Imaging prices at TriStar Centennial Medical Center
Nashville, TN · every code in this section with a posted price and a Medicare benchmark.
335 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $11,341.67 | $11,341.67 | 8.5× |
| Abdomen 2 views (74019) | $1,436.16 | $1,436.16 | 14.3× |
| Acute gastrointestinal blood loss imaging (78278) | $4,284.87 | $4,284.87 | 11.2× |
| Angiography extremity bilateral rs&i (75716) | $10,829.12 | $10,829.12 | 3.6× |
| Angiography extremity unilateral rs&i (75710) | $14,404.06 | $14,404.06 | 4.8× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $14,404.06 | $14,404.06 | 2.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $14,404.06 | $14,404.06 | 4.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,383.01 | $8,383.01 | 2.8× |
| Angiography Spinal Selective Rs&I (75705) | $12,805.06 | $12,805.06 | 2.4× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $14,404.06 | $14,404.06 | 2.7× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $6,205.85 | $6,205.85 | 2.0× |
| Ankle 2 views (73600) | $2,072.11 | $2,072.11 | 24.8× |
| Aortogram thoracic (75605) | $14,404.06 | $14,404.06 | 2.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $13,105.11 | $13,105.11 | 4.3× |
| Aortography abdominal serialography rs&i (75625) | $14,404.06 | $14,404.06 | 4.8× |
| Artery X-Rays Adrenal Gland (75731) | $14,404.06 | $14,404.06 | 4.8× |
| Arthrogram hip (73525) | $2,570.50 | $2,570.50 | 7.7× |
| Basic radiation dosimetry calculation (77300) | $1,299.83 | $1,299.83 | 10.1× |
| Bone &/joint imaging whole body (78306) | $5,672.52 | $5,672.52 | 14.8× |
| Bone age studies (77072) | $1,436.16 | $1,436.16 | 14.3× |
| Bone Imaging 3 Phase (78315) | $6,942.87 | $6,942.87 | 18.1× |
| Bone survey complete (77075) | $2,645.52 | $2,645.52 | 26.4× |
| Brachytx isodose complex (77318) | $7,465.78 | $7,465.78 | 20.8× |
| Brachytx isodose intermed (77317) | $5,196.05 | $5,196.05 | 14.5× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) | $4,442.80 | $4,442.80 | 12.4× |
| Brain image w/flow 4 + views (78606) | $9,248.91 | $9,248.91 | 17.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $8,944.54 | $8,944.54 | 6.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,517.15 | $3,517.15 | 10.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $6,248.27 | $6,248.27 | 12.0× |
| Cervical spine 2 or 3 views (72040) | $1,324.57 | $1,324.57 | 15.9× |
| Chest 1 view (71045) | $1,030.03 | $1,030.03 | 12.3× |
| Chest 3 views (71047) | $1,293.48 | $1,293.48 | 15.5× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $788.52 | $788.52 | 4.7× |
| Clavicle complete (73000) | $1,436.16 | $1,436.16 | 17.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $454.14 | $454.14 | 4.5× |
| Continuing medical physics consltj pr wk (77336) | $1,733.11 | $1,733.11 | 13.4× |
| CT abdomen and pelvis without and with contrast (74178) | $17,004.12 | $17,004.12 | 50.8× |
| CT abdomen and pelvis without contrast (74176) | $14,291.60 | $14,291.60 | 62.4× |
| CT abdomen w contrast (74160) | $7,631.56 | $7,631.56 | 45.4× |
| CT abdomen w wo contrast (74170) | $9,010.45 | $9,010.45 | 53.5× |
| CT abdomen w/o contrast (74150) | $7,510.33 | $7,510.33 | 74.9× |
| CT angio hrt w/3d image (75574) | $6,726.31 | $6,726.31 | 20.1× |
| CT angiography upper extremity lt (73206) | $9,686.14 | $9,686.14 | 57.6× |
| CT c-spine w/o contrast (72125) | $8,308.88 | $8,308.88 | 82.8× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) | $12,106.01 | $12,106.01 | 71.9× |
| CT cervical spine w&w/o contrast (72127) | $8,219.75 | $8,219.75 | 48.8× |
| CT cervical spine with contrast (72126) | $8,308.88 | $8,308.88 | 24.8× |
