Imaging prices at CAMC Plateau Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $6,679 $6,679 5.0×
Abdomen 1 View (74018) $348 $348 4.2×
Abdomen 2 views (74019) $388 $388 3.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,743 $1,743 4.5×
Ankle 2 views (73600)
range across 3 matching MRF lines		 $132–$487 $132–$487 varies
Bone age studies (77072) $341 $341 3.4×
Bone Imaging 3 Phase (78315) $1,889 $1,889 4.9×
Bone Imaging Limited Area (78300) $1,426 $1,426 3.7×
Bone Imaging Whole Body (78306) $1,889 $1,889 4.9×
Brain Image W/Flow < 4 Views (78601) $2,038 $2,038 5.3×
Brain Imaging Minimum 4 Static Views (78605) $1,743 $1,743 3.3×
Cardiac Shunt Detection (78428) $2,105 $2,105 5.5×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $2,646 $2,646 5.1×
Cerebrospinal Fluid Scan (78630) $2,177 $2,177 4.2×
Chest 1 view (71045) $267 $267 3.2×
Chest 2 views (71046) $426 $426 5.1×
Chest 3 views (71047) $456 $456 5.5×
Chest 4 or more views (71048) $786 $786 7.8×
Clavicle complete (73000) $326 $326 3.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $2,230 $2,230 22.2×
CT abdomen and pelvis without and with contrast (74178) $5,077 $5,077 15.2×
CT abdomen and pelvis without contrast (74176) $4,308 $4,308 18.8×
CT abdomen w contrast (74160) $2,116 $2,116 12.6×
CT abdomen w wo contrast (74170) $2,560 $2,560 15.2×
CT abdomen w/o contrast (74150) $2,116 $2,116 21.1×
CT Angio Abdomen and Pelvis (74174) $5,678 $5,678 17.0×
CT Angio Chest (71275) $5,503 $5,503 32.7×
CT Angio Head (70496) $2,837 $2,837 16.9×
CT angio hrt w/3d image (75574)
range across 2 matching MRF lines		 $984–$985 $984–$985 varies
Ct Angio Lwr Extr W/O&W/Dye (73706) $4,165 $4,165 24.8×
CT Angio Neck (70498) $2,837 $2,837 16.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,837 $2,837 16.9×
CT cervical spine w/ contrast (72126) $2,302 $2,302 6.9×
CT cervical spine w/o contrast (72125) $2,302 $2,302 23.0×
CT cervical spine w/wo cont (72127) $2,661 $2,661 15.8×
CT chest w contrast (71260) $2,364 $2,364 14.1×
CT chest w/wo contrast (71270) $2,821 $2,821 16.8×
CT head/brain with contrast (70460) $2,484 $2,484 14.8×
CT head/brain without and with contrast (70470) $2,760 $2,760 16.4×
CT heart contrast eval cardiac structure&morph (75572) $985 $985 2.9×
CT heart no contrast quant eval coronry calcium (75571) $487 $487 5.8×
CT hrt w/3d image congen (75573) $985 $985 2.9×
CT iac w contrast (70481) $2,546 $2,546 15.1×
CT l-spine w&w/o contrast (72133) $2,661 $2,661 15.8×
CT lower ext w/o (73700) $2,364 $2,364 23.6×
CT lower extremity w/contrast material (73701) $2,446 $2,446 14.5×
CT lumbar spine w contrast (72132) $2,302 $2,302 6.9×
CT lumbar spine w/o contrast (72131) $2,302 $2,302 23.0×
CT maxillofacial w contrast (70487) $1,928 $1,928 11.5×
CT maxillofacial wo contrast (70486)
range across 5 matching MRF lines		 $2,201–$2,333 $2,201–$2,333 varies
CT neck tissue combo (70492) $2,441 $2,441 14.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,732 $2,732 16.2×
CT orbits w/o contrast (70480)
range across 3 matching MRF lines		 $478–$2,373 $478–$2,373 varies
CT pelvis w&w/o contrast (72194) $2,721 $2,721 16.2×
CT pelvis w/o contrast (72192) $2,193 $2,193 21.9×
CT scan of leg combo (73702)
range across 23 matching MRF lines		 $2,660–$2,886 $2,660–$2,886 varies
CT scans face/jaw combo (70488) $2,560 $2,560 15.2×
CT soft tissue neck w contrast (70491) $2,084 $2,084 12.4×
CT soft tissue neck w/o contrast (70490) $2,084 $2,084 20.8×
CT thoracic spine w contrast (72129) $2,302 $2,302 13.7×
CT thoracic spine w/o contrast (72128) $2,302 $2,302 23.0×
CT thorax w/o contrast (71250) $2,364 $2,364 23.6×
