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All Services Radiology Services

CPT 70450

CT scan, head or brain, without contrast

$1,569.00 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$369.00 Standard Charge

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CPT 76642

Ultrasound of breast (single)

$139.00 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$38.00 Standard Charge

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CPT 73010

X-ray scapula, 1 view

$369.00 Standard Charge

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CPT 76816

Ultrasound, pregnancy, transabdominal (pelvis)

$178.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$1,652.00 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$138.00 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$431.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$369.00 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$369.00 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$369.00 Standard Charge

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CPT 73120

X-ray Hand, 2 Views

$369.00 Standard Charge

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CPT 76641

Ultrasound of breasts (both)

$150.00 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$352.00 Standard Charge

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CPT 73521

X-ray hip and pelvis, 2 views

$381.00 Standard Charge

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CPT 73565

X-ray Both Knees

$321.00 Standard Charge

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CPT 70490

CT scan of neck without contrast

$1,218.00 Standard Charge

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CPT 72220

X-ray sacrum and coccyx, 2 or more views

$369.00 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$48.00 Standard Charge

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CPT 73200

CT scan of shoulder, arm, or hand without contrast

$1,218.00 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$369.00 Standard Charge

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CPT 73050

X-ray shoulder (AC joint)

$381.00 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$369.00 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$369.00 Standard Charge

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CPT 70160

X-ray of bones of nose, minimum of 3 views

$369.00 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$38.00 Standard Charge

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CPT 74150

CT of abdomen without dye

$240.00 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$32.00 Standard Charge

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CPT 76811

Ultrasound of single fetus

$396.00 Standard Charge

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CPT 70360

X-ray of neck soft tissue

$369.00 Standard Charge

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CPT 71111

X-ray of Both Sides of Ribs, Including Chest, Minimum of 4 Views

$581.00 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$581.00 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$163.00 Standard Charge

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CPT 76604

Ultrasound of chest

$112.00 Standard Charge

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CPT 72052

X-ray Lower Sacral Spine, 4 or More Views

$581.00 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$1,218.00 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$369.00 Standard Charge

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CPT 70140

X-ray facial bones, 1-2 views

$369.00 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$141.00 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$1,218.00 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$48.00 Standard Charge

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CPT 73650

X-ray Heel, 2 Views

$34.00 Standard Charge

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CPT 71100

X-ray Ribs One Side, 2 Views

$433.00 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$369.00 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$912.00 Standard Charge

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CPT 77067

Mammogram Screening

$390.00 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$406.00 Standard Charge

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CPT 76881

Ultrasound Veins of Both Arms or Legs

$130.00 Standard Charge

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CPT 76870

Ultrasound, testical

$129.00 Standard Charge

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CPT 73701

CT scan of hip, knee, ankle, or foot with contrast

$235.00 Standard Charge

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CPT 72128

CT scan of thoracic spine without contrast

$1,218.00 Standard Charge

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CPT 73700

CT scan of hip, knee, ankle, or foot without contrast

$203.00 Standard Charge

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CPT 72050

X-ray cervical spine, 4 or more views

$581.00 Standard Charge

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CPT 76775

Ultrasound of back wall of the abdomen with limited areas viewed

$116.00 Standard Charge

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CPT 71045

X-ray of chest; Single View

$369.00 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$369.00 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$381.00 Standard Charge

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CPT 74160

CT scan of abdomen with contrast material

$259.00 Standard Charge

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CPT 76801

Ultrasound, pregnancy, 1st trimester

$205.00 Standard Charge

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CPT 76857

Ultrasound of pelvis

$97.00 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$204.00 Standard Charge

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CPT 73600

X-ray Ankle, 2 Views

$36.00 Standard Charge

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CPT 70496

CTA scan of head

$375.00 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$119.00 Standard Charge

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CPT 70100

X-ray jaw, less than 4 views

$369.00 Standard Charge

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CPT 72082

X-ray entire spine (scoliosis evaluation), 2 views

$581.00 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$369.00 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$369.00 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$44.00 Standard Charge

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CPT 73201

CT scan of shoulder, arm, or hand with contrast

$2,686.00 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$114.00 Standard Charge

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CPT 73630

X-ray exam of foot

$36.00 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$369.00 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$150.00 Standard Charge

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CPT 72114

X-ray complete lumbar spine (with bending), 6 or more views

$675.00 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$51.00 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$1,218.00 Standard Charge

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CPT 70491

CT scan, soft tissue neck; with contrast material(s)

$1,652.00 Standard Charge

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CPT 71120

X-ray chest (sternum), 2 or more views

$377.00 Standard Charge

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CPT 74174

CTA scan of abdomen

$2,686.00 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$369.00 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$369.00 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$785.00 Standard Charge

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CPT 72080

X-ray thoracic-lumbar spine, 2 views

$338.00 Standard Charge

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CPT 72133

CT scan of lumbar spine with and without contrast

$1,966.00 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$369.00 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$795.00 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$1,218.00 Standard Charge

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CPT 70470

CT scan of head without contrast

$2,950.00 Standard Charge

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CPT 71101

X-ray ribs, unilateral, 3 or more views

$581.00 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$28.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

N/A

CPT 72148

MRI scan of lower spinal canal

N/A

CPT 73721

MRI scan of leg joint

N/A

CPT 77065

Mammography of one breast

N/A

CPT 77066

Mammography of both breasts

N/A