Imaging prices at Adams Memorial Hospital
Decatur, IN · every code in this section with a posted price and a Medicare benchmark.
191 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $278 | $278 | 3.0× |
| Abdomen 2 views (74019) | $328 | $328 | 3.0× |
| Angiography extremity unilateral rs&i (75710) | $440 | $440 | 0.1× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$32–$334 | $32–$334 | varies |
| Bone age studies (77072) | $226 | $226 | 2.0× |
| Bone Imaging 3 Phase (78315) | $1,273 | $1,273 | 3.0× |
| Bone Imaging Limited Area (78300) | $853 | $853 | 2.0× |
| Bone Imaging Whole Body (78306) | $1,106 | $1,106 | 2.6× |
| Bone survey infant (77076) | $637 | $637 | 5.8× |
| Chest 1 view (71045) | $264 | $264 | 2.9× |
| Chest 2 views (71046) | $285 | $285 | 3.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$87–$459 | $87–$459 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $473 | $473 | 4.3× |
| Contrast X-Ray Bladder (74430) | $439 | $439 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $3,332 | $3,332 | 9.0× |
| CT abdomen and pelvis without contrast (74176) | $1,903 | $1,903 | 7.5× |
| CT abdomen w contrast (74160) | $1,598 | $1,598 | 8.6× |
| CT abdomen w wo contrast (74170) | $1,801 | $1,801 | 9.7× |
| CT abdomen w/o contrast (74150) | $1,394 | $1,394 | 12.6× |
| CT Angio Abdomen and Pelvis (74174) | $3,715 | $3,715 | 10.1× |
| CT Angio Chest (71275) | $2,206 | $2,206 | 11.9× |
| CT Angio Head (70496) | $1,801 | $1,801 | 9.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,630 | $2,630 | 14.2× |
| CT Angio Neck (70498) | $1,801 | $1,801 | 9.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,637 | $1,637 | 8.8× |
| CT cervical spine w/o contrast (72125) | $1,394 | $1,394 | 12.6× |
| CT chest w contrast (71260) | $1,946 | $1,946 | 10.5× |
| CT chest w/wo contrast (71270) | $2,226 | $2,226 | 12.0× |
| CT head/brain with contrast (70460) | $1,465 | $1,465 | 7.9× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,503–$1,801 | $1,503–$1,801 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $50 | $50 | 0.5× |
| CT iac w contrast (70481) | $1,453 | $1,453 | 7.8× |
| CT l-spine w&w/o contrast (72133) | $1,577 | $1,577 | 8.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,342–$2,013 | $1,342–$2,013 | varies |
| CT lower extremity w/contrast material (73701) | $1,539 | $1,539 | 8.3× |
| CT lumbar spine w/o contrast (72131) | $1,394 | $1,394 | 12.6× |
| CT maxillofacial w contrast (70487) | $1,598 | $1,598 | 8.6× |
| CT maxillofacial wo contrast (70486) | $1,394 | $1,394 | 12.6× |
| CT neck tissue combo (70492) | $1,653 | $1,653 | 8.9× |
| CT orbits w/o contrast (70480) | $1,394 | $1,394 | 12.6× |
| CT pelvis w/o contrast (72192) | $1,394 | $1,394 | 12.6× |
| CT scan of leg combo (73702) | $1,750 | $1,750 | 9.4× |
| CT soft tissue neck w contrast (70491) | $1,598 | $1,598 | 8.6× |
| CT soft tissue neck w/o contrast (70490) | $1,394 | $1,394 | 12.6× |
| CT thoracic spine w contrast (72129) | $1,465 | $1,465 | 7.9× |
| CT thoracic spine w/o contrast (72128) | $1,394 | $1,394 | 12.6× |
| CT thorax w/o contrast (71250) | $1,730 | $1,730 | 15.6× |
| CT upper ext wo (73200) | $1,394 | $1,394 | 12.6× |
| CT upper extremity with contrast (73201) | $1,598 | $1,598 | 4.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,801 | $1,801 | 9.7× |
| Cta Abdomen (74175) | $1,598 | $1,598 | 8.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,274 | $3,274 | 8.9× |
| Dxa Bone Density Axial (77080) | $307 | $307 | 2.8× |
| Esophagram (74220) | $838 | $838 | 4.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $417 | $417 | 3.8× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$65–$554 | $65–$554 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$33–$417 | $33–$417 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$71–$278 | $71–$278 | varies |
| Gastric emptying imaging study (78264) | $1,207 | $1,207 | 2.9× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$32–$438 | $32–$438 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,630 | $1,630 | 2.8× |
| Hepatobiliary System Imaging (78226) | $1,197 | $1,197 | 2.8× |
| Hysterosalpingogram (74740) | $891 | $891 | 3.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $822 | $822 | 8.9× |
