Imaging prices at Boone Memorial Health

Madison, WV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $145 $290 1.7×
Abdomen 2 views (74019) $175 $350 1.7×
Ankle 2 views (73600) $144 $288 1.7×
Bone age studies (77072)
range across 2 matching MRF lines
$63.70–$159.50 $91–$319 varies
Bone Imaging 3 Phase (78315) $736 $1,472 1.9×
Bone Imaging Whole Body (78306) $659 $1,318 1.7×
Brain Flow Imaging Only (78610) $827 $1,654 1.6×
Chest 1 view (71045)
range across 15 matching MRF lines
$35–$174.30 $70–$289 varies
Chest 2 views (71046)
range across 6 matching MRF lines
$82–$148 $164–$296 varies
Chest 3 views (71047)
range across 3 matching MRF lines
$150–$174.30 $249–$304 varies
Chest 4 or more views (71048)
range across 2 matching MRF lines
$150–$182 $300–$364 varies
Cholecystography Oral Contrast (74290) $130.20 $186 0.8×
Clavicle complete (73000)
range across 4 matching MRF lines
$144–$171.50 $288–$343 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $797 $1,594 7.9×
Contrast X-Ray Bladder (74430) $558 $1,116 1.7×
Contrast Xray Throat/Cerv Esopha (74210) $93.10 $133 0.6×
CT abdomen and pelvis without and with contrast (74178) $686.50 $1,373 2.1×
CT abdomen and pelvis without contrast (74176)
range across 4 matching MRF lines
$1,222–$1,224 $2,444–$2,448 varies
CT abdomen w contrast (74160) $941.50 $1,883 5.6×
CT abdomen w wo contrast (74170) $1,181.50 $2,363 7.0×
CT abdomen w/o contrast (74150)
range across 2 matching MRF lines
$639.10–$797.50 $913–$1,595 varies
CT Angio Abdomen and Pelvis (74174)
range across 2 matching MRF lines
$1,195–$1,344.50 $2,390–$2,689 varies
CT Angio Chest (71275) $1,065.50 $2,131 6.3×
CT Angio Head (70496)
range across 2 matching MRF lines
$1,062.50–$1,098 $2,125–$2,196 varies
CT angio hrt w/3d image (75574)
range across 2 matching MRF lines
$1,109–$1,413 $2,218–$2,826 varies
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,068 $2,136 6.3×
CT Angio Neck (70498) $1,096 $2,192 6.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,020 $2,040 6.1×
CT cervical spine w/ contrast (72126) $981 $1,962 2.9×
CT cervical spine w/o contrast (72125)
range across 2 matching MRF lines
$810.50–$811 $1,621–$1,622 varies
CT cervical spine w/wo cont (72127) $1,086 $2,172 6.5×
CT chest w contrast (71260)
range across 2 matching MRF lines
$902–$904 $1,804–$1,808 varies
CT chest w/wo contrast (71270) $1,069 $2,138 6.4×
CT head/brain with contrast (70460) $895 $1,790 5.3×
CT head/brain without and with contrast (70470) $1,042 $2,084 6.2×
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines
$171–$216.50 $342–$433 varies
CT iac w contrast (70481)
range across 3 matching MRF lines
$842.50–$849 $1,685–$1,698 varies
CT l-spine w&w/o contrast (72133) $1,094.50 $2,189 6.5×
CT lower ext w/o (73700) $669.50 $1,339 6.7×
CT lower extremity w/contrast material (73701) $725 $1,450 4.3×
CT lumbar spine w contrast (72132) $956 $1,912 2.9×
CT lumbar spine w/o contrast (72131)
range across 2 matching MRF lines
$806–$808.50 $1,612–$1,617 varies
CT maxillofacial w contrast (70487) $843 $1,686 5.0×
CT maxillofacial wo contrast (70486)
range across 3 matching MRF lines
$709.50–$730 $1,419–$1,460 varies
CT neck tissue combo (70492) $1,003.50 $2,007 6.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 2 matching MRF lines
$981–$986 $1,962–$1,972 varies
CT orbits w/o contrast (70480) $764 $1,528 7.6×
CT pelvis w&w/o contrast (72194) $1,056 $2,112 6.3×
CT pelvis w/o contrast (72192) $809.50 $1,619 8.1×
CT scan of leg combo (73702) $889 $1,778 5.3×
CT scans face/jaw combo (70488) $977.50 $1,955 5.8×
CT soft tissue neck w contrast (70491) $821 $1,642 4.9×
CT soft tissue neck w/o contrast (70490) $726 $1,452 7.2×
CT thoracic spine w contrast (72129) $983 $1,966 5.8×
CT thoracic spine w/o contrast (72128) $808.50 $1,617 8.1×
CT thorax w/o contrast (71250)
range across 5 matching MRF lines
$639.10–$773 $913–$1,546 varies
CT upper ext wo (73200) $700 $1,400 7.0×
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines
