Imaging prices at AdventHealth Manchester

Manchester, KY · every code in this section with a posted price and a Medicare benchmark.

223 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $545.11 $545.11 5.6×
Ankle 2 views (73600) $561.61 $561.61 6.9×
Arthrogram shoulder (73040) $1,550.58 $1,550.58 4.7×
Bone &/Joint Imaging Limited Area (78300) $2,679.44 $2,679.44 7.1×
Bone &/joint imaging whole body (78306) $2,350.73 $2,350.73 6.3×
Bone age studies (77072) $803.80 $803.80 8.2×
Bone Imaging 3 Phase (78315) $2,610.21 $2,610.21 7.0×
Bone survey complete (77075) $803.80 $803.80 8.2×
Brachytx isodose complex (77318) $2,599.35 $2,599.35 7.4×
Brachytx isodose intermed (77317) $4,380.20 $4,380.20 12.5×
Brachytx isodose pln smpl w/dosimetry cal (77316) $4,163.04 $4,163.04 11.8×
Cervical spine 2 or 3 views (72040) $662.11 $662.11 8.1×
Chest 1 view (71045) $446.66 $446.66 5.5×
Chest 3 views (71047) $696.45 $696.45 8.5×
Clavicle complete (73000) $360.70 $360.70 4.4×
Complete single session course of cranial lesion surgery using radiation (77371) $98,343.21 $98,343.21 14.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,150.32 $1,150.32 11.7×
CT abdomen and pelvis without and with contrast (74178) $5,531.68 $5,531.68 16.9×
CT abdomen and pelvis without contrast (74176) $8,907.77 $8,907.77 39.8×
CT abdomen w contrast (74160) $4,884.31 $4,884.31 29.7×
CT abdomen w wo contrast (74170) $5,531.68 $5,531.68 33.6×
CT abdomen w/o contrast (74150) $4,311.23 $4,311.23 44.0×
CT angio hrt w/3d image (75574) $3,914.56 $3,914.56 12.0×
CT angiography upper extremity lt (73206) $3,826.85 $3,826.85 23.3×
CT c-spine w/o contrast (72125) $4,093.02 $4,093.02 41.7×
CT cervical spine w&w/o contrast (72127) $3,426.36 $3,426.36 20.8×
CT cervical spine with contrast (72126) $4,543.81 $4,543.81 13.9×
CT chest w/wo contrast (71270) $5,265.54 $5,265.54 32.0×
CT chest with contrast (71260) $4,740.45 $4,740.45 28.8×
CT head/brain with contrast (70460) $4,801.52 $4,801.52 29.2×
CT head/brain without and with contrast (70470) $6,236.19 $6,236.19 37.9×
CT heart no contrast quant eval coronry calcium (75571) $122.64 $122.64 1.5×
CT iac w contrast (70481) $2,551.16 $2,551.16 15.5×
CT lower ext w/o (73700) $3,368.89 $3,368.89 34.3×
CT lower extremity w wo contrast (73702) $3,841.51 $3,841.51 23.3×
CT lower extremity with contrast (73701) $3,886.67 $3,886.67 23.6×
CT lumbar spine w & w/o contrast (72133) $5,900.98 $5,900.98 35.9×
CT lumbar spine w/o contrast (72131) $4,361.58 $4,361.58 44.5×
CT lumbar spine with contrast (72132) $4,843.52 $4,843.52 14.8×
CT maxillofacial w contrast (70487) $4,689.03 $4,689.03 28.5×
CT maxillofacial w/o contrast (70486) $4,095.66 $4,095.66 41.8×
CT maxillofacial w/wo contrast (70488) $3,230.12 $3,230.12 19.6×
CT neck soft tissue w contrast (70491) $4,153.95 $4,153.95 25.2×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $4,781.77 $4,781.77 29.1×
CT orbits w/o contrast (70480) $2,503.50 $2,503.50 25.5×
CT pelvis w & w/o contrast (72194) $5,083.31 $5,083.31 30.9×
CT pelvis w/o contrast (72192) $4,377.66 $4,377.66 44.6×
CT soft tissue neck w/o & w/contrast material (70492) $4,969.88 $4,969.88 30.2×
CT soft tissue neck w/o contrast (70490) $3,783.07 $3,783.07 38.6×
CT thoracic spine w/contrast (72129) $3,649.43 $3,649.43 22.2×
CT thoracic spine w/o contrast (72128) $3,318.54 $3,318.54 33.8×
CT thoracic spine w/wo contrast (72130) $4,829.15 $4,829.15 29.3×
CT thorax w/o contrast (71250) $3,735.74 $3,735.74 38.1×
CT upper extremity w/o contrast rt (73200) $4,229.24 $4,229.24 43.1×
CT upper extremity with contrast (73201) $4,480.42 $4,480.42 13.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,594.14 $4,594.14 27.9×
