Imaging prices at Vista Medical Center East
Waukegan, IL · every code in this section with a posted price and a Medicare benchmark.
337 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) | $9,746.21 | $16,243.68 | 6.5× |
| Abdomen 1 View (74018) | $642.31 | $1,070.51 | 6.8× |
| Abdomen 2 views (74019) | $642.31 | $1,070.51 | 5.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,461.30 | $4,102.17 | 5.7× |
| Angio pulmonary bilat (75743) | $7,502.01 | $12,503.35 | 2.2× |
| Angiography extremity bilateral rs&i (75716) | $7,502.01 | $12,503.35 | 2.2× |
| Angiography extremity unilateral rs&i (75710) | $7,502.01 | $12,503.35 | 2.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,424.57 | $12,374.28 | 2.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7,424.57 | $12,374.28 | 2.2× |
| Ankle 2 views (73600) | $1,282.35 | $2,137.25 | 13.6× |
| Aortography thoracic serialography rs&i (75605) | $17,426.74 | $29,044.56 | 2.9× |
| Aortography thoracic w/o serialography rs&i (75600) | $6,312.28 | $10,520.47 | 1.9× |
| Artery X-Rays Abdomen (75726) | $7,502.01 | $12,503.35 | 1.2× |
| Artery X-Rays Pelvis (75736) | $7,502.01 | $12,503.35 | 1.2× |
| Arthrogram ankle (73615) | $5,212.16 | $8,686.93 | 13.8× |
| Arthrogram hip (73525) | $5,212.16 | $8,686.93 | 13.8× |
| Arthrogram Wrist (73115) | $5,212.16 | $8,686.93 | 13.8× |
| Basic radiation dosimetry calculation (77300) | $1,126.04 | $1,876.74 | 7.8× |
| Bone age studies (77072) | $642.31 | $1,070.51 | 5.7× |
| Bone Imaging 3 Phase (78315) | $2,606.94 | $4,344.90 | 6.0× |
| Bone Imaging Limited Area (78300) | $2,606.94 | $4,344.90 | 6.0× |
| Bone Imaging Multiple Areas (78305) | $2,606.94 | $4,344.90 | 6.0× |
| Bone Imaging Whole Body (78306) | $2,606.94 | $4,344.90 | 6.0× |
| Bone survey infant (77076) | $1,091.02 | $1,818.36 | 9.7× |
| Brachytx isodose complex (77318) | $3,977.15 | $6,628.59 | 9.8× |
| Brain Flow Imaging Only (78610) | $3,376.53 | $5,627.55 | 5.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,540.39 | $12,567.32 | 4.9× |
| Chest 1 view (71045) | $642.31 | $1,070.51 | 6.8× |
| Chest 2 views (71046) | $642.31 | $1,070.51 | 6.8× |
| Chest 3 views (71047) | $642.31 | $1,070.51 | 6.8× |
| Chest 4 or more views (71048) | $642.31 | $1,070.51 | 5.7× |
| Clavicle complete (73000) | $1,282.35 | $2,137.25 | 13.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,492.20 | $2,487 | 13.2× |
| Continuing medical physics consltj pr wk (77336) | $1,216.03 | $2,026.71 | 8.4× |
| Contrast Exam Abdominl Aorta (75625) | $7,502.01 | $12,503.35 | 2.2× |
| Contrast X-Ray Bladder (74430) | $2,091.98 | $3,486.64 | 5.6× |
| Contrast X-Ray Of Elbow (73085) | $5,212.16 | $8,686.93 | 13.8× |
| Contrast X-Ray Of Knee Joint (73580) | $5,212.16 | $8,686.93 | 13.8× |
| CT abdomen and pelvis without and with contrast (74178) | $10,519.38 | $17,532.30 | 27.9× |
| CT abdomen and pelvis without contrast (74176) | $6,511.66 | $10,852.76 | 25.3× |
| CT abdomen w contrast (74160) | $4,421.54 | $7,369.24 | 23.4× |
| CT abdomen w wo contrast (74170) | $5,259.33 | $8,765.55 | 27.8× |
| CT abdomen w/o contrast (74150) | $3,256.19 | $5,426.98 | 28.9× |
| CT Angio Abdomen and Pelvis (74174) | $10,290.37 | $17,150.61 | 27.3× |
| CT Angio Chest (71275) | $5,144.81 | $8,574.69 | 27.2× |
| CT Angio Head (70496) | $5,144.81 | $8,574.69 | 27.2× |
| CT angio hrt w/3d image (75574) | $1,410.31 | $2,350.52 | 3.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $10,291.09 | $17,151.82 | 54.3× |
