Imaging prices at Ascension St. Vincent Warrick
Boonville, IN · every code in this section with a posted price and a Medicare benchmark.
161 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) | $251.40 | $419 | 2.7× |
| Abdomen 2 views (74019) | $281.40 | $469 | 2.5× |
| Bone age studies (77072) | $251.40 | $419 | 2.3× |
| Chest 1 view (71045) | $251.40 | $419 | 2.7× |
| Chest 2 views (71046) | $281.40 | $469 | 3.1× |
| Chest 3 views (71047) | $310.80 | $518 | 3.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$251.40–$502.80 | $419–$838 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $885 | $1,475 | 8.0× |
| CT abdomen and pelvis without and with contrast (74178) | $1,722.60 | $2,871 | 4.7× |
| CT abdomen and pelvis without contrast (74176) | $885 | $1,475 | 3.5× |
| CT abdomen w contrast (74160) | $1,680.60 | $2,801 | 9.1× |
| CT abdomen w wo contrast (74170) | $1,707.60 | $2,846 | 9.2× |
| CT abdomen w/o contrast (74150) | $885 | $1,475 | 8.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,707.60 | $2,846 | 4.6× |
| CT Angio Chest (71275) | $1,707.60 | $2,846 | 9.2× |
| CT Angio Head (70496) | $1,972.80 | $3,288 | 10.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,707.60 | $2,846 | 9.2× |
| CT Angio Neck (70498) | $1,707.60 | $2,846 | 9.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,707.60 | $2,846 | 9.2× |
| CT cervical spine w/ contrast (72126) | $1,680.60 | $2,801 | 4.6× |
| CT cervical spine w/o contrast (72125) | $885 | $1,475 | 8.0× |
| CT cervical spine w/wo cont (72127) | $1,707.60 | $2,846 | 9.2× |
| CT chest w contrast (71260) | $1,707.60 | $2,846 | 9.2× |
| CT chest w/wo contrast (71270) | $1,680.60 | $2,801 | 9.1× |
| CT head/brain with contrast (70460) | $1,707.60 | $2,846 | 9.2× |
| CT head/brain without and with contrast (70470) | $1,722.60 | $2,871 | 9.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $225 | $375 | 2.4× |
| CT iac w contrast (70481) | $994.20 | $1,657 | 5.4× |
| CT l-spine w&w/o contrast (72133) | $1,707.60 | $2,846 | 9.2× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$885–$1,770 | $1,475–$2,950 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,680.60–$3,361.20 | $2,801–$5,602 | varies |
| CT lumbar spine w contrast (72132) | $1,680.60 | $2,801 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $885 | $1,475 | 8.0× |
| CT maxillofacial w contrast (70487) | $1,680.60 | $2,801 | 9.1× |
| CT maxillofacial wo contrast (70486) | $885 | $1,475 | 8.0× |
| CT neck tissue combo (70492) | $1,707.60 | $2,846 | 9.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,707.60 | $2,846 | 9.2× |
| CT orbits w/o contrast (70480) | $885 | $1,475 | 8.0× |
| CT pelvis w&w/o contrast (72194) | $1,707.60 | $2,846 | 9.2× |
| CT pelvis w/o contrast (72192) | $885 | $1,475 | 8.0× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,707.60–$3,415.20 | $2,846–$5,692 | varies |
| CT scans face/jaw combo (70488) | $1,707.60 | $2,846 | 9.2× |
| CT soft tissue neck w contrast (70491) | $1,680.60 | $2,801 | 9.1× |
| CT soft tissue neck w/o contrast (70490) | $885 | $1,475 | 8.0× |
| CT thoracic spine w contrast (72129) | $1,680.60 | $2,801 | 9.1× |
| CT thoracic spine w/o contrast (72128) | $885 | $1,475 | 8.0× |
| CT thoracic spine w/wo cont (72130) | $1,707.60 | $2,846 | 9.2× |
| CT thorax w/o contrast (71250) | $885 | $1,475 | 8.0× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$885–$1,770 | $1,475–$2,950 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,707.60–$3,415.20 | $2,846–$5,692 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,680.60–$3,361.20 | $2,801–$5,602 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,745.40 | $2,909 | 9.4× |
| Cta Abdomen (74175) | $1,707.60 | $2,846 | 9.2× |
| CTA pelvis (72191) | $1,707.60 | $2,846 | 9.2× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,551 | $2,585 | 6.1× |
| Fluoroscopy up to 1 hr (76000) | $635.40 | $1,059 | 2.5× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| Ht Muscle Image Spect Sing (78451) | $3,981 | $6,635 | 2.9× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| Magnetic Image Jaw Joint (70336) | $1,179 | $1,965 | 4.7× |
| Mra Head W/O & W/Contrast Material (70546) | $1,270.20 | $2,117 | 3.4× |
| MRA head w/o contrast (70544) | $1,270.20 | $2,117 | 5.0× |
| MRA head with contrast (70545) | $1,270.20 | $2,117 | 3.4× |
| MRA neck w contrast (70548) | $2,176.20 | $3,627 | 5.9× |
| MRA neck w/o contrast (70547) | $1,270.20 | $2,117 | 5.0× |
| MRI abdomen w contrast (74182) | $2,176.20 | $3,627 | 5.9× |
| MRI abdomen w/o contrast (74181) | $1,270.20 | $2,117 | 5.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,176.20–$4,352.40 | $3,627–$7,254 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,176.20–$4,352.40 | $3,627–$7,254 | varies |
| MRI cervical spine w contrast (72142) | $2,176.20 | $3,627 | 5.9× |
| MRI cervical spine w/o cont (72141) | $1,270.20 | $2,117 | 5.0× |
| MRI chest w/o contrast (71550) | $1,270.20 | $2,117 | 5.0× |
| MRI chest with contrast (71551) | $2,730.60 | $4,551 | 3.3× |
| MRI chest wo w contrast (71552) | $2,176.20 | $3,627 | 5.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,176.20–$4,352.40 | $3,627–$7,254 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,176.20–$4,352.40 | $3,627–$7,254 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,270.20–$2,540.40 | $2,117–$4,234 | varies |
