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All Services Radiology Services

CPT 71100

X-ray Ribs One Side, 2 Views

$1,117.00 Standard Charge

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CPT 75561

Cardiac MRI

$4,694.00 Standard Charge

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CPT 76604

Ultrasound of chest

$1,590.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$590.00 Standard Charge

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CPT 73630

X-ray exam of foot

$989.00 Standard Charge

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CPT 72190

X-ray pelvis, 3 or more views

$1,325.00 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$4,104.00 Standard Charge

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CPT 76642

Ultrasound of breast (single)

$170.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$5,010.00 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$1,039.00 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$4,304.00 Standard Charge

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CPT 70250

X-ray skull, less than 4 views

$1,057.00 Standard Charge

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CPT 77080

Scan to measure bone mineral density (BMD) at the spine and hip

$479.00 Standard Charge

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CPT 76870

Ultrasound, testical

$2,066.00 Standard Charge

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CPT 70551

MRI scan of brain (including brain stem); without contrast material

$4,236.00 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$1,955.00 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$1,629.00 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$913.00 Standard Charge

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CPT 77067

Mammogram Screening

$759.00 Standard Charge

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CPT 72156

MRI neck spine without & with contrast material

$4,480.00 Standard Charge

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CPT 77066

Mammography of both breasts

$1,000.00 Standard Charge

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CPT 74250

X-ray small bowel

$1,585.00 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$1,786.00 Standard Charge

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CPT 74160

CT scan of abdomen with contrast material

$3,525.00 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$776.00 Standard Charge

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CPT 72170

X-ray Pelvis, 2 Views

$827.00 Standard Charge

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CPT 73070

X-ray elbow, 2 views

$788.00 Standard Charge

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CPT 73720

MRI scan of leg with and without contrast

$4,142.00 Standard Charge

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CPT 77385

Radiation therapy delivery

$2,614.00 Standard Charge

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CPT 78306

A procedure most commonly ordered to detect areas of abnormal bone growth due to fractures, tumors, infection, or other bone issues

$3,597.00 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$833.00 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$943.00 Standard Charge

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CPT 74170

CT scan of abdomen without & with contrast material

$4,124.00 Standard Charge

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CPT 76000

Flouroscopy, or x-ray "movie" that takes less than an hour

$1,587.00 Standard Charge

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CPT 73701

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

$3,357.00 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$6,668.00 Standard Charge

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CPT 76706

Ultrasound, aortic aneurisum screening

$411.00 Standard Charge

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CPT 73020

X-ray shoulder, 1 view

$876.00 Standard Charge

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CPT 74018

X-ray abdomen, 1 view

$539.00 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$1,441.00 Standard Charge

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CPT 78815

Tumor imaging, positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation

$13,275.00 Standard Charge

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CPT 73721

MRI scan of leg joint

$3,310.00 Standard Charge

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CPT 70496

CTA scan of head

$5,041.00 Standard Charge

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CPT 76641

Ultrasound of breasts (both)

$340.00 Standard Charge

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CPT 73564

X-ray Knee, 4 or More Views

$1,120.00 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$3,125.00 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$3,248.00 Standard Charge

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CPT 70546

MRA scan of head with and without contrast

$5,182.00 Standard Charge

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CPT 74183

MRI of abdomen without & with contrast material

$4,885.00 Standard Charge

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CPT 73501

X-ray hip and pelvis, 1 view

$717.00 Standard Charge

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CPT 74174

CTA scan of abdomen

$4,473.00 Standard Charge

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CPT 72052

X-ray Lower Sacral Spine, 4 or More Views

$1,666.00 Standard Charge

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CPT 72141

MRI neck spine without contrast material

$4,104.00 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$1,115.00 Standard Charge

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CPT 73521

X-ray hip and pelvis, 2 views

$1,167.00 Standard Charge

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CPT 77386

Radiation therapy delivery

$2,751.00 Standard Charge

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CPT 73200

CT scan of shoulder, arm, or hand without contrast

$2,776.00 Standard Charge

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CPT 73620

X-ray Foot, 2 Views

$768.00 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$4,667.00 Standard Charge

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CPT 71045

X-ray of chest; Single View

$830.00 Standard Charge

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CPT 74240

X-ray upper GI tract

$1,115.00 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$790.00 Standard Charge

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CPT 73565

X-ray Both Knees

$894.00 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$4,213.00 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$217.00 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$996.00 Standard Charge

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CPT 73120

X-ray Hand, 2 Views

$969.00 Standard Charge

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CPT 70487

CT scan of face with contrast

$2,862.00 Standard Charge

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CPT 77412

Radiation treatment delivery

$2,440.00 Standard Charge

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CPT 74220

X-ray esophagus (esophogram)

$1,198.00 Standard Charge

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CPT 73700

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

$2,989.00 Standard Charge

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CPT 72157

MRI scan of thoracic spine with and without contrast

$4,480.00 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$972.00 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$663.00 Standard Charge

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CPT 72128

CT scan of thoracic spine without contrast

$3,000.00 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$3,000.00 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$2,499.00 Standard Charge

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CPT 77063

3D Mammogram Screening (Tomosynthesis)

$88.00 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$2,105.00 Standard Charge

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CPT 72158

MRI lumbar spine without & with contrast material

$4,480.00 Standard Charge

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CPT 76805

Abdominal ultrasound of pregnant uterus, first trimester

$1,832.00 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$1,020.00 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$5,066.00 Standard Charge

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CPT 72146

MRI chest spine without contrast material

$4,104.00 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$2,334.00 Standard Charge

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CPT 76942

Ultrasound guidance for biopsy

$2,322.00 Standard Charge

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CPT 70498

CTA scan of neck

$5,041.00 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$3,158.00 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$2,645.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

$3,248.00 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$2,162.00 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$1,012.00 Standard Charge

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CPT 74230

X-ray, swallowing function study

$1,044.00 Standard Charge

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CPT 70543

MRI scan of orbits, face, or soft tissue of the neck with and without contrast

$5,307.00 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$2,584.00 Standard Charge

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CPT 73100

X-ray Wrist, 3 Views

$827.00 Standard Charge

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CPT 70491

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

$3,224.00 Standard Charge

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CPT 73560

X-ray Knee, 1-2 Views

$795.00 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$913.00 Standard Charge

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CPT 70544

Magnetic resonance angiography, head; without contrast material(s)

$4,319.00 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$996.00 Standard Charge

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CPT 72197

MRI scan of pelvis with and without contrast

$4,885.00 Standard Charge

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CPT 72070

X-ray thoracic spine, 2 views

$1,020.00 Standard Charge

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CPT 73221

MRI of upper extremity joint; without contrast material

$3,119.00 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$2,989.00 Standard Charge

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