| CT chest w/wo contrast (71270) | $9,448.52 | $9,448.52 | 56.1× |
| CT chest with contrast (71260) | $7,510.33 | $7,510.33 | 44.6× |
| CT head/brain with contrast (70460) | $7,510.33 | $7,510.33 | 44.6× |
| CT head/brain without and with contrast (70470) | $9,328.91 | $9,328.91 | 55.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $6,726.31 | $6,726.31 | 20.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $893.90 | $893.90 | 10.7× |
| CT iac w contrast (70481) | $7,372.91 | $7,372.91 | 43.8× |
| CT limited/localized follow up study (76380) | $4,322.55 | $4,322.55 | 51.8× |
| CT lower ext w/o (73700) | $7,120.74 | $7,120.74 | 71.0× |
| CT lower extremity w wo contrast (73702) | $7,995.28 | $7,995.28 | 47.5× |
| CT lower extremity with contrast (73701) | $7,510.33 | $7,510.33 | 44.6× |
| CT lumbar spine w & w/o contrast (72133) | $8,105.75 | $8,105.75 | 48.2× |
| CT lumbar spine w/o contrast (72131) | $9,083.18 | $9,083.18 | 90.6× |
| CT lumbar spine with contrast (72132) | $10,053.09 | $10,053.09 | 30.0× |
| CT maxillofacial w contrast (70487) | $7,510.33 | $7,510.33 | 44.6× |
| CT maxillofacial w/o contrast (70486) | $7,372.91 | $7,372.91 | 73.5× |
| CT maxillofacial w/wo contrast (70488) | $7,712.39 | $7,712.39 | 45.8× |
| CT neck soft tissue w contrast (70491) | $7,510.33 | $7,510.33 | 44.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $9,448.52 | $9,448.52 | 56.1× |
| CT orbits w/o contrast (70480) | $7,372.91 | $7,372.91 | 73.5× |
| CT pelvis w & w/o contrast (72194) | $7,995.28 | $7,995.28 | 47.5× |
| CT pelvis w/o contrast (72192) | $6,784.49 | $6,784.49 | 67.6× |
| CT soft tissue neck w/o & w/contrast material (70492) | $7,712.39 | $7,712.39 | 45.8× |
| CT soft tissue neck w/o contrast (70490) | $7,372.91 | $7,372.91 | 73.5× |
| CT thoracic spine w/contrast (72129) | $8,308.88 | $8,308.88 | 49.4× |
| CT thoracic spine w/o contrast (72128) | $8,308.88 | $8,308.88 | 82.8× |
| CT thoracic spine w/wo contrast (72130) | $8,611.17 | $8,611.17 | 51.2× |
| CT thorax w/o contrast (71250) | $7,372.91 | $7,372.91 | 73.5× |
| CT upper extremity w/o & w/contrast material (73202) | $7,526 | $7,526 | 44.7× |
| CT upper extremity w/o contrast rt (73200) | $7,120.74 | $7,120.74 | 71.0× |
| CT upper extremity with contrast (73201) | $7,120.74 | $7,120.74 | 21.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $12,351.77 | $12,351.77 | 73.4× |
| Cta Abdomen (74175) | $10,531.57 | $10,531.57 | 62.6× |
| CTA abdomen pelvis (74174) | $10,657.66 | $10,657.66 | 31.8× |
| CTA chest (71275) | $10,531.57 | $10,531.57 | 62.6× |
| Cta Head (70496) | $11,265.48 | $11,265.48 | 66.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $22,650.60 | $22,650.60 | 67.7× |
| CTA lwr ext w&w/o contrast (73706) | $9,686.14 | $9,686.14 | 57.6× |
| Cta Neck (70498) | $11,385.12 | $11,385.12 | 67.7× |
| Cta Pelvis (72191) | $10,657.66 | $10,657.66 | 63.3× |
| Cystography minimum 3 views rs&i (74430) | $2,080.19 | $2,080.19 | 6.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $374.56 | $374.56 | 3.7× |
| Dxa bone density study 1/> sites axial skel (77080) | $1,037.34 | $1,037.34 | 10.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $415.30 | $415.30 | 5.0× |
| Echo fetal cardiovasc w/wo m-mode repeat std (76826) | $626.57 | $626.57 | 2.7× |
| Echoencephalography real time imaging (76506) | $1,564.14 | $1,564.14 | 15.6× |
| Esophagus (74220) | $1,589.86 | $1,589.86 | 9.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $869.98 | $869.98 | 8.7× |
| Fluoroscopy up to 1 hr (76000) | $2,779.10 | $2,779.10 | 12.1× |
| Foot 2 views (73620) | $1,436.16 | $1,436.16 | 17.2× |