CT upper ext wo (73200) $2,364 $2,364 23.6×
CT upper extremity w/o & w/contrast material (73202) $2,446 $2,446 14.5×
CT upper extremity with contrast (73201) $2,364 $2,364 7.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $5,503 $5,503 32.7×
Cta Abdomen (74175) $4,165 $4,165 24.8×
Dxa Bone Density Axial (77080) $593 $593 5.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $423 $423 5.1×
Esophagram (74220) $538 $538 3.2×
Fluoroscopy up to 1 hr (76000) $486 $486 2.1×
Foot 2 views (73620) $240 $240 2.9×
Forearm 2 views (73090) $268 $268 3.2×
Gastric emptying imaging study (78264) $1,440 $1,440 3.8×
Gastroesophageal Reflux Exam (78262) $1,440 $1,440 3.8×
Gated Heart Planar Single (78472) $1,211 $1,211 3.2×
Hand 2 views (73120) $235 $235 2.3×
Hepatobil Syst Image W/Drug (78227) $1,831 $1,831 3.5×
Hepatobiliary System Imaging (78226) $1,831 $1,831 4.8×
Ht Muscle Image Spect Sing (78451) $4,370 $4,370 3.5×
K Flow/Funct Image Multiple (78709) $2,072 $2,072 4.0×
K Flow/Funct Image W/Drug (78708) $2,291 $2,291 4.4×
K Flow/Funct Image W/O Drug (78707) $2,244 $2,244 4.3×
Kidney Imaging Morphol (78700) $2,208 $2,208 5.8×
Knee 3 Views (73562) $326 $326 3.9×
Leveen/Shunt Patency Exam (78291) $2,208 $2,208 5.8×
Liver & Spleen Imaging Static Only (78215) $1,232 $1,232 3.2×
Lung Perf&Ventilat Diferentl (78598) $2,893 $2,893 5.6×
Lung Ventilat&Perfus Imaging (78582) $2,052 $2,052 3.9×
Lung Ventilation Imaging (78579) $1,674 $1,674 4.4×
Lymph System Imaging (78195)
range across 2 matching MRF lines		 $1,493–$1,620 $1,493–$1,620 varies
Magnetic Image Jaw Joint (70336) $2,740 $2,740 12.0×
Meckels Divert Exam (78290) $1,742 $1,742 4.5×
Mra Head W/O & W/Contrast Material (70546) $4,426 $4,426 13.2×
MRA head w/o contrast (70544) $3,725 $3,725 16.3×
MRA head with contrast (70545) $4,193 $4,193 12.5×
MRA neck w contrast (70548) $4,193 $4,193 12.5×
Mra Neck W/O &W/Contrast Material (70549) $3,725 $3,725 11.1×
MRA neck w/o contrast (70547) $3,725 $3,725 16.3×
MRI abdomen w contrast (74182) $2,215 $2,215 6.6×
MRI abdomen w/o contrast (74181) $2,446 $2,446 10.7×
MRI any jt lower extrem w/contrast material (73722) $2,845 $2,845 3.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,078 $3,078 9.2×
MRI any jt upper extremity w/contrast matrl (73222) $3,703 $3,703 4.9×
MRI Breast W/O Contrast Bilateral (77047) $2,518 $2,518 11.0×
MRI Breast Without Contrast Material Unilateral (77046) $2,518 $2,518 11.0×
MRI cervical spine w contrast (72142) $4,253 $4,253 12.7×
MRI cervical spine w/o cont (72141) $3,786 $3,786 16.5×
MRI chest w/o contrast (71550) $2,518 $2,518 11.0×
MRI chest with contrast (71551) $2,984 $2,984 4.0×
MRI chest wo w contrast (71552) $3,576 $3,576 10.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,956 $2,956 8.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,190 $3,190 9.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,489 $2,489 10.9×
MRI lumbar spine w contrast (72149) $4,210 $4,210 12.6×
Mri Neck Spine W/O & W/Dye (72156) $4,845 $4,845 14.5×
MRI orbit face &/neck w/o contrast (70540) $2,489 $2,489 10.9×
MRI orbit face neck w contrast (70542) $2,956 $2,956 8.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,190 $3,190 9.5×
MRI pelvis w contrast (72196) $2,984 $2,984 8.9×
MRI pelvis w/o & w contrast (72197) $3,218 $3,218 9.6×
MRI pelvis w/o contrast (72195) $2,518 $2,518 11.0×
MRI thoracic spine w/o contrast (72146) $3,783 $3,783 16.5×
MRI upper extremity oth than jt w/contr matrl (73219) $2,188 $2,188 6.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,491 $2,491 10.9×
Mri Uppr Extremity W/O&W/Dye (73220) $3,191 $3,191 9.5×
