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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $460.83 | $460.83 | 5.6× |
| Abdomen 2 views (74019) | $545.11 | $545.11 | 5.6× |
| Ankle 2 views (73600) | $561.61 | $561.61 | 6.9× |
| Bone age studies (77072) | $803.80 | $803.80 | 8.2× |
| Bone Imaging 3 Phase (78315) | $2,610.21 | $2,610.21 | 7.0× |
| Bone Imaging Limited Area (78300) | $2,679.44 | $2,679.44 | 7.1× |
| Bone Imaging Whole Body (78306) | $2,350.73 | $2,350.73 | 6.3× |
| Bone survey infant (77076) | $689.46 | $689.46 | 7.0× |
| 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 Plan Simple (77316) | $4,163.04 | $4,163.04 | 11.8× |
| Chest 1 view (71045) | $446.66 | $446.66 | 5.5× |
| Chest 2 views (71046) | $573.02 | $573.02 | 7.0× |
| Chest 3 views (71047) | $696.45 | $696.45 | 8.5× |
| Chest 4 or more views (71048) | $443.67 | $443.67 | 4.5× |
| Clavicle complete (73000) | $360.70 | $360.70 | 4.4× |
| 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 Abdomen and Pelvis (74174) | $4,594.14 | $4,594.14 | 14.0× |
| CT Angio Chest (71275) | $4,740.45 | $4,740.45 | 28.8× |
| CT Angio Head (70496) | $4,451.07 | $4,451.07 | 27.0× |
| CT angio hrt w/3d image (75574) | $3,914.56 | $3,914.56 | 12.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,644.62 | $3,644.62 | 22.1× |
| CT Angio Neck (70498) | $4,451.07 | $4,451.07 | 27.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,826.85 | $3,826.85 | 23.3× |
| CT cervical spine w/ contrast (72126) | $4,543.81 | $4,543.81 | 13.9× |
| CT cervical spine w/o contrast (72125) | $4,093.02 | $4,093.02 | 41.7× |
| CT cervical spine w/wo cont (72127) | $3,426.36 | $3,426.36 | 20.8× |
| CT chest w contrast (71260) | $4,740.45 | $4,740.45 | 28.8× |
| CT chest w/wo contrast (71270) | $5,265.54 | $5,265.54 | 32.0× |
| 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 l-spine w&w/o contrast (72133) | $5,900.98 | $5,900.98 | 35.9× |
| CT lower ext w/o (73700) | $3,368.89 | $3,368.89 | 34.3× |
| CT lower extremity w/contrast material (73701) | $3,886.67 | $3,886.67 | 23.6× |
| CT lumbar spine w contrast (72132) | $4,843.52 | $4,843.52 | 14.8× |
| CT lumbar spine w/o contrast (72131) | $4,361.58 | $4,361.58 | 44.5× |
| CT maxillofacial w contrast (70487) | $4,689.03 | $4,689.03 | 28.5× |
| CT maxillofacial wo contrast (70486) | $4,095.66 | $4,095.66 | 41.8× |
| CT neck tissue combo (70492) | $4,969.88 | $4,969.88 | 30.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (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 scan of leg combo (73702) | $3,841.51 | $3,841.51 | 23.3× |
| CT scans face/jaw combo (70488) | $3,230.12 | $3,230.12 | 19.6× |
| CT soft tissue neck w contrast (70491) | $4,153.95 | $4,153.95 | 25.2× |
| 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 cont (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 ext wo (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× |
| Dxa Bone Density Axial (77080) | $698.99 | $698.99 | 7.1× |
| Dxa bone density study (77085) | $453.22 | $453.22 | 4.6× |
| Esophagram (74220) | $486.24 | $486.24 | 3.0× |
| Fetal Biophys Profile W/Nst (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× |
| Gastric emptying imaging study (78264) | $2,047.24 | $2,047.24 | 5.5× |
| Gated Heart Planar Single (78472) | $1,117.10 | $1,117.10 | 3.0× |
| Hand 2 views (73120) | $427.67 | $427.67 | 4.4× |
| Hepatobil Syst Image W/Drug (78227) | $2,498.86 | $2,498.86 | 4.9× |
| Hepatobiliary System Imaging (78226) | $2,313.56 | $2,313.56 | 6.2× |
| Ht Muscle Image Spect Sing (78451) | $6,056.03 | $6,056.03 | 5.0× |
| Hysterosalpingogram (74740) | $442.29 | $442.29 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,738.59 | $1,738.59 | 21.3× |
| 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× |
| Lung Ventilat&Perfus Imaging (78582) | $2,045.06 | $2,045.06 | 4.0× |
| Mr safety determination physician/other qhp (76016) | $234.12 | $234.12 | 2.9× |
| 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 implt pos&/immoblj (76019) | $155.92 | $155.92 | 2.8× |