| Forearm 2 views (73090) | $1,436.16 | $1,436.16 | 17.2× |
| Gated Heart Planar Single (78472) | $8,790.48 | $8,790.48 | 22.9× |
| Hand 2 views (73120) | $1,436.16 | $1,436.16 | 14.3× |
| Hand 3 views (73130) | $1,578.89 | $1,578.89 | 18.9× |
| Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) | $8,356.76 | $8,356.76 | 12.5× |
| Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) | $7,152.79 | $7,152.79 | 10.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $8,557.40 | $8,557.40 | 16.4× |
| Hepatobiliary syst imaging including gallbladder (78226) | $8,557.40 | $8,557.40 | 22.3× |
| Ht muscle image spect sing (78451) | $11,751.02 | $11,751.02 | 9.5× |
| Humerus Min 2 Views Left (73060) | $1,436.16 | $1,436.16 | 17.2× |
| Interstitial radiation source applic complex (77778) | $12,957.22 | $12,957.22 | 19.4× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $6,248.27 | $6,248.27 | 12.0× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $7,980.12 | $7,980.12 | 15.3× |
| Kidney Img Morphology Vascular Flow Multiple (78709) | $13,738.13 | $13,738.13 | 26.4× |
| Knee 3 views (73562) | $1,578.89 | $1,578.89 | 18.9× |
| Liver & spleen imaging static only (78215) | $4,746.40 | $4,746.40 | 12.4× |
| Liver imaging static only (78201) | $5,090.62 | $5,090.62 | 9.8× |
| Lung perf&ventilat diferentl (78598) | $4,862.16 | $4,862.16 | 9.3× |
| Lung perfusion differential (78597) | $4,862.16 | $4,862.16 | 12.7× |
| Lymphoscintigraphy (78195) | $6,360.93 | $6,360.93 | 12.2× |
| Meckels Diverticulum (78290) | $6,248.27 | $6,248.27 | 16.3× |
| Mlc imrt design & construction per imrt plan (77338) | $9,605.54 | $9,605.54 | 26.7× |
| Mr safety determination physician/other qhp (76016) | $228.24 | $228.24 | 2.7× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) | $153.97 | $153.97 | 2.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $63.49 | $63.49 | 2.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $237.94 | $237.94 | 2.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $626.57 | $626.57 | 2.7× |
| MRA head w & w/o contrast (70546) | $12,648.33 | $12,648.33 | 37.8× |
| MRA head w/o contrast (70544) | $7,719.79 | $7,719.79 | 33.7× |
| MRA head with contrast (70545) | $8,007.74 | $8,007.74 | 23.9× |
| MRA neck w contrast (70548) | $7,719.79 | $7,719.79 | 23.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $12,648.33 | $12,648.33 | 37.8× |
| MRA neck w/o contrast (70547) | $7,719.79 | $7,719.79 | 33.7× |
| MRI abdomen w contrast (74182) | $10,187.05 | $10,187.05 | 30.4× |
| MRI abdomen w/o & w/contrast material (74183) | $12,327.36 | $12,327.36 | 36.8× |
| MRI abdomen w/o contrast (74181) | $9,972.58 | $9,972.58 | 43.6× |
| MRI any jnt lwr ext with con lt (73722) | $9,113.15 | $9,113.15 | 12.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,113.15 | $9,113.15 | 12.1× |
| MRI bone marrow blood supply (77084) | $609.43 | $609.43 | 2.7× |
| MRI breast w/o contrast bilateral (77047) | $7,934.26 | $7,934.26 | 34.7× |
| MRI c-spine with contrast (72142) | $10,721.01 | $10,721.01 | 32.0× |
| MRI cardiac w/o cont stress (75559) | $2,300.78 | $2,300.78 | 4.4× |
| MRI cardiac w/o contrast (75557) | $2,300.78 | $2,300.78 | 10.1× |
| MRI cervical spine w/o contrast (72141) | $7,719.79 | $7,719.79 | 33.7× |
| MRI chest w/o & w/contrast material (71552) | $8,574.71 | $8,574.71 | 25.6× |
| MRI chest w/o contrast (71550) | $7,719.79 | $7,719.79 | 33.7× |
| MRI fetal sngl/1st gestation (74712) | $7,143.51 | $7,143.51 | 31.2× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $9,222.64 | $9,222.64 | 27.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $9,113.15 | $9,113.15 | 27.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $7,826.27 | $7,826.27 | 34.2× |
