Imaging prices at Caldwell Medical Center

Princeton, KY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $384.01 $512.01 3.9×
Acute gastrointestinal blood loss imaging (78278) $827.39 $1,103.18 2.2×
Ankle 2 views (73600) $78.26 $104.34 1.0×
Bone &/Joint Imaging Limited Area (78300) $464.17 $618.89 1.2×
Bone &/Joint Imaging Multiple Areas (78305) $659.51 $879.34 1.8×
Bone &/joint imaging whole body (78306) $983.38 $1,311.17 2.6×
Bone age studies (77072) $214.72 $286.29 2.2×
Bone Imaging 3 Phase (78315) $352.85 $470.47 0.9×
Bone survey complete (77075) $633.77 $845.03 6.5×
Brain image w/flow 4 + views (78606) $675.98 $901.30 1.3×
Brain Imaging Minimum 4 Static Views (78605) $738.22 $984.29 1.4×
Cervical spine 2 or 3 views (72040) $267.68 $356.90 3.3×
Chest 1 view (71045) $206.25 $275 2.5×
Chest 3 views (71047) $174.17 $232.23 2.1×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $293.66 $391.55 1.8×
Clavicle complete (73000) $131.05 $174.73 1.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $210.40 $280.53 2.1×
CT abdomen and pelvis without and with contrast (74178) $4,406.22 $5,874.96 13.5×
CT abdomen and pelvis without contrast (74176) $2,665.26 $3,553.68 11.9×
CT abdomen w contrast (74160) $1,743.09 $2,324.12 10.6×
CT abdomen w wo contrast (74170) $2,336.30 $3,115.06 14.2×
CT abdomen w/o contrast (74150) $881.12 $1,174.83 9.0×
CT angio hrt w/3d image (75574) $2,586.21 $3,448.28 7.9×
CT angiography upper extremity lt (73206) $872.16 $1,162.88 5.3×
CT c-spine w/o contrast (72125) $1,984.04 $2,645.38 20.2×
CT cervical spine w&w/o contrast (72127) $1,623.76 $2,165.01 9.9×
CT cervical spine with contrast (72126) $1,512.93 $2,017.24 4.6×
CT chest w/wo contrast (71270) $2,414.22 $3,218.96 14.7×
CT chest with contrast (71260) $1,907.98 $2,543.97 11.6×
CT head/brain with contrast (70460) $1,075.82 $1,434.42 6.5×
CT head/brain without and with contrast (70470) $1,867.25 $2,489.66 11.3×
CT heart no contrast quant eval coronry calcium (75571) $157.50 $210 1.9×
CT iac w contrast (70481) $908.27 $1,211.03 5.5×
CT limited/localized follow up study (76380) $674.17 $898.89 8.3×
CT lower ext w/o (73700) $1,664.37 $2,219.16 17.0×
CT lower extremity w wo contrast (73702) $1,135.85 $1,514.47 6.9×
CT lower extremity with contrast (73701) $927.95 $1,237.26 5.6×
CT lumbar spine w & w/o contrast (72133) $1,672.47 $2,229.96 10.2×
CT lumbar spine w/o contrast (72131) $2,143.75 $2,858.33 21.9×
CT lumbar spine with contrast (72132) $1,987.89 $2,650.52 6.1×
CT maxillofacial w contrast (70487) $908.02 $1,210.69 5.5×
CT maxillofacial w/o contrast (70486) $1,773.11 $2,364.14 18.1×
CT maxillofacial w/wo contrast (70488) $1,340.84 $1,787.78 8.1×
CT neck soft tissue w contrast (70491) $935.76 $1,247.68 5.7×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,107.74 $1,476.99 6.7×
CT orbits w/o contrast (70480) $864.94 $1,153.25 8.8×
CT pelvis w & w/o contrast (72194) $1,302.26 $1,736.34 7.9×
CT pelvis w/o contrast (72192) $1,194.64 $1,592.85 12.2×
CT soft tissue neck w/o & w/contrast material (70492) $1,135.85 $1,514.47 6.9×
CT soft tissue neck w/o contrast (70490) $1,406.95 $1,875.93 14.3×
CT thoracic spine w/o contrast (72128) $1,498.31 $1,997.75 15.3×
CT thoracic spine w/wo contrast (72130) $608.65 $811.53 3.7×
CT thorax w/o contrast (71250) $1,735.76 $2,314.34 17.7×
CT upper extremity w/o & w/contrast material (73202) $1,102.77 $1,470.36 6.7×
CT upper extremity w/o contrast rt (73200) $748.52 $998.03 7.6×
CT upper extremity with contrast (73201) $927.95 $1,237.26 2.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $542.03 $722.71 3.3×
Cta Abdomen (74175) $898.33 $1,197.77 5.5×
CTA abdomen pelvis (74174) $4,630.43 $6,173.91 14.1×
CTA chest (71275) $2,822.28 $3,763.04 17.1×
Cta Head (70496) $898.33 $1,197.77 5.5×
CTA lwr ext w&w/o contrast (73706) $853.43 $1,137.91 5.2×
Cta Neck (70498) $897.80 $1,197.07 5.5×
