| CT scan of abdomen and pelvis, with contrast dye
CPT 74177
HC CT ABDOMEN PELVIS W CONTRAST |
$1,274.65 |
$2,405.00 |
47% |
| CT scan of the head or brain, no contrast dye
CPT 70450
HC CT HEAD WO CONTRAST |
$841.64 |
$1,588.00 |
47% |
| CT scan of the pelvis, with contrast dye
CPT 72193
HC CT PELVIS W CONTRAST |
$867.61 |
$1,637.00 |
47% |
| CT scan of the pelvis, with contrast dye
CPT 72193
HC CT PELVIS W CONTRAST |
$867.61 |
$1,637.00 |
47% |
| CT scan of the pelvis, with contrast dye inpatient
CPT 72193
HC CT PELVIS W CONTRAST |
$867.61 |
$1,637.00 |
47% |
| Diagnostic mammogram, both breasts both sides
CPT 77066
HC DX MAMMO INCL CAD BI |
$381.60 |
$720.00 |
47% |
| Diagnostic mammogram, both breasts both sides
CPT 77066
HC DX MAMMO INCL CAD BI |
$381.60 |
$720.00 |
47% |
| Diagnostic mammogram, both breasts inpatient both sides
CPT 77066
HC DX MAMMO INCL CAD BI |
$381.60 |
$720.00 |
47% |
| Diagnostic mammogram, one breast
CPT 77065
HC DX MAMMO INCL CAD UNI |
$271.89 |
$513.00 |
47% |
| Diagnostic mammogram, one breast
CPT 77065
HC DX MAMMO INCL CAD UNI |
$271.89 |
$513.00 |
47% |
| Diagnostic mammogram, one breast inpatient
CPT 77065
HC DX MAMMO INCL CAD UNI |
$271.89 |
$513.00 |
47% |
| MRI of knee or other lower-limb joint, no contrast dye
CPT 73721
HC MRI JOINT LOWER EXTREMITY WO CONTRAST |
$1,355.21 |
$2,557.00 |
47% |
| MRI of knee or other lower-limb joint, no contrast dye
CPT 73721
HC MRI JOINT LOWER EXTREMITY WO CONTRAST |
$1,355.21 |
$2,557.00 |
47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient
CPT 73721
HC MRI JOINT LOWER EXTREMITY WO CONTRAST |
$1,355.21 |
$2,557.00 |
47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye
CPT 73723
HC MRI JOINT LOWER EXTREMITY W/WO CONTRAST |
$1,426.76 |
$2,692.00 |
47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye
CPT 73723
HC MRI JOINT LOWER EXTREMITY W/WO CONTRAST |
$1,426.76 |
$2,692.00 |
47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient
CPT 73723
HC MRI JOINT LOWER EXTREMITY W/WO CONTRAST |
$1,426.76 |
$2,692.00 |
47% |
| MRI of the brain, no contrast dye
CPT 70551
HC MRI BRAIN WO CONTRAST |
$1,337.19 |
$2,523.00 |
47% |
| MRI of the brain, no contrast dye
CPT 70551
HC MRI BRAIN WO CONTRAST |
$1,337.19 |
$2,523.00 |
47% |
| MRI of the brain, no contrast dye inpatient
CPT 70551
HC MRI BRAIN WO CONTRAST |
$1,337.19 |
$2,523.00 |
47% |
| MRI of the brain, with and without contrast dye
CPT 70553
HC MRI BRAIN W/WO CONTRAST |
$1,426.76 |
$2,692.00 |
47% |
| MRI of the brain, with and without contrast dye
CPT 70553
HC MRI BRAIN W/WO CONTRAST |
$1,426.76 |
$2,692.00 |
47% |
| MRI of the brain, with and without contrast dye inpatient
CPT 70553
HC MRI BRAIN W/WO CONTRAST |
$1,426.76 |
$2,692.00 |
47% |
| MRI of the lower back, no contrast dye
CPT 72148
HC MRI LUMBAR SPINE WO CONTRAST |
$1,341.96 |
$2,532.00 |
47% |
| MRI of the lower back, no contrast dye
CPT 72148
HC MRI LUMBAR SPINE WO CONTRAST |
$1,341.96 |
$2,532.00 |
47% |
| MRI of the lower back, no contrast dye inpatient
CPT 72148
HC MRI LUMBAR SPINE WO CONTRAST |
$1,341.96 |
$2,532.00 |
47% |
| Pregnancy ultrasound after 14 weeks, one baby
CPT 76805
HC US OB 14 WKS / > SINGLE FETUS |
$367.29 |
$693.00 |
47% |
| Pregnancy ultrasound after 14 weeks, one baby
CPT 76805
HC US OB 14 WKS / > SINGLE FETUS |
$367.29 |
$693.00 |
47% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient
CPT 76805
HC US OB 14 WKS / > SINGLE FETUS |
$367.29 |
$693.00 |
47% |
| Screening mammogram, both breasts both sides
CPT 77067
HC SCREEN MAMMO BI INCL CAD |
$259.17 |
$489.00 |
47% |
| Screening mammogram, both breasts both sides
CPT 77067
HC SCREEN MAMMO BI INCL CAD |
$259.17 |
$489.00 |
47% |
| Screening mammogram, both breasts inpatient both sides
CPT 77067
HC SCREEN MAMMO BI INCL CAD |
$259.17 |
$489.00 |
47% |
| Transvaginal pelvic ultrasound
CPT 76830
HC US NON-OB TRANSVAGINAL |
$469.58 |
$886.00 |
47% |
| Transvaginal pelvic ultrasound
CPT 76830
HC US NON-OB TRANSVAGINAL |
$469.58 |
$886.00 |
47% |
| Transvaginal pelvic ultrasound inpatient
CPT 76830
HC US NON-OB TRANSVAGINAL |
$469.58 |
$886.00 |
47% |
| Ultrasound of the abdomen, complete
CPT 76700
HC US ABDOMINAL COMPLETE |
$415.52 |
$784.00 |
47% |
| Ultrasound of the abdomen, complete
CPT 76700
HC US ABDOMINAL COMPLETE |
$415.52 |
$784.00 |
47% |
| Ultrasound of the abdomen, complete inpatient
CPT 76700
HC US ABDOMINAL COMPLETE |
$415.52 |
$784.00 |
47% |
| X-ray of the lower back, 4 or more views
CPT 72110
HC X-RAY EXAM L-2 SPINE 4/>VWS |
$163.24 |
$308.00 |
47% |
| X-ray of the lower back, 4 or more views
CPT 72110
HC X-RAY EXAM L-2 SPINE 4/>VWS |
$163.24 |
$308.00 |
47% |
| X-ray of the lower back, 4 or more views inpatient
CPT 72110
HC X-RAY EXAM L-2 SPINE 4/>VWS |
$163.24 |
$308.00 |
47% |