| MRI orbit face &/neck w/o contrast (70540) | $9,648.60 | $9,648.60 | 42.2× |
| MRI orbit/face/neck w&w/o cont (70543) | $12,217.86 | $12,217.86 | 36.5× |
| MRI orbit/face/neck w/contrast (70542) | $9,113.15 | $9,113.15 | 27.2× |
| MRI pelvis w contrast (72196) | $10,290.55 | $10,290.55 | 30.7× |
| MRI pelvis w/o & w/contrast material (72197) | $12,327.36 | $12,327.36 | 36.8× |
| MRI pelvis w/o contrast (72195) | $7,719.79 | $7,719.79 | 33.7× |
| MRI scan of arm joint before and after contrast (73223) | $12,217.86 | $12,217.86 | 36.5× |
| MRI scan of heart before and after contrast with stress imaging (75563) | $3,517.15 | $3,517.15 | 4.7× |
| MRI scan of leg joint before and after contrast (73723) | $12,217.86 | $12,217.86 | 36.5× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $12,862.80 | $12,862.80 | 38.4× |
| MRI spinal canal lumbar w/contrast material (72149) | $10,721.01 | $10,721.01 | 32.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $12,541.85 | $12,541.85 | 37.5× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $10,721.01 | $10,721.01 | 32.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $13,290.27 | $13,290.27 | 39.7× |
| MRI thoracic spine w/o contrast (72146) | $7,719.79 | $7,719.79 | 33.7× |
| MRI upper ext joint w/o contrast (73221) | $7,398.80 | $7,398.80 | 32.3× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $12,217.86 | $12,217.86 | 36.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $8,900.17 | $8,900.17 | 38.9× |
| Myelogram Lumbar (72265) | $4,754.99 | $4,754.99 | 6.3× |
| Myocardial Spect Multiple Studies (78452) | $14,453.78 | $14,453.78 | 11.6× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $4,008.31 | $4,008.31 | 2.9× |
| Myocrd img PET prfuj mlt std rst&strs cncrnt CT (78431) | $6,251.36 | $6,251.36 | 3.0× |
| Myocrd img PET prfuj w/metab 2rtracer cncrnt CT (78433) | $7,640.23 | $7,640.23 | 3.6× |
| N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) | $3,879.31 | $3,879.31 | 4.7× |
| Neck soft tissue (70360) | $1,143.44 | $1,143.44 | 13.7× |
| Nm adrenal scan (78075) | $5,556.76 | $5,556.76 | 4.5× |
| Nm cisternogram (78630) | $2,801.51 | $2,801.51 | 5.4× |
| Nm gastric emptying study (78264) | $6,016.74 | $6,016.74 | 15.7× |
| Nm red cell sequestration (78140) | $1,018.64 | $1,018.64 | 2.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $12,431.88 | $12,431.88 | 9.4× |
| Nuclear Rx Oral Admin (79005) | $2,690.39 | $2,690.39 | 12.0× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $1,090.15 | $1,090.15 | 10.9× |
| Orthopantogram (70355) | $980.63 | $980.63 | 11.7× |
| Osseous survey infant (77076) | $2,779.10 | $2,779.10 | 27.7× |
| Osseous survey limited (77074) | $1,430.70 | $1,430.70 | 14.3× |
| Parathyrd planar w/wo subtrj (78071) | $6,942.87 | $6,942.87 | 18.1× |
| Parathyroid imaging (78070) | $6,942.87 | $6,942.87 | 18.1× |
| Pelvis 1 or 2 views (72170) | $1,589.86 | $1,589.86 | 15.9× |
| PET image w/CT, skull-thigh (78815) | $9,021.01 | $9,021.01 | 6.6× |
| PET imaging CT for attenuation limited area (78814) | $9,021.01 | $9,021.01 | 6.6× |
| PET imaging for CT attenuation whole body (78816) | $9,021.01 | $9,021.01 | 6.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $12,217.86 | $12,217.86 | 36.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $8,383.01 | $8,383.01 | 2.8× |
| Prq transhepatc portograpy w/o hemodyn evl intrp (75887) | $14,404.06 | $14,404.06 | 4.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,587.17 | $3,587.17 | 9.4× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $7,171.31 | $7,171.31 | 13.8× |