| CT Angio Neck (70498) | $5,144.81 | $8,574.69 | 27.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $9,991.78 | $16,652.97 | 52.8× |
| CT cervical spine w/ contrast (72126) | $4,421.54 | $7,369.24 | 11.7× |
| CT cervical spine w/o contrast (72125) | $3,256.19 | $5,426.98 | 28.9× |
| CT cervical spine w/wo cont (72127) | $5,259.33 | $8,765.55 | 27.8× |
| CT chest w contrast (71260) | $4,421.54 | $7,369.24 | 23.4× |
| CT chest w/wo contrast (71270) | $5,259.33 | $8,765.55 | 27.8× |
| CT head/brain with contrast (70460) | $4,421.54 | $7,369.24 | 23.4× |
| CT head/brain without and with contrast (70470) | $5,259.33 | $8,765.55 | 27.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $455.85 | $759.75 | 4.9× |
| CT iac w contrast (70481) | $4,421.54 | $7,369.24 | 23.4× |
| CT l-spine w&w/o contrast (72133) | $5,260.05 | $8,766.75 | 27.8× |
| CT lower ext w/o (73700) | $6,513.10 | $10,855.16 | 57.7× |
| CT lower extremity w/contrast material (73701) | $8,843.09 | $14,738.49 | 46.7× |
| CT lumbar spine w contrast (72132) | $4,421.54 | $7,369.24 | 11.7× |
| CT lumbar spine w/o contrast (72131) | $3,256.19 | $5,426.98 | 28.9× |
| CT maxillofacial w contrast (70487) | $4,421.54 | $7,369.24 | 23.4× |
| CT maxillofacial wo contrast (70486) | $3,256.19 | $5,426.98 | 28.9× |
| CT neck tissue combo (70492) | $5,259.33 | $8,765.55 | 27.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,259.33 | $8,765.55 | 27.8× |
| CT orbits w/o contrast (70480) | $3,256.19 | $5,426.98 | 28.9× |
| CT pelvis w&w/o contrast (72194) | $5,259.33 | $8,765.55 | 27.8× |
| CT pelvis w/o contrast (72192) | $3,256.19 | $5,426.98 | 28.9× |
| CT scan of leg combo (73702) | $10,519.38 | $17,532.30 | 55.6× |
| CT scans face/jaw combo (70488) | $5,259.33 | $8,765.55 | 27.8× |
| CT soft tissue neck w contrast (70491) | $4,421.54 | $7,369.24 | 23.4× |
| CT soft tissue neck w/o contrast (70490) | $3,256.19 | $5,426.98 | 28.9× |
| CT thoracic spine w contrast (72129) | $4,421.54 | $7,369.24 | 23.4× |
| CT thoracic spine w/o contrast (72128) | $3,256.19 | $5,426.98 | 28.9× |
| CT thoracic spine w/wo cont (72130) | $5,259.33 | $8,765.55 | 27.8× |
| CT thorax w/o contrast (71250) | $3,256.19 | $5,426.98 | 28.9× |
| CT upper ext wo (73200) | $6,513.10 | $10,855.16 | 57.7× |
| CT upper extremity w/o & w/contrast material (73202) | $10,519.38 | $17,532.30 | 55.6× |
| CT upper extremity with contrast (73201) | $8,843.09 | $14,738.49 | 23.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,144.81 | $8,574.69 | 27.2× |
| Cta Abdomen (74175) | $5,144.81 | $8,574.69 | 27.2× |
| CTA pelvis (72191) | $5,144.81 | $8,574.69 | 27.2× |
| Dilation ureters/urethra rs&i (74485) | $1,936.06 | $3,226.76 | 0.9× |
| Dxa Bone Density Axial (77080) | $1,074.32 | $1,790.53 | 9.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,074.32 | $1,790.53 | 11.4× |
| Echo Guide For Artery Repair (76936) | $699.92 | $1,166.54 | 3.0× |
| Echograp Trans R Pros Study (76873) | $1,140.23 | $1,900.39 | 10.1× |
| Esophagram (74220) | $1,290.70 | $2,151.16 | 6.8× |
| Fetal Biophys Profile W/Nst (76818) | $1,341.08 | $2,235.14 | 11.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,140.23 | $1,900.39 | 10.1× |
| Fluoroscopy up to 1 hr (76000) | $1,168.46 | $1,947.43 | 4.5× |
| Follow-Up Angiography (75898) | $875.39 | $1,458.99 | 0.3× |
| Foot 2 views (73620) | $1,282.35 | $2,137.25 | 13.6× |
| Forearm 2 views (73090) | $1,282.35 | $2,137.25 | 13.6× |
| Gastric emptying imaging study (78264) | $2,461.30 | $4,102.17 | 5.7× |