| Mr safety med physics xm customization plng&mntr (76017) | $645.13 | $645.13 | 2.9× |
| Mra Head W/O & W/Contrast Material (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 contrast (74181) | $5,035.74 | $5,035.74 | 22.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,540.18 | $5,540.18 | 16.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,839.41 | $4,839.41 | 6.6× |
| MRI cervical spine w/o cont (72141) | $3,788.17 | $3,788.17 | 16.9× |
| MRI chest w/o contrast (71550) | $3,605.98 | $3,605.98 | 16.1× |
| MRI chest wo w contrast (71552) | $4,207.84 | $4,207.84 | 12.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,448.36 | $5,448.36 | 16.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,578.42 | $4,578.42 | 20.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,667.12 | $4,667.12 | 14.3× |
| MRI orbit face &/neck w/o contrast (70540) | $4,620.48 | $4,620.48 | 20.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,547.38 | $5,547.38 | 16.9× |
| MRI pelvis w/o & w contrast (72197) | $5,060.67 | $5,060.67 | 15.5× |
| MRI pelvis w/o contrast (72195) | $4,467.59 | $4,467.59 | 20.0× |
| MRI thoracic spine w/o contrast (72146) | $4,811.27 | $4,811.27 | 21.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,467.59 | $4,467.59 | 20.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,407.08 | $5,407.08 | 16.5× |
| MRI, abdomen, combo (74183) | $5,540.18 | $5,540.18 | 16.9× |
| MRI, dorsal spine combo (72157) | $5,894.89 | $5,894.89 | 18.0× |
| MRI, dorsal spine contrast (72147) | $5,293.49 | $5,293.49 | 16.2× |
| MRI, joint upper extrem (73221) | $4,614.48 | $4,614.48 | 20.6× |
| MRI, joint upper extrem combo (73223) | $5,584.48 | $5,584.48 | 17.1× |
| MRI, lumbar spine combo (72158) | $6,008.53 | $6,008.53 | 18.4× |
| 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× |
| 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× |
| Parathyroid Planar Imaging (78070) | $1,277.99 | $1,277.99 | 3.4× |
| Pelvis 1 or 2 views (72170) | $546.19 | $546.19 | 5.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,972.46 | $1,972.46 | 5.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $800.32 | $800.32 | 8.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $659.53 | $659.53 | 8.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $430.26 | $430.26 | 5.3× |
| Radex elbow complete minimum 3 views (73080) | $767.76 | $767.76 | 9.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $700.75 | $700.75 | 7.1× |
| Radex fingr minimum 2 views (73140) | $440.53 | $440.53 | 5.4× |
| Radex foot complete minimum 3 views (73630) | $700.75 | $700.75 | 8.6× |
| Radex Hand Minimum 3 Views (73130) | $618.29 | $618.29 | 7.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $589.96 | $589.96 | 7.2× |
| Radex Ribs Unilateral 2 Views (71100) | $484.61 | $484.61 | 5.9× |
| Radex shoulder complete minimum 2 views (73030) | $543.60 | $543.60 | 6.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $217.28 | $217.28 | 2.7× |
| Radex Spine 1 View Specify Level (72020) | $602.87 | $602.87 | 7.4× |
| Radex Sternum Minimum 2 Views (71120) | $502.38 | $502.38 | 6.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $649.23 | $649.23 | 8.0× |
| Radex Toe Minimum 2 Views (73660) | $445.68 | $445.68 | 5.5× |
| Radex upper extremity infant minimum 2 views (73092) | $624.39 | $624.39 | 6.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $641.47 | $641.47 | 7.9× |
| Radiation treatment delivery level 1 (77402) | $1,305.36 | $1,305.36 | 13.6× |
| Radiation treatment delivery level 2 (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 3+ Views - Xr Abdomen 3+ Views (74021) | $1,067.72 | $1,067.72 | 10.9× |
| Radiologic exam colon double contrast study (74280) | $979.74 | $979.74 | 6.0× |
| Radiologic exam knee complete 4/more views (73564) | $734.24 | $734.24 | 7.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $278.93 | $278.93 | 2.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $978.72 | $978.72 | 5.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $610.68 | $610.68 | 3.7× |
