Imaging prices at Ashe Memorial Hospital
Jefferson, NC · every code in this section with a posted price and a Medicare benchmark.
136 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) | $199.80 | $249.75 | 2.4× |
| Abdomen 2 views (74019) | $258 | $322.50 | 2.6× |
| Ankle 2 views (73600) | $214.20 | $267.75 | 2.6× |
| Bone Imaging 3 Phase (78315) | $1,525.40 | $1,906.75 | 4.0× |
| Bone Imaging Whole Body (78306) | $1,322.60 | $1,653.25 | 3.5× |
| Chest 1 view (71045) | $156 | $195 | 1.9× |
| Chest 2 views (71046) range across 4 matching MRF lines |
$130.80–$257.20 | $163.50–$321.50 | varies |
| Clavicle complete (73000) | $149.80 | $187.25 | 1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $356.40 | $445.50 | 3.6× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$3,496.80–$4,007.40 | $4,371–$5,009.25 | varies |
| CT abdomen and pelvis without contrast (74176) | $2,950.80 | $3,688.50 | 12.9× |
| CT abdomen w contrast (74160) | $2,164 | $2,705 | 12.9× |
| CT abdomen w wo contrast (74170) | $2,075.40 | $2,594.25 | 12.4× |
| CT abdomen w/o contrast (74150) | $1,528.80 | $1,911 | 15.3× |
| CT Angio Abdomen and Pelvis (74174) | $3,218.40 | $4,023 | 9.7× |
| CT Angio Chest (71275) | $2,766.60 | $3,458.25 | 16.5× |
| CT Angio Head (70496) | $2,766.60 | $3,458.25 | 16.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,572.40 | $3,215.50 | 15.3× |
| CT Angio Neck (70498) | $2,766.60 | $3,458.25 | 16.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,766.60 | $3,458.25 | 16.5× |
| CT cervical spine w/o contrast (72125) | $1,334.20 | $1,667.75 | 13.4× |
| CT chest w contrast (71260) | $1,597.40 | $1,996.75 | 9.5× |
| CT head/brain without and with contrast (70470) | $2,037 | $2,546.25 | 12.2× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$120–$525.60 | $150–$657 | varies |
| CT iac w contrast (70481) | $1,777.40 | $2,221.75 | 10.6× |
| CT lower ext w/o (73700) | $1,252.20 | $1,565.25 | 12.5× |
| CT lower extremity w/contrast material (73701) | $1,327.20 | $1,659 | 7.9× |
| CT lumbar spine w contrast (72132) | $1,681.60 | $2,102 | 5.0× |
| CT lumbar spine w/o contrast (72131) | $1,450.60 | $1,813.25 | 14.5× |
| CT maxillofacial w contrast (70487) | $1,572.80 | $1,966 | 9.4× |
| CT maxillofacial wo contrast (70486) | $1,233 | $1,541.25 | 12.3× |
| CT neck tissue combo (70492) | $1,968.80 | $2,461 | 11.7× |
| CT orbits w/o contrast (70480) | $1,332.40 | $1,665.50 | 13.3× |
| CT pelvis w/o contrast (72192) | $1,422.80 | $1,778.50 | 14.2× |
| CT scan of leg combo (73702) | $1,421.60 | $1,777 | 8.5× |
| CT soft tissue neck w contrast (70491) | $1,867.40 | $2,334.25 | 11.1× |
| CT soft tissue neck w/o contrast (70490) | $1,332.40 | $1,665.50 | 13.3× |
| CT thoracic spine w/o contrast (72128) | $1,334.20 | $1,667.75 | 13.4× |
| CT thorax w/o contrast (71250) | $1,334.20 | $1,667.75 | 13.4× |
| CT upper ext wo (73200) | $1,386 | $1,732.50 | 13.9× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,319.20–$1,697.20 | $1,649–$2,121.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,339 | $2,923.75 | 14.0× |
| Cta Abdomen (74175) | $2,766.60 | $3,458.25 | 16.5× |
| Dxa Bone Density Axial (77080) | $335 | $418.75 | 3.4× |
| Esophagram (74220) | $399 | $498.75 | 2.4× |
| Fetal Biophys Profile W/Nst (76818) | $913.60 | $1,142 | 9.1× |
| Forearm 2 views (73090) | $228.80 | $286 | 2.8× |
| Gastric emptying imaging study (78264) | $1,130.60 | $1,413.25 | 3.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,175.20 | $1,469 | 2.3× |
| Hepatobiliary System Imaging (78226) | $920.20 | $1,150.25 | 2.4× |
| Joint Survey Single View (77077) | $196.40 | $245.50 | 2.0× |
| Knee 3 Views (73562) | $287.20 | $359 | 3.5× |
| Lung Ventilat&Perfus Imaging (78582) | $3,123 | $3,903.75 | 6.0× |
| Meckels Divert Exam (78290) | $838.80 | $1,048.50 | 2.2× |
| MRA head w/o contrast (70544) | $2,533.60 | $3,167 | 11.1× |
| MRI abdomen w/o contrast (74181) | $2,346.80 | $2,933.50 | 10.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,308 | $2,885 | 6.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,826.20 | $3,532.75 | 3.8× |
| MRI cervical spine w/o cont (72141) | $2,547.40 | $3,184.25 | 11.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,307 | $2,883.75 | 6.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,783.80 | $2,229.75 | 7.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,056.20 | $3,820.25 | 9.2× |
| MRI pelvis w/o & w contrast (72197) | $2,675.40 | $3,344.25 | 8.0× |
| MRI pelvis w/o contrast (72195) | $1,868.80 | $2,336 | 8.2× |
| MRI thoracic spine w/o contrast (72146) | $2,487.20 | $3,109 | 10.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,522.40 | $3,153 | 11.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,308 | $2,885 | 6.9× |