Cta Abdomen (74175) $2,197.23 $2,197.23 13.4×
CTA abdomen pelvis (74174) $4,594.14 $4,594.14 14.0×
CTA chest (71275) $4,740.45 $4,740.45 28.8×
Cta Head (70496) $4,451.07 $4,451.07 27.0×
CTA lwr ext w&w/o contrast (73706) $3,644.62 $3,644.62 22.1×
Cta Neck (70498) $4,451.07 $4,451.07 27.0×
Dxa bone density study 1/> sites axial skel (77080) $698.99 $698.99 7.1×
Dxa bone density study axial skeleton (77085) $453.22 $453.22 4.6×
Echoencephalography real time imaging (76506) $441.83 $441.83 4.5×
Esophagus (74220) $486.24 $486.24 3.0×
Fetal biophysical profile non-stress testing (76818) $344.79 $344.79 3.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $950.79 $950.79 9.7×
Fluoroscopy up to 1 hr (76000) $660.09 $660.09 2.9×
Foot 2 views (73620) $613.16 $613.16 7.5×
Forearm 2 views (73090) $486.92 $486.92 6.0×
Gated Heart Planar Single (78472) $1,117.10 $1,117.10 3.0×
Hand 2 views (73120) $427.67 $427.67 4.4×
Hand 3 views (73130) $618.29 $618.29 7.6×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $2,498.86 $2,498.86 4.9×
Hepatobiliary syst imaging including gallbladder (78226) $2,313.56 $2,313.56 6.2×
Ht muscle image spect sing (78451) $6,056.03 $6,056.03 5.0×
Humerus Min 2 Views Left (73060) $551.31 $551.31 6.8×
Hysterosalpingogram (74740) $442.29 $442.29 2.0×
Intracavitary Radiation Source Applic Complex (77763) $9,218.31 $9,218.31 14.1×
Intracavitary Radiation Source Applic Intermed (77762) $7,013.06 $7,013.06 13.5×
Intracavitary radiation source applic simple (77761) $7,013.06 $7,013.06 13.5×
Knee 3 views (73562) $703.32 $703.32 8.6×
Mr safety determination physician/other qhp (76016) $234.12 $234.12 2.9×
Mr safety implant pos&/immoblj supvj phys/qhp (76019) $155.92 $155.92 2.8×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $65.37 $65.37 2.4×
Mr safety implt electronics prepj supvj phys/qhp (76018) $245.42 $245.42 2.8×
Mr safety med physics xm customization plng&mntr (76017) $645.13 $645.13 2.9×
MRA head w & w/o contrast (70546) $5,996.36 $5,996.36 18.3×
MRA head w/o contrast (70544) $3,357.85 $3,357.85 15.0×
Mra Neck W/O &W/Contrast Material (70549) $5,550.14 $5,550.14 17.0×
MRA neck w/o contrast (70547) $3,357.85 $3,357.85 15.0×
MRI abdomen w contrast (74182) $5,238.06 $5,238.06 16.0×
MRI abdomen w/o & w/contrast material (74183) $5,540.18 $5,540.18 16.9×
MRI abdomen w/o contrast (74181) $5,035.74 $5,035.74 22.5×
MRI any jt upper extremity w/contrast matrl (73222) $4,839.41 $4,839.41 6.6×
MRI cervical spine w/o contrast (72141) $3,788.17 $3,788.17 16.9×
MRI chest w/o & w/contrast material (71552) $4,207.84 $4,207.84 12.9×
MRI chest w/o contrast (71550) $3,605.98 $3,605.98 16.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $4,578.42 $4,578.42 20.5×
MRI orbit face &/neck w/o contrast (70540) $4,620.48 $4,620.48 20.6×
MRI orbit/face/neck w&w/o cont (70543) $5,547.38 $5,547.38 16.9×
MRI pelvis w/o & w/contrast material (72197) $5,060.67 $5,060.67 15.5×
MRI pelvis w/o contrast (72195) $4,467.59 $4,467.59 20.0×
MRI scan of arm joint before and after contrast (73223) $5,584.48 $5,584.48 17.1×
MRI scan of leg joint before and after contrast (73723) $5,540.18 $5,540.18 16.9×
MRI spinal canal cervical w/o & w/contr matrl (72156) $4,667.12 $4,667.12 14.3×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $6,008.53 $6,008.53 18.4×
MRI spinal canal thoracic w/contrast matrl (72147) $5,293.49 $5,293.49 16.2×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $5,894.89 $5,894.89 18.0×
MRI thoracic spine w/o contrast (72146) $4,811.27 $4,811.27 21.5×
MRI upper ext joint w/o contrast (73221) $4,614.48 $4,614.48 20.6×