| K Flow/Funct Image W/Drug (78708) | $952 | $952 | 1.7× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$75–$597 | $75–$597 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $1,287 | $1,287 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,445 | $1,445 | 2.5× |
| Lymph System Imaging (78195) | $453 | $453 | 0.8× |
| MRA head w/o contrast (70544) | $2,245 | $2,245 | 8.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,154 | $3,154 | 8.5× |
| MRA neck w/o contrast (70547) | $2,448 | $2,448 | 9.7× |
| MRI abdomen w/o contrast (74181) | $2,202 | $2,202 | 8.7× |
| MRI any jt lower extrem w/contrast material (73722) | $2,401 | $2,401 | 2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,789 | $2,789 | 7.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,620 | $2,620 | 3.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $201.09 | $201.09 | 0.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $194.89 | $194.89 | 0.8× |
| MRI cervical spine w contrast (72142) | $2,098 | $2,098 | 5.7× |
| MRI cervical spine w/o cont (72141) | $2,311 | $2,311 | 9.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,679 | $2,679 | 7.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,225 | $2,225 | 8.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,719 | $2,719 | 7.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,719 | $2,719 | 7.4× |
| MRI pelvis w/o & w contrast (72197) | $3,180 | $3,180 | 8.6× |
| MRI pelvis w/o contrast (72195) | $2,202 | $2,202 | 8.7× |
| MRI thoracic spine w/o contrast (72146) | $2,079 | $2,079 | 8.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,414 | $2,414 | 9.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,554–$4,914 | $2,554–$4,914 | varies |
| MRI, abdomen, combo (74183) | $3,243 | $3,243 | 8.8× |
| MRI, dorsal spine combo (72157) | $2,719 | $2,719 | 7.4× |
| MRI, joint upper extrem (73221) | $2,226 | $2,226 | 8.8× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,532–$2,777 | $2,532–$2,777 | varies |
| MRI, lumbar spine combo (72158) | $2,719 | $2,719 | 7.4× |
| Myocardial Spect Multiple Studies (78452) | $4,379 | $4,379 | 3.2× |
| Neck soft tissue (70360) | $288 | $288 | 3.1× |
| Nonvascular Shunt X-Ray (75809) | $109 | $109 | 1.0× |
| Ob us nuchal meas 1 gest (76813) | $328 | $328 | 3.0× |
| Parathyroid Planar Imaging (78070) | $1,054 | $1,054 | 2.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,111 | $1,111 | 2.6× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$38–$278 | $38–$278 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,176 | $1,176 | 2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $438 | $438 | 4.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$69–$540 | $69–$540 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$34–$417 | $34–$417 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$81–$301 | $81–$301 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $426 | $426 | 3.9× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$22–$533 | $22–$533 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$68–$500 | $68–$500 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$74–$531 | $74–$531 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$245–$465 | $245–$465 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $342 | $342 | 3.7× |
| Radex Ribs Unilateral 2 Views (71100) | $328 | $328 | 3.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$44–$479 | $44–$479 | varies |
| Radex Spine 1 View Specify Level (72020) | $272 | $272 | 3.0× |
| Radex Sternum Minimum 2 Views (71120) | $295 | $295 | 3.2× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$30–$288 | $30–$288 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$245–$465 | $245–$465 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$75–$612 | $75–$612 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $388 | $388 | 3.5× |
| Radiologic exam colon single contrast study (74270) | $1,171 | $1,171 | 6.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$42–$672 | $42–$672 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$50–$363 | $50–$363 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,014 | $1,014 | 5.5× |
| Radiologic exam swallow function contrast study (74230) | $1,008 | $1,008 | 5.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,295 | $1,295 | 7.0× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$39–$506 | $39–$506 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$61–$548 | $61–$548 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$65–$452 | $65–$452 | varies |