| Quan&charac c atherosclerotc plaq asses sev c ds (75577) | $2,376.25 | $2,376.25 | 2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $3,713.96 | $3,713.96 | 7.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $425.14 | $425.14 | 5.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $702.17 | $702.17 | 7.0× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,589.08 | $1,589.08 | 15.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,338.16 | $1,338.16 | 13.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $26,935.22 | $26,935.22 | 3.8× |
| Radiation treatment delivery 1 mev >= complex (77412) | $6,757.50 | $6,757.50 | 12.7× |
| Radiation treatment delivery 1 mev >= simple (77402) | $6,325.89 | $6,325.89 | 64.6× |
| Radiation tx delivery 1 mev >= intermediate (77407) | $6,193.63 | $6,193.63 | 16.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,380.24 | $2,380.24 | 23.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,066.60 | $1,066.60 | 12.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,480.08 | $1,480.08 | 14.8× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,196.54 | $1,196.54 | 14.3× |
| Radiologic exam colon single contrast study (74270) | $2,290.58 | $2,290.58 | 13.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $2,908.99 | $2,908.99 | 17.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,511.97 | $2,511.97 | 14.9× |
| Radiologic exam upr gi trc single contrast study (74240) | $2,380.24 | $2,380.24 | 14.1× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,763.31 | $1,763.31 | 21.1× |
| Radiological examination surgical specimen (76098) | $1,055.63 | $1,055.63 | 2.0× |
| Review by radiologist of liver vein image with assessment of blood flow (75889) | $10,560.18 | $10,560.18 | 3.5× |
| Ribs bilateral 3 views (71110) | $1,604.70 | $1,604.70 | 16.0× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $13,063.04 | $13,063.04 | 25.1× |
| Rp therapy intra-arterial particulate admn (79445) | $2,988.30 | $2,988.30 | 13.3× |
| Rp Therapy Intravenous Administration (79101) | $2,690.39 | $2,690.39 | 12.0× |
| Scanogram (77073) | $1,436.16 | $1,436.16 | 14.3× |
| Scapula complete (73010) | $1,436.16 | $1,436.16 | 14.3× |
| Screening digital breast tomosynthesis (77063) | $201.82 | $201.82 | 8.6× |
| Simulation intermediate (77285) | $3,203.63 | $3,203.63 | 8.9× |
| Small bowel series (74250) | $1,955.78 | $1,955.78 | 11.6× |
| Spec medical radj physics consltj (77370) | $3,139.63 | $3,139.63 | 24.3× |
| Spec telethx port pln parts hemibdy tot bdy (77321) | $4,002.84 | $4,002.84 | 11.1× |
| Special dosimetry (77331) | $1,623.12 | $1,623.12 | 12.6× |
| Special treatment procedure (77470) | $4,216.17 | $4,216.17 | 8.0× |
| Spine thoracic 3 views (72072) | $1,456.30 | $1,456.30 | 14.5× |
| Splenoportograpy rs&i (75810) | $10,560.18 | $10,560.18 | 3.5× |
| Stereotactic body radiation delivery (77373) | $14,406.66 | $14,406.66 | 8.4× |
| Superior sagittal sinus venogram (75870) | $10,560.18 | $10,560.18 | 3.5× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $3,573.10 | $3,573.10 | 36.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $9,090.61 | $9,090.61 | 25.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $5,739.34 | $5,739.34 | 16.0× |
| Ther rad simulaj-aided field setting complex (77290) | $4,866.09 | $4,866.09 | 13.5× |
| Ther rad simulaj-aided field setting simple (77280) | $2,489.69 | $2,489.69 | 19.3× |
| Therapeutic Enema (74283) | $2,433.28 | $2,433.28 | 14.5× |
| Thyroid carcinoma metastases img whole body (78018) | $9,599.31 | $9,599.31 | 18.4× |