MRI upper extrem other than jt w/o & w/contras (73220) $5,407.08 $5,407.08 16.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $4,467.59 $4,467.59 20.0×
Myocardial Spect Multiple Studies (78452) $7,368.83 $7,368.83 6.1×
Neck soft tissue (70360) $498.02 $498.02 6.1×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $1,315.55 $1,315.55 3.5×
Nm gastric emptying study (78264) $2,047.24 $2,047.24 5.5×
Ntsty modul radthx pln dose-vol histos (77301) $12,265.23 $12,265.23 9.4×
Nuclear Rx Oral Admin (79005) $3,281.43 $3,281.43 15.0×
Osseous survey infant (77076) $689.46 $689.46 7.0×
Parathyroid imaging (78070) $1,277.99 $1,277.99 3.4×
Pelvis 1 or 2 views (72170) $546.19 $546.19 5.6×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $5,448.36 $5,448.36 16.6×
Pulmonary Perfusion Imaging Particulate (78580) $1,972.46 $1,972.46 5.3×
Pulmonary Ventilation & Perfusion Imaging (78582) $2,045.06 $2,045.06 4.0×
Radex hips bilateral with pelvis 2 views (73521) $757.41 $757.41 7.7×
Radiation treatment delivery 1 mev >= simple (77402) $1,305.36 $1,305.36 13.6×
Radiation tx delivery 1 mev >= intermediate (77407) $1,913.64 $1,913.64 5.3×
Radiolog exam mandible compl minimum 4 views (70110) $385.08 $385.08 3.9×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $460.83 $460.83 5.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $1,067.72 $1,067.72 10.9×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $573.02 $573.02 7.0×
Radiologic exam upr gi trc double contrast study (74246) $610.68 $610.68 3.7×
Radiologic exam upr gi trc single contrast study (74240) $605.19 $605.19 3.7×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $559.05 $559.05 6.8×
Radiological examination surgical specimen (76098) $1,599.54 $1,599.54 3.1×
Ribs bilateral 3 views (71110) $752.28 $752.28 7.7×
Rp loclzj tum spect 1 area single day imaging (78803) $2,379.29 $2,379.29 4.7×
Sacroiliac Joints < 3 Views (72200) $627.75 $627.75 6.4×
Scapula complete (73010) $455.99 $455.99 4.6×
Screening digital breast tomosynthesis (77063) $83.38 $83.38 3.6×
Small bowel series (74250) $978.72 $978.72 5.9×
Spine thoracic 3 views (72072) $901.70 $901.70 9.2×
Telethx isodose pln cplx w/basic dosimetry (77307) $5,299.39 $5,299.39 15.1×
Telethx isodose pln smpl w/dosimetry calculation (77306) $502.07 $502.07 1.4×
Thoracolumbar 2 views (72080) $289.63 $289.63 3.5×
Thyroid uptake measurement (78012) $1,283.51 $1,283.51 3.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,916.33 $1,916.33 5.1×
Tmj unilateral (70328) $1,036.04 $1,036.04 12.7×
Ultrasound, abdomen limited (76705) $2,007.53 $2,007.53 20.5×
Umbilical-artery Doppler (OB) (76820) $1,013.99 $1,013.99 10.3×
Upper Extremity Infant (73092) $624.39 $624.39 6.4×
Urethrocystography voiding (74455) $877.15 $877.15 3.9×
Us abdl aorta screen aaa (76706) $781.57 $781.57 8.0×
Us breast unilateral complete (76641) $547.10 $547.10 5.6×
Us breast unilateral limited (76642) $547.10 $547.10 6.7×
Us chest (76604) $610.46 $610.46 6.2×
Us compl joint r-t w/image documentation (76881) $344.79 $344.79 3.5×
Us elastography parenchyma (76981) $370.88 $370.88 3.8×
Us infant hips dynamic (76885) $1,738.59 $1,738.59 21.3×
Us ob transvaginal (76817) $1,320.23 $1,320.23 13.5×
Us pelvic non ob complete (76856) $1,746.73 $1,746.73 17.8×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $934.48 $934.48 9.5×
Us pregnancy ltd (76815) $1,092.05 $1,092.05 11.1×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $1,347.40 $1,347.40 13.7×
Us retroperitoneal complete (76770) $1,366.43 $1,366.43 13.9×
Us retroperitoneal limited (76775) $1,112.24 $1,112.24 11.3×