| Ribs bilateral 3 views (71110) | $394 | $394 | 3.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,824 | $1,824 | 3.2× |
| Scapula (73010) range across 2 matching MRF lines |
$43–$306 | $43–$306 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$47.91–$296 | $47.91–$296 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$38–$459 | $38–$459 | varies |
| Skull less than 4 views (70250) | $342 | $342 | 3.1× |
| Sternoclavicular joints (71130) | $329 | $329 | 3.6× |
| Thoracic spine 2 views (72070) | $288 | $288 | 2.6× |
| Thoracic spine 3 views (72072) | $360 | $360 | 3.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $882 | $882 | 2.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$76.76–$770 | $76.76–$770 | varies |
| Ultrasound Elastography Parenchyma (76981) | $438 | $438 | 4.0× |
| Ultrasound Exam Aaa Screen (76706) | $704 | $704 | 6.4× |
| Ultrasound, abdomen limited (76705) | $589 | $589 | 5.3× |
| Umbilical-artery Doppler (OB) (76820) | $104 | $104 | 0.9× |
| Upper gi w/o kub (74240) | $1,115 | $1,115 | 6.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$92.39–$908 | $92.39–$908 | varies |
| Us chest (76604) | $366 | $366 | 3.3× |
| Us complete joint (76881) | $376 | $376 | 3.4× |
| Us exam, pelvic, limited (76857) | $374 | $374 | 3.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$87–$561 | $87–$561 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$180.78–$393 | $180.78–$393 | varies |
| Us ob limited 1 or more fetuses (76815) | $433 | $433 | 3.9× |
| Us ob transvaginal (76817) | $562 | $562 | 5.1× |
| Us pelvic non ob complete (76856) | $721 | $721 | 6.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $670 | $670 | 6.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $620 | $620 | 5.6× |
| Us retroperitoneal complete (76770) | $727 | $727 | 6.6× |
| Us retroperitoneal limited (76775) | $374 | $374 | 3.4× |
| Us scrotum and contents (76870) | $699 | $699 | 6.3× |
| Us spinal canal and contents (76800) | $655 | $655 | 5.9× |
| Us thyroid (76536) | $840 | $840 | 7.6× |
| Us transrectal (76872) range across 3 matching MRF lines |
$97–$462 | $97–$462 | varies |
| Vein X-Ray Chest (75827) | $305 | $305 | 0.2× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$61–$492 | $61–$492 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$43–$237 | $43–$237 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$24–$278 | $24–$278 | varies |
| X-Ray Exam Breast Specimen (76098) | $565 | $565 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $330 | $330 | 3.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $637 | $637 | 5.8× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$39.16–$292 | $39.16–$292 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$42–$414 | $42–$414 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$44–$384 | $44–$384 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$51–$499 | $51–$499 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $605 | $605 | 5.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $363 | $363 | 3.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $608 | $608 | 5.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $373 | $373 | 3.4× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$84–$508 | $84–$508 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$38–$337 | $38–$337 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $366 | $366 | 3.3× |
| X-ray nose-rectum child f.b. (76010) | $226 | $226 | 2.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $473 | $473 | 4.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $360 | $360 | 3.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $301 | $301 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $317 | $317 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $384 | $384 | 3.5× |
| X-Ray Stress View (77071) | $103.20 | $103.20 | 1.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $140 | $140 | 0.4× |
| X-Rays Bone Survey Complete (77075) | $777 | $777 | 7.0× |
| Xr c-spine 4 or 5 views (72050) | $504 | $504 | 4.6× |
| Xr facial bones less than 3 views (70140) | $219 | $219 | 2.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.