$964.50–$965 $1,929–$1,930 varies
CT upper extremity with contrast (73201) $915.50 $1,831 2.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,074 $2,148 6.4×
Cta Abdomen (74175) $1,098 $2,196 6.5×
CTA pelvis (72191) $1,042.50 $2,085 6.2×
Dilation ureters/urethra rs&i (74485) $151.50 $303 0.1×
Dxa Bone Density Axial (77080) $214 $428 2.1×
Echograp Trans R Pros Study (76873) $266 $532 2.7×
Esophagram (74220)
range across 3 matching MRF lines
$93.10–$308 $133–$616 varies
Fluoroscopy up to 1 hr (76000) $388.50 $777 1.7×
Foot 2 views (73620)
range across 3 matching MRF lines
$46.20–$144.50 $66–$289 varies
Forearm 2 views (73090)
range across 4 matching MRF lines
$143.50–$171 $287–$342 varies
Gastric emptying imaging study (78264) $654.50 $1,309 1.7×
Gated Heart, Multiple (78473) $797.50 $1,595 2.1×
Hand 2 views (73120) $172 $344 1.7×
Hepatobil Syst Image W/Drug (78227) $866.50 $1,733 1.7×
Hepatobiliary System Imaging (78226) $651.50 $1,303 1.7×
Ht Muscle Image Spect Sing (78451) $2,047 $4,094 1.6×
K Flow/Funct Image W/Drug (78708) $859.50 $1,719 1.7×
K Flow/Funct Image W/O Drug (78707) $849 $1,698 1.6×
Knee 3 Views (73562)
range across 3 matching MRF lines
$145.50–$147 $291–$294 varies
Liver & Spleen Imaging Static Only (78215) $634.50 $1,269 1.7×
Lung Ventilat&Perfus Imaging (78582) $877 $1,754 1.7×
Lung Ventilation Imaging (78579) $634.50 $1,269 1.7×
Magnetic Image Jaw Joint (70336) $1,129.50 $2,259 4.9×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $36.50 $73 1.3×
Mra Head W/O & W/Contrast Material (70546)
range across 2 matching MRF lines
$1,516–$1,984.50 $2,835–$3,032 varies
MRA head w/o contrast (70544)
range across 3 matching MRF lines
$1,150–$1,498.70 $2,141–$2,300 varies
MRA head with contrast (70545)
range across 2 matching MRF lines
$1,110.50–$1,443.40 $2,062–$2,221 varies
MRA neck w contrast (70548) $1,540 $2,200 4.6×
Mra Neck W/O &W/Contrast Material (70549) $1,937.60 $2,768 5.8×
MRA neck w/o contrast (70547) $1,135 $2,270 5.0×
MRI abdomen w contrast (74182) $650.50 $1,301 1.9×
MRI abdomen w/o contrast (74181) $833.50 $1,667 3.6×
MRI any jt lower extrem w/contrast material (73722) $1,383.50 $2,767 1.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 11 matching MRF lines
$552.50–$1,792 $1,105–$3,584 varies
MRI cervical spine w contrast (72142) $1,431 $2,862 4.3×
MRI cervical spine w/o cont (72141)
range across 2 matching MRF lines
$1,005.20–$1,210 $1,436–$2,420 varies
MRI chest w/o contrast (71550) $1,463 $2,090 6.4×
MRI chest with contrast (71551) $1,682.10 $2,403 2.2×
MRI chest wo w contrast (71552) $1,699.50 $3,399 5.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,729 $3,458 5.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,195.50 $2,391 5.2×
MRI lumbar spine w contrast (72149) $1,429.50 $2,859 4.3×
Mri Neck Spine W/O & W/Dye (72156) $1,812.50 $3,625 5.4×
MRI orbit face &/neck w/o contrast (70540)
range across 4 matching MRF lines
$1,037.50–$1,327.20 $1,896–$2,075 varies
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,654 $3,308 4.9×
MRI pelvis w contrast (72196) $1,338.50 $2,677 4.0×
MRI pelvis w/o & w contrast (72197) $1,670 $3,340 5.0×
MRI pelvis w/o contrast (72195) $1,171.50 $2,343 5.1×
MRI thoracic spine w/o contrast (72146) $1,226 $2,452 5.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,196 $2,392 5.2×
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$1,767–$2,271.50 $3,245–$3,534 varies
MRI, abdomen, combo (74183)
range across 4 matching MRF lines
$1,606.50–$1,709 $3,213–$3,418 varies
MRI, dorsal spine combo (72157) $1,813.50 $3,627 5.4×
MRI, dorsal spine contrast (72147) $1,428 $2,856 4.3×
MRI, joint upper extrem (73221)
range across 10 matching MRF lines
$1,278–$1,280.50 $2,556–$2,561 varies
MRI, joint upper extrem combo (73223)
range across 10 matching MRF lines
$1,748–$1,750.50 $3,496–$3,501 varies
MRI, lumbar spine combo (72158) $1,825.50 $3,651 5.5×
Myocardial Spect Multiple Studies (78452)
range across 2 matching MRF lines