MRI, abdomen, combo (74183) $3,145 $3,145 9.4×
MRI, dorsal spine combo (72157) $4,484 $4,484 13.4×
MRI, dorsal spine contrast (72147) $4,250 $4,250 12.7×
MRI, joint upper extrem (73221) $2,377 $2,377 10.4×
MRI, joint upper extrem combo (73223) $3,078 $3,078 9.2×
MRI, lumbar spine combo (72158) $4,443 $4,443 13.3×
Myocardial Spect Multiple Studies (78452) $5,231 $5,231 4.2×
N-invas est c ffr sw aly CTA (75580) $5,595 $5,595 6.8×
Neck soft tissue (70360) $269 $269 3.2×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $2,208 $2,208 5.8×
Ntsty modul radthx pln dose-vol histos (77301) $6,679 $6,679 5.0×
Parathyroid Planar Imaging (78070) $1,440 $1,440 3.8×
Parathyroid planar imaging w/wo subtraction (78071) $2,208 $2,208 5.8×
Pelvis 1 or 2 views (72170) $267 $267 2.7×
Pulmonary Perfusion Imaging Particulate (78580) $1,568 $1,568 4.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $428 $428 4.3×
Radex abscess/fistula/sinus tract rs&i (76080)
range across 2 matching MRF lines		 $1,028–$2,954 $1,028–$2,954 varies
Radex Ankle Complete Minimum 3 Views (73610) $268 $268 3.2×
Radex Calcaneus Minimum 2 Views (73650) $264 $264 3.2×
Radex elbow complete minimum 3 views (73080) $481 $481 5.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $524 $524 5.2×
Radex fingr minimum 2 views (73140) $181 $181 2.2×
Radex foot complete minimum 3 views (73630) $268 $268 3.2×
Radex Hand Minimum 3 Views (73130) $268 $268 3.2×
Radex lower extremity infant minimum 2 views (73592) $326 $326 3.9×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $368 $368 3.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $308 $308 3.7×
Radex Ribs Unilateral 2 Views (71100) $383 $383 4.6×
Radex shoulder complete minimum 2 views (73030) $326 $326 3.9×
Radex Sinuses Paransl < 3 Views (70210) $345 $345 4.1×
Radex Sternum Minimum 2 Views (71120) $383 $383 4.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $428 $428 5.1×
Radex Toe Minimum 2 Views (73660) $217 $217 2.6×
Radex upper extremity infant minimum 2 views (73092) $326 $326 3.3×
Radex Wrist Complete Minimum 3 Views (73110) $268 $268 3.2×
Radiolog exam mandible compl minimum 4 views (70110) $428 $428 4.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $428 $428 4.3×
Radiologic exam colon double contrast study (74280) $1,106 $1,106 6.6×
Radiologic exam colon single contrast study (74270) $839 $839 5.0×
Radiologic exam knee complete 4/more views (73564) $326 $326 3.3×
Radiologic exam pelvis compl minimum 3 views (72190) $428 $428 4.3×
Radiologic Exam Small Int Single Contrast Study (74250) $832 $832 4.9×
Radiologic exam swallow function contrast study (74230) $3,583 $3,583 21.3×
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines		 $697–$783 $697–$783 varies
Radiologic examination femur 1 view (73551) $278 $278 3.3×
Radiologic examination femur minimum 2 views (73552) $376 $376 4.5×
Radiologic examination knee 1/2 views (73560) $259 $259 3.1×
Radiologic examination tibia & fibula 2 views (73590) $326 $326 3.9×
Ribs bilateral 3 views (71110) $428 $428 4.3×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,440 $1,440 3.8×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,967 $1,967 5.1×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $7,599 $7,599 14.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $3,197 $3,197 6.1×
Scapula (73010) $326 $326 3.3×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines		 $119–$124 $119–$124 varies
Shoulder 1 view (73020) $232 $232 2.8×
Skull less than 4 views (70250) $581 $581 5.8×
Testicular Imaging W/Flow (78761) $1,743 $1,743 4.5×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $1,669 $1,669 4.6×
