Imaging prices at Ashtabula Regional Medical Center

Ashtabula, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $314.30 $449 3.7×
Abdomen 2 views (74019) $385 $550 3.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,949.50 $2,785 5.0×
Ankle 2 views (73600) $192.50 $275 2.3×
Arthrogram hip (73525) $777.70 $1,111 2.3×
Bone age studies (77072) $231 $330 2.3×
Bone Imaging 3 Phase (78315) $819.70 $1,171 2.1×
Bone Imaging Whole Body (78306) $819.70 $1,171 2.1×
Bone marrow imaging limited area (78102) $819.70 $1,171 2.1×
Chest 1 view (71045) $314.30 $449 3.7×
Chest 2 views (71046) $385 $550 4.6×
Chest 3 views (71047) $189.70 $271 2.3×
Chest 4 or more views (71048) $231 $330 2.3×
Clavicle complete (73000) $192.50 $275 2.3×
CT abdomen and pelvis without and with contrast (74178) $777.70 $1,111 2.3×
CT abdomen and pelvis without contrast (74176) $653.10 $933 2.8×
CT abdomen w contrast (74160) $384.30 $549 2.3×
CT abdomen w wo contrast (74170) $2,680.30 $3,829 15.8×
CT abdomen w/o contrast (74150) $1,731.10 $2,473 17.1×
CT Angio Abdomen and Pelvis (74174) $1,489.60 $2,128 4.4×
CT Angio Chest (71275) $384.30 $549 2.3×
CT Angio Head (70496) $1,005.20 $1,436 5.9×
CT angio hrt w/3d image (75574) $384.30 $549 1.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,133.90 $4,477 18.5×
CT Angio Neck (70498) $1,005.20 $1,436 5.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,226 $3,180 13.1×
CT cervical spine w/ contrast (72126) $777.70 $1,111 2.3×
CT cervical spine w/o contrast (72125) $1,820.70 $2,601 18.0×
CT chest w contrast (71260) $2,189.60 $3,128 12.9×
CT head/brain with contrast (70460) $2,216.90 $3,167 13.1×
CT head/brain without and with contrast (70470) $1,005.20 $1,436 5.9×
CT heart contrast eval cardiac structure&morph (75572) $351.40 $502 1.0×
CT heart no contrast quant eval coronry calcium (75571) $188.30 $269 2.2×
CT iac w contrast (70481) $384.30 $549 2.3×
CT lower ext w/o (73700) $1,710.80 $2,444 16.9×
CT lower extremity w/contrast material (73701) $2,005.50 $2,865 11.8×
CT lumbar spine w contrast (72132) $2,645.30 $3,779 7.8×
CT lumbar spine w/o contrast (72131) $2,405.90 $3,437 23.8×
CT maxillofacial w contrast (70487) $384.30 $549 2.3×
CT maxillofacial wo contrast (70486) $231 $330 2.3×
CT orbits w/o contrast (70480) $231 $330 2.3×
CT pelvis w/o contrast (72192) $1,693.30 $2,419 16.7×
CT soft tissue neck w contrast (70491) $2,176.30 $3,109 12.8×
CT soft tissue neck w/o contrast (70490) $1,960 $2,800 19.4×
CT thoracic spine w contrast (72129) $1,996.40 $2,852 11.8×
CT thoracic spine w/o contrast (72128) $1,815.80 $2,594 18.0×
CT thorax w/o contrast (71250) $1,727.60 $2,468 17.1×
CT unlisted procedure (76497) $45.50 $65 0.5×
CT upper ext wo (73200) $1,673.70 $2,391 16.5×
CT upper extremity with contrast (73201) $1,839.60 $2,628 5.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $384.30 $549 2.3×
Cta Abdomen (74175) $2,814 $4,020 16.6×
Dxa Bone Density Axial (77080) $425.60 $608 4.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $189.70 $271 2.3×
Esophagram (74220) $384.30 $549 2.3×
Foot 2 views (73620) $192.50 $275 2.3×
Forearm 2 views (73090) $256.90 $367 3.1×
Gastric emptying imaging study (78264) $819.70 $1,171 2.1×
Gated Heart Planar Single (78472) $819.70 $1,171 2.1×
Hand 2 views (73120) $231 $330 2.3×
Hepatobil Syst Image W/Drug (78227) $1,061.90 $1,517 2.0×
Hepatobiliary System Imaging (78226) $819.70 $1,171 2.1×
Ht Muscle Image Spect Sing (78451) $2,780.40 $3,972 2.2×
Infant hip ultrasound, limited static exam (76886) $189.70 $271 2.3×
Joint Survey Single View (77077) $231 $330 2.3×
K Flow/Funct Image W/Drug (78708) $1,061.90 $1,517 2.0×
K Flow/Funct Image W/O Drug (78707) $1,061.90 $1,517 2.0×