| Gated Heart Planar Single (78472) | $2,744.98 | $4,574.97 | 6.4× |
| Gated Heart, Multiple (78473) | $3,059.35 | $5,098.91 | 7.1× |
| Hand 2 views (73120) | $1,282.35 | $2,137.25 | 11.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $7,502.01 | $12,503.35 | 2.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $7,424.57 | $12,374.28 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $2,815.38 | $4,692.30 | 4.8× |
| Hepatobiliary System Imaging (78226) | $2,815.38 | $4,692.30 | 6.5× |
| Ht Muscle Image Spect Sing (78451) | $2,827.12 | $4,711.87 | 2.0× |
| Hysterosalpingogram (74740) | $3,036.18 | $5,060.30 | 11.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $162.61 | $271.01 | 1.7× |
| Infusion Ivp (74410) | $2,091.98 | $3,486.64 | 11.0× |
| Interstitial radiation source applic complex (77778) | $7,859.18 | $13,098.63 | 10.5× |
| Intracavitary Radiation Source Applic Complex (77763) | $3,909.02 | $6,515.04 | 5.2× |
| Intracavitary Radiation Source Applic Intermed (77762) | $3,909.02 | $6,515.04 | 6.6× |
| Intracavitary radiation source applic simple (77761) | $3,909.02 | $6,515.04 | 6.6× |
| K Flow/Funct Image Multiple (78709) | $2,708.40 | $4,514 | 4.6× |
| K Flow/Funct Image W/Drug (78708) | $2,708.40 | $4,514 | 4.6× |
| K Flow/Funct Image W/O Drug (78707) | $2,386.07 | $3,976.79 | 4.1× |
| Kidney Imaging Morphol (78700) | $2,386.07 | $3,976.79 | 5.5× |
| Knee 3 Views (73562) | $1,282.35 | $2,137.25 | 13.6× |
| Liver & Spleen Imaging Static Only (78215) | $2,814.69 | $4,691.15 | 6.5× |
| Liver imaging static only (78201) | $2,621.01 | $4,368.35 | 4.5× |
| Lung Perf&Ventilat Diferentl (78598) | $6,446.48 | $10,744.14 | 11.0× |
| Lung perfusion differential (78597) | $5,303.72 | $8,839.54 | 12.3× |
| Lung Ventilat&Perfus Imaging (78582) | $3,391.72 | $5,652.86 | 5.8× |
| Lymph System Imaging (78195) | $2,557.25 | $4,262.08 | 4.4× |
| Magnetic Image Jaw Joint (70336) | $3,142.54 | $5,237.57 | 12.2× |
| Mammary ductogram or galactogram multiple (77054) | $2,986.07 | $4,976.79 | 11.6× |
| Mammary ductogram or galactogram single (77053) | $1,492.65 | $2,487.75 | 5.8× |
| Meckels Divert Exam (78290) | $2,291.94 | $3,819.90 | 5.3× |
| Mra Head W/O & W/Contrast Material (70546) | $5,242.87 | $8,738.12 | 13.9× |
| MRA head w/o contrast (70544) | $3,616.72 | $6,027.87 | 14.0× |
| MRA head with contrast (70545) | $3,842.42 | $6,404.04 | 10.2× |
| MRA neck w contrast (70548) | $3,842.42 | $6,404.04 | 10.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,242.87 | $8,738.12 | 13.9× |
| MRA neck w/o contrast (70547) | $3,616.72 | $6,027.87 | 14.0× |
| MRI abdomen w contrast (74182) | $3,842.42 | $6,404.04 | 10.2× |
| MRI abdomen w/o contrast (74181) | $3,616.72 | $6,027.87 | 14.0× |
| MRI any jt lower extrem w/contrast material (73722) | $7,685.54 | $12,809.23 | 9.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,242.87 | $8,738.12 | 13.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,685.54 | $12,809.23 | 9.1× |
| MRI bone marrow blood supply (77084) | $3,051.44 | $5,085.73 | 11.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,498.32 | $5,830.54 | 13.6× |
| MRI cardiac w/o contrast (75557) | $3,511.12 | $5,851.86 | 13.6× |
| MRI cervical spine w contrast (72142) | $3,842.42 | $6,404.04 | 10.2× |
| MRI cervical spine w/o cont (72141) | $3,616.72 | $6,027.87 | 14.0× |
| MRI chest w/o contrast (71550) | $3,616.72 | $6,027.87 | 14.0× |
| MRI chest with contrast (71551) | $3,842.42 | $6,404.04 | 4.5× |