Cta Pelvis (72191) $872.16 $1,162.88 5.3×
Diskogram cervical (72285) $767.51 $1,023.35 0.4×
Diskography lumbar (72295) $767.51 $1,023.35 0.4×
Dxa bone density study 1/> sites axial skel (77080) $408.48 $544.64 4.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $155.60 $207.47 1.9×
Esophagus (74220) $226.04 $301.38 1.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $319.04 $425.39 3.3×
Fluoroscopy up to 1 hr (76000) $145.94 $194.58 0.7×
Foot 2 views (73620) $77.45 $103.27 0.9×
Forearm 2 views (73090) $238.73 $318.30 2.9×
Gated Heart Planar Single (78472) $1,998.13 $2,664.17 5.3×
Hand 2 views (73120) $89.90 $119.87 0.9×
Hand 3 views (73130) $273.47 $364.63 3.3×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,899.89 $2,533.18 3.7×
Hepatobiliary syst imaging including gallbladder (78226) $430.20 $573.60 1.1×
Ht muscle image spect sing (78451) $1,150.58 $1,534.10 0.9×
Humerus Min 2 Views Left (73060) $233.24 $310.98 2.9×
Hysterosalpingogram (74740) $615.05 $820.06 2.7×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $952.94 $1,270.58 1.9×
Kidney img morphology vascular flow 1 w/rx (78708) $421.28 $561.71 0.8×
Kidney Img Morphology Vascular Flow Multiple (78709) $456.80 $609.07 0.9×
Knee 3 views (73562) $268.13 $357.50 3.3×
Liver & spleen imaging static only (78215) $848.29 $1,131.05 2.3×
Lymphoscintigraphy (78195) $1,203.09 $1,604.12 2.4×
Manual appl stress pfrmd phys/qhp joint films (77071) $214.72 $286.29 2.6×
Meckels Diverticulum (78290) $633.11 $844.14 1.7×
MRA head w & w/o contrast (70546) $1,931.93 $2,575.90 5.9×
MRA head w/o contrast (70544) $1,958.06 $2,610.75 8.7×
MRA neck w contrast (70548) $1,716.87 $2,289.16 5.2×
Mra Neck W/O &W/Contrast Material (70549) $2,033.39 $2,711.18 6.2×
MRA neck w/o contrast (70547) $1,527.14 $2,036.18 6.8×
MRI abdomen w contrast (74182) $1,572.39 $2,096.52 4.8×
MRI abdomen w/o & w/contrast material (74183) $2,033.39 $2,711.18 6.2×
MRI abdomen w/o contrast (74181) $1,411.56 $1,882.08 6.3×
MRI any jnt lwr ext with con lt (73722) $1,572.39 $2,096.52 2.1×
MRI any jt upper extremity w/contrast matrl (73222) $1,572.39 $2,096.52 2.1×
MRI c-spine with contrast (72142) $1,680.68 $2,240.90 5.1×
MRI cervical spine w/o contrast (72141) $1,882 $2,509.33 8.4×
MRI chest w/o & w/contrast material (71552) $2,033.39 $2,711.18 6.2×
MRI chest w/o contrast (71550) $1,411.56 $1,882.08 6.3×
MRI chest with contrast (71551) $1,572.39 $2,096.52 2.1×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $1,572.39 $2,096.52 4.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,572.39 $2,096.52 4.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,897.09 $2,529.45 8.5×
MRI orbit face &/neck w/o contrast (70540) $1,412.60 $1,883.47 6.3×
MRI orbit/face/neck w&w/o cont (70543) $2,094.39 $2,792.52 6.4×
MRI orbit/face/neck w/contrast (70542) $1,572.39 $2,096.52 4.8×
MRI pelvis w contrast (72196) $1,129.72 $1,506.28 3.5×
MRI pelvis w/o & w/contrast material (72197) $1,390.72 $1,854.28 4.2×
MRI pelvis w/o contrast (72195) $1,411.56 $1,882.08 6.3×
MRI scan of arm joint before and after contrast (73223) $3,176.67 $4,235.56 9.7×
MRI scan of leg joint before and after contrast (73723) $3,224.32 $4,299.10 9.8×
MRI spinal canal cervical w/o & w/contr matrl (72156) $3,334.33 $4,445.77 10.2×
MRI spinal canal lumbar w/contrast material (72149) $1,827.18 $2,436.24 5.6×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $3,334.33 $4,445.77 10.2×
MRI spinal canal thoracic w/contrast matrl (72147) $1,827.18 $2,436.24 5.6×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $3,237.21 $4,316.28 9.9×
MRI thoracic spine w/o contrast (72146) $1,882 $2,509.33 8.4×
MRI tmj (70336) $1,402.16 $1,869.54 6.3×
MRI upper ext joint w/o contrast (73221) $2,416.39 $3,221.85 10.8×
MRI upper extrem other than jt w/o & w/contras (73220) $2,094.39 $2,792.52 6.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,882 $2,509.33 8.4×