| Thyroid uptake measurement (78012) | $2,900.30 | $2,900.30 | 7.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,357.19 | $3,357.19 | 8.8× |
| Tmj unilateral (70328) | $1,574.28 | $1,574.28 | 18.9× |
| Treatment device intermediate (77333) | $2,639.67 | $2,639.67 | 20.5× |
| Treatment devices simple (77332) | $1,299.83 | $1,299.83 | 10.1× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $11,207.67 | $11,207.67 | 21.5× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $9,365.09 | $9,365.09 | 24.4× |
| Tx devices design & construction complex (77334) | $3,351.27 | $3,351.27 | 9.3× |
| Ultrasound, abdomen limited (76705) | $1,688 | $1,688 | 16.8× |
| Umbilical-artery Doppler (OB) (76820) | $807.29 | $807.29 | 8.0× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $477.50 | $477.50 | 5.7× |
| Unlisted fluoroscopic procedure (76496) | $9,058.10 | $9,058.10 | 108.5× |
| Unlisted Ultrasound Procedure (76999) | $2,045.76 | $2,045.76 | 24.5× |
| Upper Extremity Infant (73092) | $825.12 | $825.12 | 8.2× |
| Urethrocystography retrograde rs&i (74450) | $2,080.19 | $2,080.19 | 9.1× |
| Urethrocystography voiding (74455) | $2,252.17 | $2,252.17 | 9.8× |
| Us abdl aorta screen aaa (76706) | $1,791.95 | $1,791.95 | 17.9× |
| Us breast unilateral complete (76641) | $964.76 | $964.76 | 9.6× |
| Us breast unilateral limited (76642) | $964.76 | $964.76 | 11.6× |
| Us chest (76604) | $1,158.96 | $1,158.96 | 11.6× |
| Us compl joint r-t w/image documentation (76881) | $1,432.64 | $1,432.64 | 14.3× |
| Us infant hips dynamic (76885) | $1,053.44 | $1,053.44 | 12.6× |
| Us infant hips limited static (76886) | $1,041.21 | $1,041.21 | 12.5× |
| Us kidney transplant (76776) | $1,686.44 | $1,686.44 | 16.8× |
| Us ob detailed single fetus (76811) | $1,671.15 | $1,671.15 | 7.3× |
| Us ob transvaginal (76817) | $1,837.81 | $1,837.81 | 18.3× |
| Us pelvic non ob complete (76856) | $2,045.76 | $2,045.76 | 20.4× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $886.79 | $886.79 | 8.8× |
| Us pregnancy ltd (76815) | $1,155.88 | $1,155.88 | 11.5× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $1,762.90 | $1,762.90 | 17.6× |
| Us retroperitoneal complete (76770) | $2,738.39 | $2,738.39 | 27.3× |
| Us retroperitoneal limited (76775) | $1,791.95 | $1,791.95 | 17.9× |
| Us scrotum and contents (76870) | $2,065.64 | $2,065.64 | 20.6× |
| Us soft tissue head/neck (76536) | $1,688 | $1,688 | 16.8× |
| Us spinal canal and contents (76800) | $1,807.26 | $1,807.26 | 18.0× |
| Us transrectal (76872) | $2,314.88 | $2,314.88 | 23.1× |
| Us transrectal prostate volume (76873) | $1,986.15 | $1,986.15 | 19.8× |
| Us xtr non-vasc lmtd (76882) | $1,027.47 | $1,027.47 | 10.2× |
| Venogram extremity bilateral (75822) | $10,560.18 | $10,560.18 | 7.0× |
| Venography caval inferior serialography rs&i (75825) | $10,560.18 | $10,560.18 | 3.5× |
| Venography caval superior serialography rs&i (75827) | $10,560.18 | $10,560.18 | 7.0× |
| Venography extremity unilateral rs&i (75820) | $5,067.87 | $5,067.87 | 3.4× |
| Venography renal unilateral selective rs&i (75831) | $10,560.18 | $10,560.18 | 3.5× |
| Venography venous sinus/jugular cath rs&i (75860) | $7,122.45 | $7,122.45 | 2.4× |
| Venous sampling thru cath w/wo angiography rs& (75893) | $9,241.08 | $9,241.08 | 1.7× |
| Vertebral fracture assessment via dxa (77086) | $978.61 | $978.61 | 11.7× |