| MRI, abdomen, combo (74183) | $3,031.40 | $3,789.25 | 9.1× |
| MRI, dorsal spine combo (72157) | $4,176.40 | $5,220.50 | 12.5× |
| MRI, joint upper extrem (73221) | $1,961.40 | $2,451.75 | 8.6× |
| MRI, lumbar spine combo (72158) | $4,130.40 | $5,163 | 12.4× |
| Myocardial Spect Multiple Studies (78452) | $2,113 | $2,641.25 | 1.7× |
| Neck soft tissue (70360) | $228.80 | $286 | 2.8× |
| Pelvis 1 or 2 views (72170) | $175.20 | $219 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $326 | $407.50 | 3.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $267.60 | $334.50 | 3.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $140.40 | $175.50 | 1.7× |
| Radex elbow complete minimum 3 views (73080) | $238.60 | $298.25 | 2.9× |
| Radex fingr minimum 2 views (73140) | $194.80 | $243.50 | 2.3× |
| Radex foot complete minimum 3 views (73630) | $238.60 | $298.25 | 2.9× |
| Radex Hand Minimum 3 Views (73130) | $233.60 | $292 | 2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $147.80 | $184.75 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $179.40 | $224.25 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) | $243.40 | $304.25 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $149.80 | $187.25 | 1.8× |
| Radex Toe Minimum 2 Views (73660) | $165.60 | $207 | 2.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $179.40 | $224.25 | 2.2× |
| Radiologic exam knee complete 4/more views (73564) | $297 | $371.25 | 3.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $243.40 | $304.25 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $319.60 | $399.50 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) | $166 | $207.50 | 2.0× |
| Radiologic examination knee 1/2 views (73560) | $219.20 | $274 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $238.60 | $298.25 | 2.9× |
| Ribs bilateral 3 views (71110) | $234.20 | $292.75 | 2.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $106.80 | $133.50 | 4.6× |
| Shoulder 1 view (73020) | $181.60 | $227 | 2.2× |
| Skull less than 4 views (70250) | $160 | $200 | 1.6× |
| Thoracic spine 3 views (72072) | $374.60 | $468.25 | 3.7× |
| Ultrasound Breast Limited (76642) | $228.80 | $286 | 2.8× |
| Ultrasound Exam Aaa Screen (76706) | $264 | $330 | 2.6× |
| Ultrasound, abdomen limited (76705) | $593.60 | $742 | 5.9× |
| Urethrocystography retrograde (74450) | $447.20 | $559 | 2.0× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$264–$362.40 | $330–$453 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $655.80 | $819.75 | 6.6× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$367.20–$382.80 | $459–$478.50 | varies |
| Us ob transvaginal (76817) | $411 | $513.75 | 4.1× |
| Us pelvic non ob complete (76856) | $564.20 | $705.25 | 5.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $369.40 | $461.75 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $568.40 | $710.50 | 5.7× |
| Us retroperitoneal complete (76770) | $557 | $696.25 | 5.6× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$264–$557 | $330–$696.25 | varies |
| Us scrotum and contents (76870) | $492.60 | $615.75 | 4.9× |
| Us thyroid (76536) | $530.40 | $663 | 5.3× |
| Wrist 2 views (73100) | $100 | $125 | 1.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $153.60 | $192 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) | $264 | $330 | 2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $126.80 | $158.50 | 1.5× |
| X-Ray Exam Breast Specimen (76098) | $140.40 | $175.50 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$154.80–$175.60 | $193.50–$219.50 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $145.20 | $181.50 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $245 | $306.25 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $330 | $412.50 | 3.3× |
| X-Ray Exam L-S Spine Bending (72114) | $333.60 | $417 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $297 | $371.25 | 3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $343.60 | $429.50 | 3.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $272.40 | $340.50 | 2.7× |
| X-ray humerus (73060) | $192.80 | $241 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $199.80 | $249.75 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $330.80 | $413.50 | 3.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $267.20 | $334 | 2.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $147.80 | $184.75 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $233.60 | $292 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $228 | $285 | 2.7× |
| X-Rays Bone Survey Complete (77075) | $447.20 | $559 | 4.5× |
| Xr c-spine 4 or 5 views (72050) | $394.20 | $492.75 | 3.9× |
| Xr orbits complete 4 views (70200) | $240.40 | $300.50 | 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.