Imaging prices at Braxton County Memorial Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $83.50 $167 1.0×
Abdomen 2 views (74019) $159.50 $319 1.6×
Ankle 2 views (73600) $104 $208 1.2×
Bone age studies (77072) $183.50 $367 1.8×
Bone Imaging 3 Phase (78315) $383 $766 1.0×
Bone Imaging Whole Body (78306) $383 $766 1.0×
Bone survey infant (77076) $185.50 $371 1.8×
Chest 1 view (71045) $96 $192 1.1×
Chest 2 views (71046) $141 $282 1.7×
Chest 4 or more views (71048) $163 $326 1.6×
Clavicle complete (73000) $121 $242 1.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $120 $240 1.2×
CT abdomen and pelvis without and with contrast (74178) $1,583 $3,166 4.7×
CT abdomen and pelvis without contrast (74176) $1,166 $2,332 5.1×
CT abdomen w contrast (74160) $669 $1,338 4.0×
CT abdomen w wo contrast (74170) $820 $1,640 4.9×
CT abdomen w/o contrast (74150) $621 $1,242 6.2×
CT Angio Abdomen and Pelvis (74174) $1,351.50 $2,703 4.0×
CT Angio Chest (71275) $941.50 $1,883 5.6×
CT Angio Head (70496) $669 $1,338 4.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $219 $438 1.3×
CT Angio Neck (70498) $669 $1,338 4.0×
CT cervical spine w/ contrast (72126) $913 $1,826 2.7×
CT cervical spine w/o contrast (72125) $730 $1,460 7.3×
CT cervical spine w/wo cont (72127) $1,255 $2,510 7.5×
CT chest w contrast (71260) $694 $1,388 4.1×
CT chest w/wo contrast (71270) $845.50 $1,691 5.0×
CT head/brain with contrast (70460) $657 $1,314 3.9×
CT head/brain without and with contrast (70470) $807 $1,614 4.8×
CT iac w contrast (70481) $340.50 $681 2.0×
CT l-spine w&w/o contrast (72133) $1,010 $2,020 6.0×
CT lower ext w/o (73700) $287.50 $575 2.9×
CT lower extremity w/contrast material (73701) $422 $844 2.5×
CT lumbar spine w contrast (72132) $718.50 $1,437 2.1×
CT lumbar spine w/o contrast (72131) $1,132.50 $2,265 11.3×
CT maxillofacial w contrast (70487) $442.50 $885 2.6×
CT maxillofacial wo contrast (70486) $304 $608 3.0×
CT neck tissue combo (70492) $542.50 $1,085 3.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $407 $814 2.4×
CT orbits w/o contrast (70480) $295 $590 2.9×
CT pelvis w&w/o contrast (72194) $764.50 $1,529 4.5×
CT pelvis w/o contrast (72192) $546.50 $1,093 5.4×
CT scan of leg combo (73702) $400.50 $801 2.4×
CT scans face/jaw combo (70488) $542.50 $1,085 3.2×
CT soft tissue neck w contrast (70491) $442.50 $885 2.6×
CT soft tissue neck w/o contrast (70490) $304 $608 3.0×
CT thoracic spine w/o contrast (72128) $718.50 $1,437 7.2×
CT thorax w/o contrast (71250) $647 $1,294 6.5×
CT upper ext wo (73200) $299 $598 3.0×
CT upper extremity w/o & w/contrast material (73202) $533.50 $1,067 3.2×
CT upper extremity with contrast (73201) $422 $844 1.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635)
range across 2 matching MRF lines		 $714–$841.50 $1,428–$1,683 varies
Cta Abdomen (74175) $1,241.50 $2,483 7.4×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,315 $2,630 3.9×
Dxa Bone Density Axial (77080) $214.50 $429 2.1×
Foot 2 views (73620) $104 $208 1.2×
Forearm 2 views (73090) $121 $242 1.4×
Gastric emptying imaging study (78264) $383 $766 1.0×
Hand 2 views (73120) $104 $208 1.0×
Hepatobil Syst Image W/Drug (78227) $520.50 $1,041 1.0×
Hepatobiliary System Imaging (78226) $383 $766 1.0×
Knee 3 Views (73562) $164 $328 2.0×