| Radiologic examination femur 1 view (73551) | $559.05 | $559.05 | 6.8× |
| Radiologic examination femur minimum 2 views (73552) | $559.05 | $559.05 | 6.8× |
| Radiologic examination knee 1/2 views (73560) | $608.01 | $608.01 | 7.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $620.89 | $620.89 | 7.6× |
| 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× |
| Scapula (73010) | $455.99 | $455.99 | 4.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $83.38 | $83.38 | 3.6× |
| Shoulder 1 view (73020) | $427.67 | $427.67 | 5.2× |
| Shoulder Arthrography (73040) | $1,550.58 | $1,550.58 | 4.7× |
| Skull less than 4 views (70250) | $507.53 | $507.53 | 5.2× |
| Srs Multisource (77371) | $98,343.21 | $98,343.21 | 14.2× |
| Sternoclavicular joints (71130) | $602.87 | $602.87 | 7.4× |
| 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× |
| Thoracic spine 2 views (72070) | $646.65 | $646.65 | 6.6× |
| Thoracic spine 3 views (72072) | $901.70 | $901.70 | 9.2× |
| 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× |
| Ultrasound Breast Limited (76642) | $547.10 | $547.10 | 6.7× |
| Ultrasound Elastography Parenchyma (76981) | $370.88 | $370.88 | 3.8× |
| Ultrasound Exam Aaa Screen (76706) | $781.57 | $781.57 | 8.0× |
| 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 gi w/o kub (74240) | $605.19 | $605.19 | 3.7× |
| Urethrocystogram voiding (74455) | $877.15 | $877.15 | 3.9× |
| Us breast unilateral complete (76641) | $547.10 | $547.10 | 5.6× |
| Us chest (76604) | $610.46 | $610.46 | 6.2× |
| Us complete joint (76881) | $344.79 | $344.79 | 3.5× |
| Us exam, pelvic, limited (76857) | $934.48 | $934.48 | 9.5× |
| Us head (76506) | $441.83 | $441.83 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,047.47 | $1,047.47 | 10.7× |
| Us ob limited 1 or more fetuses (76815) | $1,092.05 | $1,092.05 | 11.1× |
| 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 pg uter img f&mat 14 wk tabdl 1/1st gestation (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 spinal canal and contents (76800) | $1,070.36 | $1,070.36 | 10.9× |
| Us thyroid (76536) | $1,337.54 | $1,337.54 | 13.6× |
| Us transrectal (76872) | $1,629.08 | $1,629.08 | 16.6× |
| Wrist 2 views (73100) | $556.48 | $556.48 | 6.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $345.21 | $345.21 | 4.2× |
| X-Ray Bend Only L-S Spine (72120) | $1,731.26 | $1,731.26 | 17.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $535.84 | $535.84 | 6.6× |
| X-Ray Exam Breast Specimen (76098) | $1,599.54 | $1,599.54 | 3.1× |
| 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 2 Views (73521) | $757.41 | $757.41 | 7.7× |
| 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 L-S Spine Bending (72114) | $1,731.26 | $1,731.26 | 17.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $662.11 | $662.11 | 8.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $891.41 | $891.41 | 9.1× |
| X-ray eye for foreign body (70030) | $308.28 | $308.28 | 3.8× |
| X-ray humerus (73060) | $551.31 | $551.31 | 6.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $453.41 | $453.41 | 5.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $685.29 | $685.29 | 7.0× |
| 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 Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $627.75 | $627.75 | 6.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $654.38 | $654.38 | 8.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $592.53 | $592.53 | 7.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $839.87 | $839.87 | 8.6× |
| X-ray thoracic spine 4 vw (72074) | $2,004.86 | $2,004.86 | 20.4× |
| X-Ray Tmj Unilat (70328) | $1,036.04 | $1,036.04 | 12.7× |
| X-Rays Bone Survey Complete (77075) | $803.80 | $803.80 | 8.2× |
| Xr c-spine 4 or 5 views (72050) | $1,143.87 | $1,143.87 | 11.7× |
| Xr facial bones less than 3 views (70140) | $507.53 | $507.53 | 6.2× |
| Xr orbits complete 4 views (70200) | $868.19 | $868.19 | 8.9× |