Thoracic spine 2 views (72070) $308 $308 3.1×
Thoracic spine 3 views (72072) $467 $467 4.7×
Thoracolumbar 2 views (72080) $456 $456 5.5×
Thyroid Imaging With Vascular Flow (78013) $990 $990 2.6×
Thyroid Met Imaging Body (78018) $2,177 $2,177 4.2×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,847 $1,847 4.8×
Ultrasound Breast Limited (76642) $566 $566 6.8×
Ultrasound Elastography Parenchyma (76981) $675 $675 6.7×
Ultrasound Exam Aaa Screen (76706) $567 $567 5.7×
Ultrasound, abdomen limited (76705) $567 $567 5.7×
Upper gi w/o kub (74240) $697 $697 4.1×
Ureteral Reflux Study (78740) $1,304 $1,304 3.4×
Us breast unilateral complete (76641)
range across 3 matching MRF lines		 $566–$586 $566–$586 varies
Us chest (76604) $318 $318 3.2×
Us complete joint (76881) $532 $532 5.3×
Us exam, pelvic, limited (76857) $500 $500 5.0×
Us kidney transplant (76776) $510 $510 5.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 8 matching MRF lines		 $273–$289 $273–$289 varies
Us ob limited 1 or more fetuses (76815) $390 $390 3.9×
Us ob transvaginal (76817) $1,651 $1,651 16.5×
Us pelvic non ob complete (76856) $548 $548 5.5×
Us retroperitoneal complete (76770) $490 $490 4.9×
Us retroperitoneal limited (76775) $602 $602 6.0×
Us scrotum and contents (76870) $567 $567 5.7×
Us thyroid (76536)
range across 3 matching MRF lines		 $567–$569 $567–$569 varies
Vertebral fracture assessment via dxa (77086) $422 $422 5.1×
Wrist 2 views (73100) $487 $487 5.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $478 $478 5.7×
X-Ray Bend Only L-S Spine (72120) $308 $308 3.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $326 $326 3.9×
X-Ray Exam Breast Specimen (76098) $1,360 $1,360 2.6×
X-Ray Exam Entire Spi 1 Vw (72081) $1,134 $1,134 13.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $1,134 $1,134 11.3×
X-Ray Exam Entire Spi 4/5 Vw (72083) $2,268 $2,268 22.6×
X-Ray Exam Hip Uni 1 View (73501) $229 $229 2.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $308 $308 3.7×
X-Ray Exam Hip Uni 4/> Views (73503) $589 $589 5.9×
X-Ray Exam Hips Bi 2 Views (73521) $428 $428 4.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $602 $602 6.0×
X-Ray Exam Hips Bi 5/> Views (73523) $805 $805 8.0×
X-Ray Exam L-S Spine Bending (72114) $381 $381 3.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $326 $326 3.9×
X-Ray Exam Neck Spine 6/>Vws (72052) $608 $608 6.1×
X-Ray Exam Unilat Ribs/Chest (71101) $428 $428 4.3×
X-ray humerus (73060) $326 $326 3.9×
X-ray IV pyelogram (ivp) (74400) $1,294 $1,294 7.7×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $390 $390 4.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $340 $340 4.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $308 $308 3.1×
X-ray nose-rectum child f.b. (76010) $181 $181 2.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $428 $428 4.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $589 $589 5.9×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $383 $383 3.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $300 $300 3.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $429 $429 5.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $589 $589 5.9×
X-Ray Tmj Unilat (70328) $506 $506 6.1×
X-Rays Bone Survey Complete (77075) $2,072 $2,072 20.7×
Xr c-spine 4 or 5 views (72050) $475 $475 4.7×
Xr facial bones less than 3 views (70140) $428 $428 5.1×
XR Mastoids < 3 Views Bilateral (70120) $783 $783 7.8×
Xr orbits complete 4 views (70200) $429 $429 4.3×
Xr Tomogram Single Plane (76100) $235 $235 2.3×

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.