$150–$2,105.50 $300–$4,211 varies
N-invas est c ffr sw aly CTA (75580) $1,575 $3,150 1.9×
Neck soft tissue (70360) $146 $292 1.7×
Optic foramina (70190) $51 $102 0.6×
Parathyroid Planar Imaging (78070) $655.50 $1,311 1.7×
Pelvis 1 or 2 views (72170) $180.50 $361 1.8×
Pulmonary Perfusion Imaging Particulate (78580) $856.50 $1,713 2.2×
Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) $1,326 $2,652 1.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022)
range across 2 matching MRF lines
$77.70–$181.50 $111–$363 varies
Radex Ankle Complete Minimum 3 Views (73610)
range across 8 matching MRF lines
$48.50–$172 $97–$344 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 7 matching MRF lines
$67.90–$171 $97–$342 varies
Radex elbow complete minimum 3 views (73080)
range across 4 matching MRF lines
$144.50–$223.30 $289–$319 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $177.50 $355 1.8×
Radex fingr minimum 2 views (73140)
range across 8 matching MRF lines
$142–$223.30 $284–$339 varies
Radex foot complete minimum 3 views (73630)
range across 6 matching MRF lines
$144–$171.50 $288–$343 varies
Radex Hand Minimum 3 Views (73130)
range across 4 matching MRF lines
$145–$172 $290–$344 varies
Radex lower extremity infant minimum 2 views (73592) $144.50 $289 1.7×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $183 $366 1.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $144.50 $289 1.7×
Radex Ribs Unilateral 2 Views (71100) $55.50 $111 0.7×
Radex shoulder complete minimum 2 views (73030)
range across 4 matching MRF lines
$145.50–$172.50 $291–$345 varies
Radex Sinuses Paransl < 3 Views (70210) $144.50 $289 1.7×
Radex Spine 1 View Specify Level (72020)
range across 5 matching MRF lines
$47.60–$143.50 $68–$287 varies
Radex Sternum Minimum 2 Views (71120) $146 $292 1.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $148.50 $297 1.8×
Radex Toe Minimum 2 Views (73660)
range across 4 matching MRF lines
$141.50–$169 $283–$338 varies
Radex upper extremity infant minimum 2 views (73092) $171.50 $343 1.7×
Radex Wrist Complete Minimum 3 Views (73110)
range across 4 matching MRF lines
$146–$172 $292–$344 varies
Radiolog exam mandible compl minimum 4 views (70110) $176.50 $353 1.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $178.50 $357 1.8×
Radiologic exam colon double contrast study (74280) $200.90 $287 1.2×
Radiologic exam colon single contrast study (74270) $163.10 $233 1.0×
Radiologic exam knee complete 4/more views (73564)
range across 4 matching MRF lines
$184–$313.60 $368–$448 varies
Radiologic exam pelvis compl minimum 3 views (72190)
range across 3 matching MRF lines
$242–$313.60 $448–$484 varies
Radiologic Exam Small Int Single Contrast Study (74250) $120.40 $172 0.7×
Radiologic exam upr gi trc double contrast study (74246) $194.60 $278 1.2×
Radiologic examination femur minimum 2 views (73552)
range across 4 matching MRF lines
$146–$172.50 $292–$345 varies
Radiologic examination knee 1/2 views (73560)
range across 6 matching MRF lines
$144–$171.50 $288–$343 varies
Radiologic Examination Osseous Survey Limited (77074) $191 $382 1.9×
Radiologic examination tibia & fibula 2 views (73590)
range across 6 matching MRF lines
$143.50–$171 $287–$342 varies
Radiologic examination, teeth; single view Non-Facility (70300) $40 $80 0.5×
Ribs bilateral 3 views (71110)
range across 2 matching MRF lines
$90–$179.50 $180–$359 varies
Rp loclzj tum plnr 1 area single day imaging (78800) $646 $1,292 1.7×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,010.50 $4,021 3.9×
Scapula (73010) $172.50 $345 1.7×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 3 matching MRF lines
$59.50–$83.50 $85–$167 varies
Sella turcica (70240) $77.70 $111 0.9×
Shoulder 1 view (73020) $144 $288 1.7×
Skull less than 4 views (70250) $172.50 $345 1.7×
Sternoclavicular joints (71130) $147 $294 1.8×
Thoracic spine 2 views (72070) $173.50 $347 1.7×
Thoracic spine 3 views (72072)
range across 2 matching MRF lines