Myocardial infarct spect (78469) $915.77 $1,221.02 1.8×
Myocardial Spect Multiple Studies (78452) $4,474.72 $5,966.29 3.7×
Neck soft tissue (70360) $162.07 $216.09 2.0×
Nm gastric emptying study (78264) $896.12 $1,194.82 2.4×
Nm red cell sequestration (78140) $736.82 $982.43 2.0×
Nuclear Rx Oral Admin (79005) $732.19 $976.25 3.3×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $203.47 $271.29 2.1×
Osseous survey infant (77076) $152.74 $203.65 1.6×
Osseous survey limited (77074) $228.04 $304.05 2.3×
Parathyroid imaging (78070) $526.57 $702.09 1.4×
Pelvis 1 or 2 views (72170) $242.48 $323.31 2.5×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $1,931.72 $2,575.62 5.9×
Pulmonary Perfusion Imaging Particulate (78580) $740.24 $986.99 2.0×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,308.80 $1,745.07 2.6×
Radex abscess/fistula/sinus tract rs&i (76080) $170.78 $227.70 0.3×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $211.72 $282.29 2.6×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $176.44 $235.25 1.8×
Radex hips bilateral with pelvis 2 views (73521) $184.33 $245.77 1.9×
Radex mastoids compl minimum 3 views pr side (70130) $127.37 $169.83 1.3×
Radiolog exam mandible compl minimum 4 views (70110) $175.95 $234.60 1.8×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $230.95 $307.93 2.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $242.42 $323.22 2.5×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $227.54 $303.39 2.8×
Radiologic exam colon single contrast study (74270) $213.90 $285.19 1.3×
Radiologic exam upr gi trc double contrast study (74246) $157.18 $209.57 1.0×
Radiologic exam upr gi trc single contrast study (74240) $442.23 $589.64 2.7×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $239.85 $319.80 2.9×
Radiological examination surgical specimen (76098) $116.91 $155.88 0.2×
Ribs bilateral 3 views (71110) $258.64 $344.85 2.6×
Scanogram (77073) $122.92 $163.89 1.3×
Scapula complete (73010) $147.59 $196.78 1.5×
Screening digital breast tomosynthesis (77063) $139.60 $186.14 6.0×
Sella turcica (70240) $84.74 $112.99 1.0×
Shuntogram indwelling nonvascular shunt rs&i (75809) $295.31 $393.75 3.0×
Small bowel series (74250) $371.08 $494.77 2.3×
Spine thoracic 3 views (72072) $321.35 $428.47 3.3×
Testicular Imaging With Vascular Flow (78761) $370.04 $493.39 1.0×
Thoracolumbar 2 views (72080) $171.04 $228.05 2.1×
Thyroid carcinoma metastases img whole body (78018) $444.54 $592.72 0.9×
Thyroid Imaging With Vascular Flow (78013) $179.15 $238.87 0.5×
Thyroid uptake measurement (78012) $248.96 $331.94 0.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $526.57 $702.09 1.4×
Tomogram (76100) $349.37 $465.83 3.6×
Ultrasound, abdomen limited (76705) $578.93 $771.90 5.9×
Unlisted Ultrasound Procedure (76999) $120.28 $160.37 1.5×
Upper Extremity Infant (73092) $146.45 $195.26 1.5×
Urethrocystography retrograde rs&i (74450) $248.96 $331.94 1.1×
Urethrocystography voiding (74455) $200.32 $267.09 0.9×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $330.56 $440.75 2.0×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $629.16 $838.88 3.8×
Us abdl aorta screen aaa (76706) $192.61 $256.81 2.0×
Us breast unilateral complete (76641) $406.12 $541.49 4.1×
Us breast unilateral limited (76642) $232.33 $309.77 2.8×
Us chest (76604) $480.52 $640.69 4.9×
Us compl joint r-t w/image documentation (76881) $333.72 $444.96 3.4×
Us elastography parenchyma (76981) $260.59 $347.45 2.7×
Us kidney transplant (76776) $168.08 $224.10 1.7×
Us ob transvaginal (76817) $599.51 $799.34 6.1×
Us pelvic non ob complete (76856) $599.51 $799.34 6.1×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $160.15 $213.53 1.6×
Us pregnancy ltd (76815) $99.67 $132.89 1.0×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $301.67 $402.22 3.1×
Us retroperitoneal complete (76770) $755.57 $1,007.43 7.7×