Knee 3 Views (73562) $385 $550 4.6×
Lung Ventilat&Perfus Imaging (78582) $1,061.90 $1,517 2.0×
Lung Ventilation Imaging (78579) $819.70 $1,171 2.1×
Lymph System Imaging (78195) $1,061.90 $1,517 2.0×
Mra Head W/O & W/Contrast Material (70546) $3,439.80 $4,914 10.2×
MRA head w/o contrast (70544) $3,059.70 $4,371 13.3×
Mra Neck W/O &W/Contrast Material (70549) $3,439.80 $4,914 10.2×
MRA neck w/o contrast (70547) $3,059.70 $4,371 13.3×
MRI abdomen w/o contrast (74181) $2,961.70 $4,231 12.8×
MRI any jt lower extrem w/contrast material (73722) $3,876.60 $5,538 5.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,067.70 $5,811 12.1×
MRI any jt upper extremity w/contrast matrl (73222) $3,838.80 $5,484 5.1×
MRI cervical spine w/o cont (72141) $1,085.70 $1,551 4.7×
MRI chest w/o contrast (71550) $2,602.60 $3,718 11.3×
MRI chest wo w contrast (71552) $2,911.30 $4,159 8.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,014.50 $5,735 11.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,409.40 $3,442 10.4×
Mri Neck Spine W/O & W/Dye (72156) $4,622.80 $6,604 13.7×
MRI orbit face &/neck w/o contrast (70540) $2,688 $3,840 11.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,084.50 $5,835 12.1×
MRI pelvis w/o & w contrast (72197) $3,558.80 $5,084 10.5×
MRI pelvis w/o contrast (72195) $2,982 $4,260 12.9×
MRI thoracic spine w/o contrast (72146) $3,138.80 $4,484 13.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,409.40 $3,442 10.4×
Mri Uppr Extremity W/O&W/Dye (73220) $3,481.80 $4,974 10.3×
MRI, abdomen, combo (74183) $3,689 $5,270 10.9×
MRI, dorsal spine combo (72157) $4,420.50 $6,315 13.1×
MRI, joint upper extrem (73221) $3,656.80 $5,224 15.8×
MRI, joint upper extrem combo (73223) $4,721.50 $6,745 14.0×
MRI, lumbar spine combo (72158) $5,163.90 $7,377 15.3×
Myocardial Spect Multiple Studies (78452) $2,780.40 $3,972 2.2×
Neck soft tissue (70360) $321.30 $459 3.8×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $218.40 $312 2.2×
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $56.70 $81 2.0×
Pelvis 1 or 2 views (72170) $318.50 $455 3.1×
PET image w/CT, full body (78816) $5,371.10 $7,673 3.9×
PET imaging CT attenuation skull base mid-thigh (78815) $5,371.10 $7,673 3.9×
Pulmonary Perfusion Imaging Particulate (78580) $819.70 $1,171 2.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $531.30 $759 5.3×
Radex Ankle Complete Minimum 3 Views (73610) $321.30 $459 3.8×
Radex Calcaneus Minimum 2 Views (73650) $192.50 $275 2.3×
Radex elbow complete minimum 3 views (73080) $321.30 $459 3.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $231 $330 2.3×
Radex fingr minimum 2 views (73140) $321.30 $459 3.8×
Radex foot complete minimum 3 views (73630) $314.30 $449 3.7×
Radex Hand Minimum 3 Views (73130) $303.10 $433 3.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $189.70 $271 2.3×
Radex Ribs Unilateral 2 Views (71100) $189.70 $271 2.3×
Radex shoulder complete minimum 2 views (73030) $385 $550 4.6×
Radex Spine 1 View Specify Level (72020) $189.70 $271 2.3×
Radex Sternum Minimum 2 Views (71120) $189.70 $271 2.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $189.70 $271 2.3×
Radex Toe Minimum 2 Views (73660) $192.50 $275 2.3×
Radex Wrist Complete Minimum 3 Views (73110) $321.30 $459 3.8×
Radiolog exam mandible compl minimum 4 views (70110) $231 $330 2.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $224.70 $321 2.2×
Radiologic exam colon single contrast study (74270) $384.30 $549 2.3×
Radiologic Exam Esophagus Double Contrast Study (74221) $315.70 $451 1.9×
Radiologic exam knee complete 4/more views (73564) $357.70 $511 3.5×
Radiologic exam pelvis compl minimum 3 views (72190) $231 $330 2.3×
Radiologic Exam Small Int Single Contrast Study (74250) $384.30 $549 2.3×