Lung Ventilat&Perfus Imaging (78582) $520 $1,040 1.0×
Mra Head W/O & W/Contrast Material (70546) $1,585.50 $3,171 4.7×
MRA head w/o contrast (70544) $670.50 $1,341 2.9×
Mra Neck W/O &W/Contrast Material (70549) $1,438.50 $2,877 4.3×
MRI abdomen w contrast (74182) $637 $1,274 1.9×
MRI abdomen w/o contrast (74181) $1,184 $2,368 5.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,191.50 $2,383 3.6×
MRI cervical spine w contrast (72142) $1,156 $2,312 3.5×
MRI cervical spine w/o cont (72141) $868.50 $1,737 3.8×
MRI chest wo w contrast (71552) $2,254 $4,508 6.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,252.50 $2,505 3.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $868.50 $1,737 3.8×
Mri Neck Spine W/O & W/Dye (72156) $1,445.50 $2,891 4.3×
MRI orbit face &/neck w/o contrast (70540) $1,537.50 $3,075 6.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,247.50 $2,495 3.7×
MRI pelvis w/o & w contrast (72197) $1,808 $3,616 5.4×
MRI pelvis w/o contrast (72195) $868.50 $1,737 3.8×
MRI thoracic spine w/o contrast (72146) $868.50 $1,737 3.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $868.50 $1,737 3.8×
Mri Uppr Extremity W/O&W/Dye (73220) $1,940 $3,880 5.8×
MRI, abdomen, combo (74183) $1,445.50 $2,891 4.3×
MRI, dorsal spine combo (72157) $1,928 $3,856 5.8×
MRI, dorsal spine contrast (72147) $1,092.50 $2,185 3.3×
MRI, joint upper extrem (73221) $868.50 $1,737 3.8×
MRI, joint upper extrem combo (73223) $1,445.50 $2,891 4.3×
MRI, lumbar spine combo (72158) $1,445.50 $2,891 4.3×
Myocardial Spect Multiple Studies (78452) $1,240 $2,480 1.0×
N-invas est c ffr sw aly CTA (75580) $822.50 $1,645 1.0×
Neck soft tissue (70360) $121 $242 1.4×
Nonvascular Shunt X-Ray (75809) $104.50 $209 1.0×
Ophthalmic Ultrasonic Foreign Body Localization (76529) $87 $174 1.0×
Parathyroid imaging w/tomographic spect & CT (78072) $520 $1,040 1.0×
Parathyroid Planar Imaging (78070) $383 $766 1.0×
Pelvis 1 or 2 views (72170) $100.50 $201 1.0×
PET image w/CT, full body (78816) $1,467.50 $2,935 1.1×
PET imaging CT attenuation skull base mid-thigh (78815) $1,467.50 $2,935 1.1×
Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) $891 $1,782 1.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $247.50 $495 2.5×
Radex Ankle Complete Minimum 3 Views (73610) $121 $242 1.4×
Radex Calcaneus Minimum 2 Views (73650) $109.50 $219 1.3×
Radex elbow complete minimum 3 views (73080) $139 $278 1.7×
Radex Facial Bones Complete Minimum 3 Views (70150) $229 $458 2.3×
Radex fingr minimum 2 views (73140) $83.50 $167 1.0×
Radex foot complete minimum 3 views (73630) $121 $242 1.4×
Radex Hand Minimum 3 Views (73130) $121 $242 1.4×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $209.50 $419 2.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $121 $242 1.4×
Radex Ribs Unilateral 2 Views (71100) $129.50 $259 1.6×
Radex shoulder complete minimum 2 views (73030) $166 $332 2.0×
Radex Sinuses Paransl < 3 Views (70210) $119 $238 1.4×
Radex Sternum Minimum 2 Views (71120) $126 $252 1.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $156 $312 1.9×
Radex Toe Minimum 2 Views (73660) $233 $466 2.8×
Radex Wrist Complete Minimum 3 Views (73110) $139 $278 1.7×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $354 $708 3.5×