| Wrist 2 views (73100) | $1,436.16 | $1,436.16 | 17.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $2,380.24 | $2,380.24 | 23.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,436.16 | $1,436.16 | 17.2× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,578.89 | $1,578.89 | 18.9× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $3,632.98 | $3,632.98 | 21.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,436.16 | $1,436.16 | 17.2× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,578.89 | $1,578.89 | 18.9× |
| X-ray exam entire spi 4/5 vw (72083) | $1,338.16 | $1,338.16 | 13.3× |
| X-ray exam hip uni 1 view (73501) | $1,589.08 | $1,589.08 | 19.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,763.31 | $1,763.31 | 21.1× |
| X-ray exam hip uni 4/> views (73503) | $1,937.57 | $1,937.57 | 19.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,763.31 | $1,763.31 | 17.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,937.57 | $1,937.57 | 19.3× |
| X-ray exam of femur 1 (73551) | $1,589.08 | $1,589.08 | 19.0× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,436.16 | $1,436.16 | 14.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,230.43 | $1,230.43 | 14.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $1,578.89 | $1,578.89 | 18.9× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,436.16 | $1,436.16 | 17.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,122.28 | $2,122.28 | 25.4× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,664.88 | $1,664.88 | 16.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,988.72 | $1,988.72 | 23.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $825.12 | $825.12 | 9.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,252.17 | $2,252.17 | 22.5× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,122.28 | $2,122.28 | 21.2× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $1,324.57 | $1,324.57 | 13.2× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $960.48 | $960.48 | 11.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,324.57 | $1,324.57 | 13.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,436.16 | $1,436.16 | 17.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,992.36 | $1,992.36 | 19.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,210.06 | $2,210.06 | 22.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,578.89 | $1,578.89 | 15.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,066.60 | $1,066.60 | 12.8× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $1,589.86 | $1,589.86 | 19.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,485.58 | $1,485.58 | 17.8× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $801.34 | $801.34 | 9.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,645.52 | $2,645.52 | 26.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,721.59 | $1,721.59 | 17.2× |
| X-Ray Spine One View - Xr Spine (72020) | $980.63 | $980.63 | 11.7× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $873.60 | $873.60 | 10.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,066.60 | $1,066.60 | 12.8× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $2,122.28 | $2,122.28 | 21.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $1,191.94 | $1,191.94 | 11.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $801.34 | $801.34 | 9.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,578.89 | $1,578.89 | 18.9× |
| Xr c-spine 6 or more views (72052) | $1,657.58 | $1,657.58 | 16.5× |
| Xr chest 4+ views (71048) | $1,589.86 | $1,589.86 | 15.9× |
| Xr finger(s) 2+ views (73140) | $858.03 | $858.03 | 10.3× |
| Xr shoulder 1 view (73020) | $1,196.54 | $1,196.54 | 14.3× |
| Xr spine cervical 4 or 5 views (72050) | $2,122.28 | $2,122.28 | 21.2× |
| Xr tibia/fibula 2 views (73590) | $1,589.86 | $1,589.86 | 19.0× |
| Xray knee 1 or 2 views rt (73560) | $1,436.16 | $1,436.16 | 17.2× |