Us scrotum and contents (76870) $1,529.40 $1,529.40 15.6×
Us soft tissue head/neck (76536) $1,337.54 $1,337.54 13.6×
Us spinal canal and contents (76800) $1,070.36 $1,070.36 10.9×
Us transrectal (76872) $1,629.08 $1,629.08 16.6×
Us xtr non-vasc lmtd (76882) $1,047.47 $1,047.47 10.7×
Wrist 2 views (73100) $556.48 $556.48 6.8×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $800.32 $800.32 8.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $345.21 $345.21 4.2×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $659.53 $659.53 8.1×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $979.74 $979.74 6.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $535.84 $535.84 6.6×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $767.76 $767.76 9.4×
X-ray exam hip uni 1 view (73501) $954.32 $954.32 11.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $525.59 $525.59 6.4×
X-ray exam hip uni 4/> views (73503) $516.68 $516.68 5.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $314.22 $314.22 3.2×
X-Ray Exam Hips Bi 5/> Views (73523) $1,412.06 $1,412.06 14.4×
X-ray exam of femur 1 (73551) $559.05 $559.05 6.8×
X-ray eye for foreign body (70030) $308.28 $308.28 3.8×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $700.75 $700.75 7.1×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $507.53 $507.53 6.2×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $700.75 $700.75 8.6×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $430.26 $430.26 5.3×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $453.41 $453.41 5.6×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $734.24 $734.24 7.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $685.29 $685.29 7.0×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $1,731.26 $1,731.26 17.6×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $1,731.26 $1,731.26 17.6×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $589.96 $589.96 7.2×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $868.19 $868.19 8.9×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $278.93 $278.93 2.8×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $484.61 $484.61 5.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $891.41 $891.41 9.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $827 $827 8.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $476.62 $476.62 4.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $654.38 $654.38 8.0×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $543.60 $543.60 6.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $592.53 $592.53 7.3×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $217.28 $217.28 2.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $839.87 $839.87 8.6×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $507.53 $507.53 5.2×
X-Ray Spine One View - Xr Spine (72020) $602.87 $602.87 7.4×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $602.87 $602.87 7.4×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $502.38 $502.38 6.2×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $646.65 $646.65 6.6×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $2,004.86 $2,004.86 20.4×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $445.68 $445.68 5.5×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $641.47 $641.47 7.9×
Xr chest 4+ views (71048) $443.67 $443.67 4.5×
Xr finger(s) 2+ views (73140) $440.53 $440.53 5.4×
Xr shoulder 1 view (73020) $427.67 $427.67 5.2×
Xr spine cervical 4 or 5 views (72050) $1,143.87 $1,143.87 11.7×
Xr tibia/fibula 2 views (73590) $620.89 $620.89 7.6×
Xr tmj bilateral (70330) $649.23 $649.23 8.0×
Xray knee 1 or 2 views rt (73560) $608.01 $608.01 7.4×