Radiolog exam mandible compl minimum 4 views (70110) $220 $440 2.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $176.50 $353 1.8×
Radiologic exam knee complete 4/more views (73564) $220 $440 2.2×
Radiologic exam pelvis compl minimum 3 views (72190) $208.50 $417 2.1×
Radiologic examination femur 1 view (73551) $205.50 $411 2.5×
Radiologic examination femur minimum 2 views (73552) $126 $252 1.5×
Radiologic examination knee 1/2 views (73560) $120.50 $241 1.4×
Radiologic examination tibia & fibula 2 views (73590) $126 $252 1.5×
Ribs bilateral 3 views (71110) $166.50 $333 1.7×
Scapula (73010) $166 $332 1.7×
Screening Digital Breast Tomosynthesis Bi (77063) $79 $158 3.4×
Shoulder 1 view (73020) $121 $242 1.4×
Skull less than 4 views (70250) $208 $416 2.1×
Thoracic spine 2 views (72070) $126 $252 1.3×
Thoracic spine 3 views (72072) $209.50 $419 2.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $383 $766 1.0×
Ultrasound Breast Limited (76642) $254 $508 3.0×
Ultrasound Exam Aaa Screen (76706) $369 $738 3.7×
Ultrasound, abdomen limited (76705) $219.50 $439 2.2×
Us breast unilateral complete (76641) $300 $600 3.0×
Us chest (76604) $241 $482 2.4×
Us exam, pelvic, limited (76857) $166 $332 1.7×
Us head (76506) $353 $706 3.5×
Us kidney transplant (76776) $372 $744 3.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $205 $410 2.0×
Us ob limited 1 or more fetuses (76815) $368.50 $737 3.7×
Us ob transvaginal (76817) $232.50 $465 2.3×
Us pelvic non ob complete (76856) $108.50 $217 1.1×
Us retroperitoneal complete (76770) $420 $840 4.2×
Us retroperitoneal limited (76775) $227.50 $455 2.3×
Us scrotum and contents (76870) $337.50 $675 3.4×
Us thyroid (76536) $309.50 $619 3.1×
Wrist 2 views (73100) $121 $242 1.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $126 $252 1.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $121 $242 1.4×
X-Ray Exam Entire Spi 1 Vw (72081) $83.50 $167 1.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $126 $252 1.3×
X-Ray Exam Hip Uni 1 View (73501) $120.50 $241 1.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $83.50 $167 1.0×
X-Ray Exam Hip Uni 4/> Views (73503) $203.50 $407 2.0×
X-Ray Exam Hips Bi 2 Views (73521) $203.50 $407 2.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $331 $662 3.3×
X-Ray Exam Hips Bi 5/> Views (73523) $331 $662 3.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $121 $242 1.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $220.50 $441 2.2×
X-Ray Exam Unilat Ribs/Chest (71101) $152.50 $305 1.5×
X-ray humerus (73060) $156 $312 1.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $141 $282 1.4×
X-ray nose-rectum child f.b. (76010) $116.50 $233 1.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $184 $368 1.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $205.50 $411 2.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $126 $252 1.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $220 $440 2.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $234.50 $469 2.3×
X-ray thoracic spine 4 vw (72074) $232.50 $465 2.3×
X-Rays Bone Survey Complete (77075) $342.50 $685 3.4×
Xr c-spine 4 or 5 views (72050) $220.50 $441 2.2×
Xr orbits complete 4 views (70200) $220 $440 2.2×

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.