15 | 13.4× |
| Shoulder 1 view (73020) | $582.40 | $832 | 6.4× |
| Shoulder Arthrography (73040) | $1,236.17 | $1,765.96 | 3.4× |
| Sialogram (70390) | $800.48 | $1,143.55 | 3.2× |
| Skull less than 4 views (70250) | $639.10 | $913 | 5.9× |
| Special dosimetry (77331) | $734.38 | $1,049.12 | 5.2× |
| Special Physics Consult (77370) | $1,146.18 | $1,637.40 | 8.2× |
| Special teletherapy port plan (77321) | $1,404.39 | $2,006.27 | 3.6× |
| Special treatment procedure (77470) | $2,413.65 | $3,448.07 | 4.2× |
| Speech evaluation, complex (70371) | $935.90 | $1,337 | 3.8× |
| Stereotactic Body Radiation Delivery (77373) | $10,262.96 | $14,661.37 | 5.5× |
| Superior sagittal sinus venogram (75870) | $2,233.20 | $3,190.29 | 0.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,357.83 | $4,796.90 | 8.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,037.74 | $1,482.48 | 2.7× |
| Testicular Imaging W/Flow (78761) | $1,653.05 | $2,361.50 | 4.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,169.24 | $3,098.92 | 5.5× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,515.99 | $2,165.70 | 3.9× |
| Ther rad simulaj-aided field setting simple (77280) | $1,105.75 | $1,579.64 | 7.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $505.27 | $721.81 | 2.8× |
| Thoracic spine 2 views (72070) | $588.70 | $841 | 5.4× |
| Thoracic spine 3 views (72072) | $712.60 | $1,018 | 6.5× |
| Thyroid Imaging With Vascular Flow (78013) | $968.48 | $1,383.55 | 2.3× |
| Thyroid Met Imaging Body (78018) | $2,369.96 | $3,385.65 | 4.2× |
| Thyroid Uptake Measurement (78012) | $726.51 | $1,037.87 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,385.20 | $1,978.86 | 3.3× |
| Tx Devices Design & Construction Complex (77334) | $1,803.49 | $2,576.42 | 4.6× |
| Tx devices design & construction intermediate (77333) | $958.74 | $1,369.63 | 6.8× |
| Tx devices design & construction simple (77332) | $623.01 | $890.02 | 4.4× |
| Ultrasound Breast Limited (76642) | $310.80 | $444 | 3.4× |
| Ultrasound, abdomen limited (76705) | $938.70 | $1,341 | 8.6× |
| Umbilical-artery Doppler (OB) (76820) | $564.19 | $805.99 | 5.2× |
| Unlisted fluoroscopic procedure (76496) | $530.78 | $758.26 | 5.8× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,320.98 | $1,887.12 | 3.2× |
| Upper gi w/o kub (74240) | $864.98 | $1,235.68 | 4.7× |
| Urethrocystogram voiding (74455) | $866.02 | $1,237.17 | 3.5× |
| Urethrocystography retrograde (74450) | $878.76 | $1,255.37 | 3.5× |
| Us breast unilateral complete (76641) | $310.80 | $444 | 2.8× |
| Us chest (76604) | $687.40 | $982 | 6.3× |
| Us complete joint (76881) | $1,017.06 | $1,452.95 | 9.3× |
| Us exam, pelvic, limited (76857) | $492.80 | $704 | 4.5× |
| Us head (76506) | $890.40 | $1,272 | 8.2× |
| Us kidney transplant (76776) | $695.10 | $993 | 6.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $682.50 | $975 | 6.3× |
| Us ob detailed single fetus (76811) | $1,062.60 | $1,518 | 4.3× |
| Us ob limited 1 or more fetuses (76815) | $634.90 | $907 | 5.8× |
| Us ob transvaginal (76817) | $912.80 | $1,304 | 8.4× |
| Us pelvic non ob complete (76856) | $1,045.10 | $1,493 | 9.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $875.70 | $1,251 | 8.0× |
| Us retroperitoneal limited (76775) | $987 | $1,410 | 9.0× |
| Us scrotum and contents (76870) | $1,084.30 | $1,549 | 9.9× |
| Us spinal canal and contents (76800) | $622.30 | $889 | 5.7× |
| Us thyroid (76536) | $854.70 | $1,221 | 7.8× |
| Us transrectal (76872) | $6,176.41 | $8,823.44 | 56.6× |
| Vein X-Ray Chest (75827) | $2,954.92 | $4,221.32 | 1.8× |
| Venogram Sinus/Jugular (75860) | $3,220.70 | $4,601 | 1.0× |
| Venography Adrenal Unilateral (75840) | $5,651.56 | $8,073.66 | 1.7× |
| Venography caval inferior serialography rs&i (75825) | $4,928.06 | $7,040.09 | 1.5× |
| Venography extremity bilateral rs&i (75822) | $2,344.93 | $3,349.90 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $2,099.22 | $2,998.88 | 1.3× |
| Venography Renal Bilateral (75833) | $6,627.60 | $9,468 | 2.0× |
| Venography Renal Unilateral (75831) | $4,418.40 | $6,312 | 1.3× |
| Venous sampling by catheter (75893) | $3,531.74 | $5,045.34 | 0.6× |
| Wrist 2 views (73100) | $491.40 | $702 | 5.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $509.13 | $727.33 | 5.6× |
| X-ray antegrade pyelogram tube (74425) | $913.92 | $1,305.60 | 2.5× |
| X-Ray Aorta Leg Arteries (75630) | $6,087.90 | $8,697 | 1.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $470.40 | $672 | 5.2× |
| X-Ray Exam Breast Specimen (76098) | $863.34 | $1,233.35 | 1.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $711.20 | $1,016 | 6.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $424.20 | $606 | 4.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $573.30 | $819 | 6.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,066.10 | $1,523 | 9.8× |
| X-Ray Exam L-S Spine Bending (72114) | $1,110.20 | $1,586 | 10.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $623 | $890 | 6.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,281.70 | $1,831 | 11.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $661.50 | $945 | 6.1× |
| X-ray humerus (73060) | $518.70 | $741 | 5.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $529.20 | $756 | 5.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $670.60 | $958 | 7.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $733.60 | $1,048 | 6.7× |
| X-ray nose-rectum child f.b. (76010) | $459.57 | $656.53 | 5.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,185.80 | $1,694 | 10.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $671.30 | $959 | 6.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $574.70 | $821 | 6.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $976.50 | $1,395 | 10.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $791.70 | $1,131 | 7.3× |
| X-ray thoracic spine 4 vw (72074) | $707.66 | $1,010.95 | 6.5× |
| X-Ray Tmj Unilat (70328) | $434.70 | $621 | 4.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,055.02 | $1,507.17 | 2.9× |
| X-Rays Bone Length Studies (77073) | $567.70 | $811 | 5.2× |
| X-Rays Bone Survey Complete (77075) | $1,556.80 | $2,224 | 14.3× |
| Xr c-spine 4 or 5 views (72050) | $830.20 | $1,186 | 7.6× |
| Xr facial bones less than 3 views (70140) | $527.10 | $753 | 5.8× |
| Xr orbits complete 4 views (70200) | $821.10 | $1,173 | 7.5× |