| MRI chest wo w contrast (71552) | $5,242.87 | $8,738.12 | 13.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $7,685.54 | $12,809.23 | 20.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $10,487.11 | $17,478.52 | 27.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $7,232.75 | $12,054.59 | 28.1× |
| MRI lumbar spine w contrast (72149) | $3,842.42 | $6,404.04 | 10.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,242.87 | $8,738.12 | 13.9× |
| MRI orbit face &/neck w/o contrast (70540) | $3,616.72 | $6,027.87 | 14.0× |
| MRI orbit face neck w contrast (70542) | $3,842.42 | $6,404.04 | 10.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,242.87 | $8,738.12 | 13.9× |
| MRI pelvis w contrast (72196) | $3,842.42 | $6,404.04 | 10.2× |
| MRI pelvis w/o & w contrast (72197) | $5,242.87 | $8,738.12 | 13.9× |
| MRI pelvis w/o contrast (72195) | $3,616.72 | $6,027.87 | 14.0× |
| MRI spectroscopy (76390) | $5,022.69 | $8,371.15 | 53.5× |
| MRI thoracic spine w/o contrast (72146) | $3,616.72 | $6,027.87 | 14.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $7,685.54 | $12,809.23 | 20.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $7,232.75 | $12,054.59 | 28.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $10,487.11 | $17,478.52 | 27.8× |
| MRI, abdomen, combo (74183) | $5,242.87 | $8,738.12 | 13.9× |
| MRI, dorsal spine combo (72157) | $5,242.87 | $8,738.12 | 13.9× |
| MRI, dorsal spine contrast (72147) | $3,842.42 | $6,404.04 | 10.2× |
| MRI, joint upper extrem (73221) | $7,232.75 | $12,054.59 | 28.1× |
| MRI, joint upper extrem combo (73223) | $10,487.11 | $17,478.52 | 27.8× |
| MRI, lumbar spine combo (72158) | $5,242.87 | $8,738.12 | 13.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $4,916.17 | $8,193.61 | 3.5× |
| Myocardial Spect Multiple Studies (78452) | $6,510.79 | $10,851.32 | 4.7× |
| Neck soft tissue (70360) | $642.31 | $1,070.51 | 6.8× |
| Nm csf leak detection (78650) | $2,129.33 | $3,548.89 | 1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $9,746.21 | $16,243.68 | 6.5× |
| Nuclear Rx Oral Admin (79005) | $2,531.02 | $4,218.36 | 10.0× |
| Ob us nuchal meas 1 gest (76813) | $469.35 | $782.25 | 4.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $1,107.80 | $1,846.33 | 9.8× |
| Optic foramina (70190) | $598.11 | $996.85 | 6.4× |
| Panoramic X-ray of jaws (70355) | $166.27 | $277.12 | 1.8× |
| Parathyroid Planar Imaging (78070) | $1,815.95 | $3,026.59 | 4.2× |
| Pelvis 1 or 2 views (72170) | $642.31 | $1,070.51 | 5.7× |
| Pet Image W/Ct Lmtd (78814) | $8,195.32 | $13,658.87 | 5.3× |
| PET image w/CT, full body (78816) | $8,195.32 | $13,658.87 | 5.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $8,800.92 | $14,668.20 | 5.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $17,426.74 | $29,044.56 | 5.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,165.20 | $3,608.67 | 5.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,091.02 | $1,818.36 | 9.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,492.65 | $2,487.75 | 2.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,282.35 | $2,137.25 | 13.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,282.35 | $2,137.25 | 13.6× |
| Radex elbow complete minimum 3 views (73080) | $1,282.35 | $2,137.25 | 13.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $642.31 | $1,070.51 | 5.7× |
| Radex fingr minimum 2 views (73140) | $642.31 | $1,070.51 | 6.8× |
| Radex foot complete minimum 3 views (73630) | $1,282.35 | $2,137.25 | 13.6× |