Radiologic exam swallow function contrast study (74230) $637.70 $911 3.8×
Radiologic exam upr gi trc double contrast study (74246) $384.30 $549 2.3×
Radiologic examination femur 1 view (73551) $189.70 $271 2.3×
Radiologic examination femur minimum 2 views (73552) $385 $550 4.6×
Radiologic examination knee 1/2 views (73560) $321.30 $459 3.8×
Radiologic examination tibia & fibula 2 views (73590) $321.30 $459 3.8×
Rp loclzj tum plnr 1 area single day imaging (78800) $819.70 $1,171 2.1×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,780.40 $3,972 5.3×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,780.40 $3,972 5.3×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $2,720.20 $3,886 2.2×
Scapula (73010) $231 $330 2.3×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines		 $82.60–$122.50 $118–$175 varies
Shoulder 1 view (73020) $189.70 $271 2.3×
Shoulder Arthrography (73040) $777.70 $1,111 2.3×
Skull less than 4 views (70250) $318.50 $455 3.1×
Sternoclavicular joints (71130) $189.70 $271 2.3×
Tbs technical calculation only (77091) $182 $260 2.2×
Testicular Imaging W/Flow (78761) $800.80 $1,144 2.1×
Thoracic spine 2 views (72070) $231 $330 2.3×
Thoracic spine 3 views (72072) $425.60 $608 4.2×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $819.70 $1,171 2.1×
Ultrasound Breast Limited (76642) $189.70 $271 2.3×
Ultrasound Elastography Parenchyma (76981) $273.70 $391 2.7×
Ultrasound Exam Aaa Screen (76706) $231 $330 2.3×
Ultrasound, abdomen limited (76705) $633.50 $905 6.3×
Unlisted Dx Radiographic Procedure (76499) $189.70 $271 2.3×
Upper gi w/o kub (74240) $384.30 $549 2.3×
Us breast unilateral complete (76641) $231 $330 2.3×
Us chest (76604) $231 $330 2.3×
Us exam, pelvic, limited (76857) $231 $330 2.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $231 $330 2.3×
Us ob limited 1 or more fetuses (76815) $391.30 $559 3.9×
Us ob transvaginal (76817) $434.70 $621 4.3×
Us pelvic non ob complete (76856) $231 $330 2.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $403.20 $576 4.0×
Us retroperitoneal complete (76770) $231 $330 2.3×
Us retroperitoneal limited (76775) $231 $330 2.3×
Us scrotum and contents (76870) $231 $330 2.3×
Us thyroid (76536) $576.10 $823 5.7×
Us transrectal (76872) $543.90 $777 5.4×
Wrist 2 views (73100) $321.30 $459 3.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $189.70 $271 2.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $192.50 $275 2.3×
X-Ray Exam Entire Spi 1 Vw (72081) $189.70 $271 2.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $231 $330 2.3×
X-Ray Exam Hip Uni 1 View (73501) $189.70 $271 2.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $385 $550 4.6×
X-Ray Exam Hips Bi 2 Views (73521) $231 $330 2.3×
X-Ray Exam Hips Bi 5/> Views (73523) $422.10 $603 4.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $318.50 $455 3.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $318.50 $455 3.1×
X-Ray Exam Unilat Ribs/Chest (71101) $425.60 $608 4.2×
X-ray eye for foreign body (70030) $189.70 $271 2.3×
X-ray humerus (73060) $189.70 $271 2.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $189.70 $271 2.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $425.60 $608 4.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $231 $330 2.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $192.50 $275 2.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $189.70 $271 2.3×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,591.10 $2,273 4.7×
X-Rays Bone Length Studies (77073) $385 $550 3.8×
X-Rays Bone Survey Complete (77075) $231 $330 2.3×
Xr c-spine 4 or 5 views (72050) $531.30 $759 5.3×

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.