| MRI lumbar spine w contrast (72149) | $2,176.20 | $3,627 | 5.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,176.20 | $3,627 | 5.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,270.20 | $2,117 | 5.0× |
| MRI orbit face neck w contrast (70542) | $2,176.20 | $3,627 | 5.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,176.20 | $3,627 | 5.9× |
| MRI pelvis w contrast (72196) | $2,176.20 | $3,627 | 5.9× |
| MRI pelvis w/o & w contrast (72197) | $2,176.20 | $3,627 | 5.9× |
| MRI pelvis w/o contrast (72195) | $1,270.20 | $2,117 | 5.0× |
| MRI thoracic spine w/o contrast (72146) | $1,270.20 | $2,117 | 5.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,176.20–$4,352.40 | $3,627–$7,254 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,270.20–$2,540.40 | $2,117–$4,234 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,176.20–$4,352.40 | $3,627–$7,254 | varies |
| MRI, abdomen, combo (74183) | $2,176.20 | $3,627 | 5.9× |
| MRI, dorsal spine combo (72157) | $2,176.20 | $3,627 | 5.9× |
| MRI, dorsal spine contrast (72147) | $2,176.20 | $3,627 | 5.9× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,270.20–$2,540.40 | $2,117–$4,234 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,176.20–$4,352.40 | $3,627–$7,254 | varies |
| MRI, lumbar spine combo (72158) | $2,176.20 | $3,627 | 5.9× |
| Myocardial Spect Multiple Studies (78452) | $4,942.20 | $8,237 | 3.6× |
| Neck soft tissue (70360) | $251.40 | $419 | 2.7× |
| Pelvis 1 or 2 views (72170) | $281.40 | $469 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $281.40 | $469 | 2.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$310.80–$621.60 | $518–$1,036 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $310.80 | $518 | 2.8× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$251.40–$502.80 | $419–$838 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $281.40 | $469 | 3.1× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| Radex Spine 1 View Specify Level (72020) | $251.40 | $419 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $281.40 | $469 | 3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $281.40 | $469 | 3.1× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$251.40–$502.80 | $419–$838 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $281.40 | $469 | 2.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $281.40 | $469 | 2.5× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $281.40 | $469 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$251.40–$502.80 | $419–$838 | varies |
| Skull less than 4 views (70250) | $310.80 | $518 | 2.8× |
| Speech evaluation, complex (70371) | $315 | $525 | 1.2× |
| Sternoclavicular joints (71130) | $281.40 | $469 | 3.1× |
| Thoracic spine 2 views (72070) | $281.40 | $469 | 2.5× |
| Thoracic spine 3 views (72072) | $310.80 | $518 | 2.8× |
| Ultrasound Exam Aaa Screen (76706) | $523.80 | $873 | 4.7× |
| Ultrasound, abdomen limited (76705) | $523.80 | $873 | 4.7× |
| Us chest (76604) range across 2 matching MRF lines |
$132.60–$265.20 | $221–$442 | varies |
| Us exam, pelvic, limited (76857) | $544.20 | $907 | 4.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $523.80 | $873 | 4.7× |
| Us ob limited 1 or more fetuses (76815) | $544.20 | $907 | 4.9× |
| Us ob transvaginal (76817) | $523.80 | $873 | 4.7× |
| Us pelvic non ob complete (76856) | $544.20 | $907 | 4.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $523.80 | $873 | 4.7× |
| Us retroperitoneal complete (76770) | $523.80 | $873 | 4.7× |
| Us scrotum and contents (76870) | $523.80 | $873 | 4.7× |
| Us thyroid (76536) | $639.60 | $1,066 | 5.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $297 | $495 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $274.80 | $458 | 3.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $375 | $625 | 3.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $274.80 | $458 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $376.80 | $628 | 3.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $478.80 | $798 | 4.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $281.40 | $469 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $315 | $525 | 2.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $281.40 | $469 | 2.5× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$281.40–$562.80 | $469–$938 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $310.80 | $518 | 3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $281.40 | $469 | 3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $281.40 | $469 | 2.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $281.40 | $469 | 2.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $276.60 | $461 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $310.80 | $518 | 3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $281.40 | $469 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $281.40 | $469 | 2.5× |
| Xr c-spine 4 or 5 views (72050) | $310.80 | $518 | 2.8× |
| Xr facial bones less than 3 views (70140) | $281.40 | $469 | 3.1× |
| Xr orbits complete 4 views (70200) | $281.40 | $469 | 2.5× |
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.