| Radex Hand Minimum 3 Views (73130) | $1,282.35 | $2,137.25 | 13.6× |
| Radex lower extremity infant minimum 2 views (73592) | $1,282.35 | $2,137.25 | 13.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $642.31 | $1,070.51 | 5.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $642.31 | $1,070.51 | 6.8× |
| Radex Ribs Unilateral 2 Views (71100) | $642.31 | $1,070.51 | 6.8× |
| Radex shoulder complete minimum 2 views (73030) | $1,282.35 | $2,137.25 | 13.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $598.11 | $996.85 | 6.4× |
| Radex Spine 1 View Specify Level (72020) | $642.31 | $1,070.51 | 6.8× |
| Radex Sternum Minimum 2 Views (71120) | $642.31 | $1,070.51 | 6.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $642.31 | $1,070.51 | 6.8× |
| Radex Toe Minimum 2 Views (73660) | $642.31 | $1,070.51 | 6.8× |
| Radex upper extremity infant minimum 2 views (73092) | $1,282.35 | $2,137.25 | 11.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,282.35 | $2,137.25 | 13.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,204.15 | $2,006.91 | 10.7× |
| Radiation treatment delivery level 1 (77402) | $1,028.99 | $1,714.99 | 9.3× |
| Radiation treatment delivery level 2 (77407) | $1,028.99 | $1,714.99 | 2.5× |
| Radiation treatment delivery level 3 (77412) | $1,548.95 | $2,581.59 | 2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $642.31 | $1,070.51 | 5.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $642.31 | $1,070.51 | 5.7× |
| Radiologic exam colon double contrast study (74280) | $2,017.28 | $3,362.14 | 10.7× |
| Radiologic exam colon single contrast study (74270) | $1,290.70 | $2,151.16 | 6.8× |
| Radiologic exam knee complete 4/more views (73564) | $1,282.35 | $2,137.25 | 11.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $642.31 | $1,070.51 | 5.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,290.70 | $2,151.16 | 6.8× |
| Radiologic exam swallow function contrast study (74230) | $1,290.70 | $2,151.16 | 6.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,290.70 | $2,151.16 | 6.8× |
| Radiologic examination femur 1 view (73551) | $602.08 | $1,003.46 | 6.4× |
| Radiologic examination femur minimum 2 views (73552) | $1,282.35 | $2,137.25 | 13.6× |
| Radiologic examination knee 1/2 views (73560) | $1,282.35 | $2,137.25 | 13.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,091.02 | $1,818.36 | 9.7× |
| Radiologic Examination Salivary Gland Calculus (70380) | $598.11 | $996.85 | 6.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,282.35 | $2,137.25 | 13.6× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $2,183.56 | $3,639.26 | 3.7× |
| Renal Cyst Study (74470) | $1,449.38 | $2,415.63 | 2.5× |
| Ribs bilateral 3 views (71110) | $642.31 | $1,070.51 | 5.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,516.89 | $4,194.82 | 5.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,516.89 | $4,194.82 | 5.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,091.13 | $11,818.55 | 12.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,702.88 | $4,504.80 | 4.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,516.89 | $4,194.82 | 4.3× |
| Rp Therapy Intravenous Administration (79101) | $2,356.85 | $3,928.09 | 9.4× |
| Scapula (73010) | $1,282.35 | $2,137.25 | 11.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $141.83 | $236.38 | 6.1× |
| Sella turcica (70240) | $642.31 | $1,070.51 | 6.8× |
| Shoulder 1 view (73020) | $642.31 | $1,070.51 | 6.8× |
| Shoulder Arthrography (73040) | $6,140.70 | $10,234.50 | 16.3× |