$63.70–$174.50 $91–$349 varies
Thoracolumbar 2 views (72080) $146.50 $293 1.8×
Thyroid Imaging With Vascular Flow (78013) $627 $1,254 1.6×
Ultrasound Breast Limited (76642) $217 $434 2.6×
Ultrasound Elastography Parenchyma (76981) $200.50 $401 2.0×
Ultrasound Exam Aaa Screen (76706) $260.50 $521 2.6×
Ultrasound, abdomen limited (76705) $292.50 $585 2.9×
Unlisted Dx Radiographic Procedure (76499)
range across 5 matching MRF lines
$28–$718.90 $40–$1,027 varies
Upper gi w/o kub (74240) $170.10 $243 1.0×
Urethrocystography retrograde (74450) $189 $270 0.8×
Us breast unilateral complete (76641) $234 $468 2.3×
Us chest (76604)
range across 2 matching MRF lines
$228.90–$235.20 $327–$336 varies
Us complete joint (76881) $282 $564 2.8×
Us exam, pelvic, limited (76857) $218 $436 2.2×
Us kidney transplant (76776) $210.50 $421 2.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $235 $470 2.3×
Us ob limited 1 or more fetuses (76815) $431.20 $616 4.3×
Us pelvic non ob complete (76856) $324.50 $649 3.2×
Us preg uterus real time f/u trnsabdl per fetus (76816) $388.50 $555 3.9×
Us retroperitoneal complete (76770)
range across 3 matching MRF lines
$210–$320.50 $420–$641 varies
Us retroperitoneal limited (76775) $301 $602 3.0×
Us scrotum and contents (76870) $306 $612 3.1×
Us thyroid (76536) $291 $582 2.9×
Us transrectal (76872) $213.50 $427 2.1×
Venography extremity unilateral rs&i (75820) $175 $350 0.1×
Vertebral fracture assessment via dxa (77086) $105 $210 1.3×
Wrist 2 views (73100) $145.50 $291 1.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $147 $294 1.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 4 matching MRF lines
$144–$171.50 $288–$343 varies
X-Ray Exam Entire Spi 1 Vw (72081) $151 $302 1.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $77.70 $111 0.8×
X-Ray Exam Entire Spi 4/5 Vw (72083) $67.50 $135 0.7×
X-Ray Exam Hip Uni 1 View (73501) $146.50 $293 1.8×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 6 matching MRF lines
$149–$175 $298–$350 varies
X-Ray Exam Hip Uni 4/> Views (73503)
range across 6 matching MRF lines
$168–$313.60 $336–$448 varies
X-Ray Exam Hips Bi 3-4 Views (73522) $181 $362 1.8×
X-Ray Exam L-S Spine Bending (72114)
range across 2 matching MRF lines
$165–$220.50 $330–$441 varies
X-Ray Exam Neck Spine 2-3 Vw (72040) $147 $294 1.8×
X-Ray Exam Neck Spine 6/>Vws (72052)
range across 2 matching MRF lines
$88–$159.50 $176–$319 varies
X-Ray Exam Unilat Ribs/Chest (71101) $186 $372 1.9×
X-ray eye for foreign body (70030) $145 $290 1.7×
X-ray humerus (73060)
range across 6 matching MRF lines
$145–$171.50 $290–$343 varies
X-ray IV pyelogram (ivp) (74400)
range across 3 matching MRF lines
$165.20–$300.50 $236–$601 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $145.50 $291 1.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $145.50 $291 1.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 3 matching MRF lines
$72–$175 $144–$350 varies
X-ray nose-rectum child f.b. (76010) $144.50 $289 1.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111)
range across 2 matching MRF lines
$182–$182.50 $260–$365 varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $174.50 $349 1.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $172.50 $345 1.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $144.50 $289 1.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220)
range across 2 matching MRF lines
$98.70–$147 $141–$294 varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $178.50 $357 1.8×
X-ray thoracic spine 4 vw (72074) $176 $352 1.8×
X-Ray Tmj Unilat (70328) $145 $290 1.7×
X-Ray Urinary Tract Exam With Contrast Material (74420) $570 $1,140 1.7×
X-Rays Bone Survey Complete (77075) $198 $396 2.0×
Xr c-spine 4 or 5 views (72050) $179 $358 1.8×
Xr facial bones less than 3 views (70140) $146 $292 1.7×
XR Mastoids < 3 Views Bilateral (70120) $172.50 $345 1.7×
Xr orbits complete 4 views (70200) $178.50 $357 1.8×

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.