Us retroperitoneal limited (76775) $176.48 $235.31 1.8×
Us scrotum and contents (76870) $498.08 $664.10 5.1×
Us soft tissue head/neck (76536) $548.79 $731.72 5.6×
Us transrectal (76872) $216.05 $288.06 2.2×
Us xtr non-vasc lmtd (76882) $266.67 $355.56 2.7×
Vascular flow imaging (78445) $617.15 $822.86 1.6×
Venogram extremity bilateral (75822) $937.74 $1,250.32 0.6×
Venography extremity unilateral rs&i (75820) $181.49 $241.99 0.1×
Wrist 2 views (73100) $79.78 $106.37 1.0×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $357.07 $476.09 3.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $200.32 $267.09 2.5×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $262.08 $349.44 3.2×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $503.66 $671.55 3.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $106.36 $141.81 1.3×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $244.13 $325.50 3.0×
X-ray exam hip uni 1 view (73501) $147.95 $197.26 1.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $243.65 $324.87 3.0×
X-ray exam hip uni 4/> views (73503) $293.45 $391.26 3.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $509.69 $679.58 5.2×
X-Ray Exam Hips Bi 5/> Views (73523) $290.30 $387.06 3.0×
X-ray exam of femur 1 (73551) $121.44 $161.92 1.5×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $150.87 $201.16 1.5×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $269.69 $359.58 3.3×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $114.03 $152.04 1.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $106.41 $141.88 1.3×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $328.13 $437.50 3.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $283.91 $378.54 3.5×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $167.90 $223.87 2.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $286.98 $382.64 2.9×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $422.21 $562.95 4.3×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $75.98 $101.30 0.8×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $150.87 $201.16 1.8×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $140.63 $187.50 1.7×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $124.99 $166.65 1.3×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $181.98 $242.64 1.9×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $522.68 $696.91 1.6×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $79.78 $106.37 1.0×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $314.91 $419.88 3.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $244.45 $325.93 2.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $158.36 $211.15 1.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $171.32 $228.42 2.1×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $271.50 $362 3.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $340.84 $454.45 4.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $373.30 $497.73 3.8×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $142.55 $190.06 1.5×
X-Ray Spine One View - Xr Spine (72020) $90.55 $120.73 1.1×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $127.37 $169.83 1.6×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $168.30 $224.40 2.1×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $83.57 $111.43 0.9×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $130.93 $174.57 1.6×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $276.38 $368.51 3.4×
Xr c-spine 6 or more views (72052) $385.65 $514.20 3.9×
Xr chest 4+ views (71048) $73.76 $98.35 0.8×
Xr finger(s) 2+ views (73140) $126.62 $168.83 1.6×
Xr shoulder 1 view (73020) $176.90 $235.86 2.2×
Xr spine cervical 4 or 5 views (72050) $431.30 $575.07 4.4×
Xr tibia/fibula 2 views (73590) $238.85 $318.47 2.9×
Xr tmj bilateral (70330) $227.96 $303.95 2.8×
Xray knee 1 or 2 views rt (73560) $227.26 $303.01 2.8×