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All Services Radiology Services

CPT 74018

X-ray abdomen, 1 view

$441.00 Standard Charge

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CPT 73110

X-ray Wrist, 3+ Views

$452.00 Standard Charge

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CPT 70496

CTA scan of head

$4,429.00 Standard Charge

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CPT 72072

X-ray thoracic spine, 3 views

$572.00 Standard Charge

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CPT 77066

Mammography of both breasts

$521.00 Standard Charge

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CPT 73502

X-ray Hip and Pelvis, 2 Views

$460.00 Standard Charge

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CPT 76641

Ultrasound of breasts (both)

$584.00 Standard Charge

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CPT 76882

Ultrasound, shoulder joint/soft tissue

$744.00 Standard Charge

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CPT 76870

Ultrasound, testical

$625.00 Standard Charge

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CPT 70220

X-ray sinuses, 3 views

$625.00 Standard Charge

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CPT 73130

X-ray Hand, 3 Views

$45.00 Standard Charge

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CPT 72141

MRI neck spine without contrast material

$3,706.00 Standard Charge

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CPT 76856

Ultrasound, pelvic, complete

$262.00 Standard Charge

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CPT 70450

CT scan, head or brain, without contrast

$2,518.00 Standard Charge

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CPT 72110

X-ray, lower back, minimum four views

$625.00 Standard Charge

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CPT 74176

CT scan of abdomen & pelvis without contrast material

$5,056.00 Standard Charge

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CPT 73660

X-ray toes, 2 or more views

$449.00 Standard Charge

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CPT 72148

MRI lumbar spine without contrast material

$3,640.00 Standard Charge

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CPT 72128

CT scan of thoracic spine without contrast

$2,415.00 Standard Charge

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CPT 74183

MRI of abdomen without & with contrast material

$4,190.00 Standard Charge

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CPT 70553

MRI scan of brain before and after contrast

$4,375.00 Standard Charge

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CPT 70486

CT scan, maxillofacial area; without contrast material

$2,273.00 Standard Charge

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CPT 76705

Ultrasound of abdomen, limited

$482.00 Standard Charge

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CPT 76830

Ultrasound, transvaginal

$251.00 Standard Charge

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CPT 73562

X-ray exam of knee, 3 views

$548.00 Standard Charge

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CPT 71260

CT Scan of thorax, with contrast material

$2,690.00 Standard Charge

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CPT 76770

Ultrasound exam of abdomenal back wall, complete

$831.00 Standard Charge

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CPT 73221

MRI of upper extremity joint; without contrast material

$4,546.00 Standard Charge

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CPT 72170

X-ray Pelvis, 1-2 Views

$465.00 Standard Charge

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CPT 71045

X-ray of chest; Single View

$360.00 Standard Charge

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CPT 74019

X-ray abdomen, 2 views

$501.00 Standard Charge

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CPT 71046

X-ray of chest; 2 Views

$465.00 Standard Charge

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CPT 72100

X-ray Lower Sacral Spine, 2 or 3 views

$633.00 Standard Charge

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CPT 76536

Ultrasound exam of head and neck

$809.00 Standard Charge

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CPT 73590

X-ray Lower Leg, 2 Views

$463.00 Standard Charge

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CPT 73200

CT scan of shoulder, arm, or hand without contrast

$126.00 Standard Charge

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CPT 71275

CT Angiogram Chest with and without Contrast

$4,429.00 Standard Charge

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CPT 71250

CT Scan of thorax, without contrast material

$2,415.00 Standard Charge

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CPT 72082

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

$591.00 Standard Charge

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CPT 77065

Diagnostic mammography, unilateral

$326.00 Standard Charge

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CPT 72146

MRI chest spine without contrast material

$3,347.00 Standard Charge

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CPT 72220

X-ray sacrum and coccyx, 2 or more views

$465.00 Standard Charge

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CPT 74150

CT of abdomen without dye

$2,643.00 Standard Charge

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CPT 73140

X-ray Fingers, 2 Views

$449.00 Standard Charge

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CPT 71100

X-ray Ribs One Side, 2 Views

$572.00 Standard Charge

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CPT 78452

Image of the heart to assess perfusion

$3,341.00 Standard Charge

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CPT 73000

X-ray clavicle, 1 view

$465.00 Standard Charge

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CPT 70150

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

$238.00 Standard Charge

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CPT 77067

Mammogram Screening

$326.00 Standard Charge

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CPT 72052

X-ray Lower Sacral Spine, 4 or More Views

$718.00 Standard Charge

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CPT 73090

X-ray Upper Arm, 2 Views

$414.00 Standard Charge

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CPT 70260

X-ray of skull, complete, minimum of 4 views

$633.00 Standard Charge

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CPT 70498

CTA scan of neck

$4,429.00 Standard Charge

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CPT 73522

X-ray Both Hips and Pelvis, 3-4 Views

$810.00 Standard Charge

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CPT 74178

CT scan of abdomen & pelvis with and without contrast material

$6,376.00 Standard Charge

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CPT 73610

X-ray Ankle, 3 Views

$486.00 Standard Charge

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CPT 73030

X-ray Shoulder, 2 Views

$286.00 Standard Charge

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CPT 73552

X-ray Femur, 2 Views

$529.00 Standard Charge

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CPT 76700

Ultrasound of abdomen, complete

$1,197.00 Standard Charge

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CPT 74177

CT scan of abdomen & pelvis with contrast material

$5,919.00 Standard Charge

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CPT 70491

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

$2,571.00 Standard Charge

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CPT 73630

X-ray exam of foot

$480.00 Standard Charge

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CPT 73010

X-ray scapula, 1 view

$465.00 Standard Charge

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CPT 72192

CT scan of pelvis without contrast

$2,488.00 Standard Charge

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CPT 73650

X-ray Heel, 2 Views

$443.00 Standard Charge

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CPT 73080

X-ray Elbow, 3 Views

$465.00 Standard Charge

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CPT 73700

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

$1,966.00 Standard Charge

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CPT 70160

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

$502.00 Standard Charge

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CPT 72040

X-ray Lower Sacral Spine, 2-3 Views

$555.00 Standard Charge

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CPT 73718

MRI scan of leg without contrast

$3,514.00 Standard Charge

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CPT 73721

MRI scan of leg joint

$4,546.00 Standard Charge

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CPT 72125

CT scan of cervical spine without contrast

$2,415.00 Standard Charge

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CPT 70551

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

$3,456.00 Standard Charge

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CPT 72131

CT scan of lumbar spine without contrast

$2,663.00 Standard Charge

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CPT 72158

MRI lumbar spine without & with contrast material

$4,325.00 Standard Charge

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CPT 77063

3D Mammogram Screening (Tomosynthesis)

$42.00 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

$1,163.00 Standard Charge

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CPT 73060

X-ray humerus, 1 view

$465.00 Standard Charge

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CPT 72193

CT scan, pelvis, with contrast

N/A

CPT 76805

Abdominal ultrasound of pregnant uterus (≥14 weeks 0 days) single or first fetus

N/A