| Sialogram (70390) | $1,449.38 | $2,415.63 | 5.6× |
| Skull less than 4 views (70250) | $642.31 | $1,070.51 | 5.7× |
| Special dosimetry (77331) | $1,216.03 | $2,026.71 | 8.4× |
| Special teletherapy port plan (77321) | $2,761.77 | $4,602.95 | 6.8× |
| Special treatment procedure (77470) | $4,049.14 | $6,748.56 | 6.8× |
| Sternoclavicular joints (71130) | $642.31 | $1,070.51 | 6.8× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $1,028.99 | $1,714.99 | 9.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,761.77 | $4,602.95 | 6.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,431.41 | $4,052.35 | 6.0× |
| Testicular Imaging W/Flow (78761) | $2,289.37 | $3,815.61 | 5.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,761.77 | $4,602.95 | 6.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,761.77 | $4,602.95 | 6.8× |
| Ther rad simulaj-aided field setting simple (77280) | $1,216.03 | $2,026.71 | 8.4× |
| Thoracic spine 3 views (72072) | $642.31 | $1,070.51 | 5.7× |
| Thoracolumbar 2 views (72080) | $642.31 | $1,070.51 | 6.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,499.47 | $2,499.11 | 3.5× |
| Thyroid Met Imaging Body (78018) | $2,516.89 | $4,194.82 | 4.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,815.95 | $3,026.59 | 4.2× |
| Tx Devices Design & Construction Complex (77334) | $1,982.15 | $3,303.58 | 4.9× |
| Tx devices design & construction intermediate (77333) | $1,982.15 | $3,303.58 | 13.7× |
| Tx devices design & construction simple (77332) | $1,982.15 | $3,303.58 | 13.7× |
| Ultrasound Breast Limited (76642) | $605.32 | $1,008.86 | 6.4× |
| Ultrasound Exam Aaa Screen (76706) | $470.04 | $783.40 | 4.2× |
| Ultrasound, abdomen limited (76705) | $1,140.23 | $1,900.39 | 10.1× |
| Umbilical-artery Doppler (OB) (76820) | $1,150.59 | $1,917.65 | 10.2× |
| Unlisted Dx Radiographic Procedure (76499) | $1,168.46 | $1,947.43 | 12.4× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $2,386.07 | $3,976.79 | 5.5× |
| Upper gi w/o kub (74240) | $1,290.70 | $2,151.16 | 6.8× |
| Urethrocystogram voiding (74455) | $2,246.57 | $3,744.29 | 8.7× |
| Urethrocystography retrograde (74450) | $2,091.98 | $3,486.64 | 8.1× |
| Us breast unilateral complete (76641) | $605.32 | $1,008.86 | 5.4× |
| Us chest (76604) | $403.78 | $672.96 | 3.6× |
| Us exam, pelvic, limited (76857) | $712.99 | $1,188.32 | 6.3× |
| Us head (76506) | $663.93 | $1,106.55 | 5.9× |
| Us kidney transplant (76776) | $1,140.23 | $1,900.39 | 10.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $570.11 | $950.19 | 5.1× |
| Us ob detailed single fetus (76811) | $1,781.44 | $2,969.07 | 6.9× |
| Us ob limited 1 or more fetuses (76815) | $712.99 | $1,188.32 | 6.3× |
| Us ob transvaginal (76817) | $1,140.23 | $1,900.39 | 10.1× |
| Us pelvic non ob complete (76856) | $1,140.23 | $1,900.39 | 10.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,140.23 | $1,900.39 | 10.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $712.99 | $1,188.32 | 6.3× |
| Us retroperitoneal complete (76770) | $1,140.23 | $1,900.39 | 10.1× |
| Us retroperitoneal limited (76775) | $1,140.23 | $1,900.39 | 10.1× |
| Us scrotum and contents (76870) | $1,140.23 | $1,900.39 | 10.1× |
| Us thyroid (76536) | $1,140.23 | $1,900.39 | 10.1× |
| Us transrectal (76872) | $1,140.23 | $1,900.39 | 10.1× |
| Vascular Flow Imaging (78445) | $1,265.51 | $2,109.19 | 2.9× |
| Vein X-Ray Chest (75827) | $3,195.62 | $5,326.03 | 1.9× |
| Vein X-Ray Spleen/Liver (75810) | $7,120.82 | $11,868.03 | 2.1× |
| Venogram Sinus/Jugular (75860) | $2,387.80 | $3,979.66 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $7,424.57 | $12,374.28 | 2.2× |
| Venography extremity bilateral rs&i (75822) | $5,165.28 | $8,608.80 | 3.0× |
| Venography extremity unilateral rs&i (75820) | $5,165.28 | $8,608.80 | 3.0× |
| Venography Renal Bilateral (75833) | $7,424.57 | $12,374.28 | 2.2× |
| Venography Renal Unilateral (75831) | $7,424.57 | $12,374.28 | 2.2× |
| Wrist 2 views (73100) | $1,282.35 | $2,137.25 | 13.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $642.31 | $1,070.51 | 6.8× |
| X-ray antegrade pyelogram tube (74425) | $2,246.57 | $3,744.29 | 6.0× |
| X-Ray Aorta Leg Arteries (75630) | $7,502.01 | $12,503.35 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $1,091.02 | $1,818.36 | 9.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,282.35 | $2,137.25 | 13.6× |
| X-Ray Exam Breast Specimen (76098) | $642.31 | $1,070.51 | 1.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $602.08 | $1,003.46 | 6.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $602.08 | $1,003.46 | 5.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,204.15 | $2,006.91 | 10.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $642.31 | $1,070.51 | 6.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $602.08 | $1,003.46 | 6.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $902.73 | $1,504.55 | 8.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,021.93 | $1,703.21 | 9.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,021.93 | $1,703.21 | 9.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,044.62 | $3,407.70 | 18.1× |
| X-Ray Exam L-S Spine Bending (72114) | $1,091.02 | $1,818.36 | 9.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $642.31 | $1,070.51 | 6.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,073.56 | $1,789.26 | 9.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $642.31 | $1,070.51 | 5.7× |
| X-ray eye for foreign body (70030) | $642.31 | $1,070.51 | 6.8× |
| X-ray humerus (73060) | $1,282.35 | $2,137.25 | 13.6× |
| X-ray IV pyelogram (ivp) (74400) | $2,091.98 | $3,486.64 | 11.0× |
| X-ray IV pyelogram+tomography (74415) | $2,057.53 | $3,429.22 | 10.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $642.31 | $1,070.51 | 6.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $642.31 | $1,070.51 | 6.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $642.31 | $1,070.51 | 5.7× |
| X-ray nose-rectum child f.b. (76010) | $642.31 | $1,070.51 | 6.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,091.02 | $1,818.36 | 9.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $642.31 | $1,070.51 | 5.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $587.64 | $979.40 | 5.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $642.31 | $1,070.51 | 6.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $642.31 | $1,070.51 | 6.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,091.02 | $1,818.36 | 9.7× |
| X-Ray Tmj Unilat (70328) | $598.11 | $996.85 | 6.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,246.57 | $3,744.29 | 6.0× |
| X-Rays Bone Length Studies (77073) | $1,091.02 | $1,818.36 | 9.7× |
| X-Rays Bone Survey Complete (77075) | $1,091.02 | $1,818.36 | 9.7× |
| Xr c-spine 4 or 5 views (72050) | $1,091.02 | $1,818.36 | 9.7× |
| Xr facial bones less than 3 views (70140) | $642.31 | $1,070.51 | 6.8× |
| Xr orbits complete 4 views (70200) | $642.31 | $1,070.51 | 5.7× |