Imaging prices at Carroll County Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $184.58 $307.64 2.3×
Abdomen 2 views (74019) $198.09 $330.15 2.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $988.22 $1,647.04 2.6×
Adrenal Cortex & Medulla Img (78075) $663.10 $1,105.17 0.5×
Ankle 2 views (73600) $182.65 $304.42 2.2×
Bone age studies (77072) $239.89 $399.82 2.4×
Bone Imaging 3 Phase (78315) $1,056.98 $1,761.63 2.8×
Bone Imaging Limited Area (78300)
range across 4 matching MRF lines
$1,052.48–$2,694.17 $1,754.13–$4,490.28 varies
Bone Imaging Multiple Areas (78305) $1,206.69 $2,011.15 3.2×
Bone Imaging Whole Body (78306)
range across 3 matching MRF lines
$1,052.48–$1,175.85 $1,754.13–$1,959.75 varies
Bone survey infant (77076) $239.89 $399.82 2.4×
Chest 1 view (71045) $177.50 $295.84 2.2×
Chest 2 views (71046)
range across 3 matching MRF lines
$210.95–$236.68 $351.58–$394.46 varies
Chest 4 or more views (71048)
range across 3 matching MRF lines
$259.83–$387.17 $433.05–$645.28 varies
Clavicle complete (73000) $214.81 $358.01 2.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $540 $900 5.5×
CT abdomen and pelvis without and with contrast (74178) $1,937.40 $3,229 5.9×
CT abdomen and pelvis without contrast (74176) $1,435.20 $2,392 6.4×
CT abdomen w contrast (74160) $1,113 $1,855 6.8×
CT abdomen w wo contrast (74170) $1,672.80 $2,788 10.2×
CT abdomen w/o contrast (74150) $1,227 $2,045 12.5×
CT Angio Abdomen and Pelvis (74174) $2,812.20 $4,687 8.6×
CT Angio Chest (71275)
range across 3 matching MRF lines
$1,329–$1,672.80 $2,215–$2,788 varies
CT Angio Head (70496) $1,984.20 $3,307 12.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,722 $2,870 10.5×
CT Angio Neck (70498) $1,722.60 $2,871 10.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,722.60 $2,871 10.5×
CT cervical spine w/ contrast (72126) $1,377 $2,295 4.2×
CT cervical spine w/o contrast (72125) $1,018.80 $1,698 10.4×
CT cervical spine w/wo cont (72127) $1,176 $1,960 7.1×
CT chest w contrast (71260) $1,377 $2,295 8.4×
CT chest w/wo contrast (71270) $1,642.20 $2,737 10.0×
CT head/brain with contrast (70460) $1,072.20 $1,787 6.5×
CT head/brain without and with contrast (70470) $1,642.20 $2,737 10.0×
CT iac w contrast (70481)
range across 3 matching MRF lines
$1,291.80–$1,620 $2,153–$2,700 varies
CT l-spine w&w/o contrast (72133) $1,384.20 $2,307 8.4×
CT lower ext w/o (73700) $955.20 $1,592 9.7×
CT lower extremity w/contrast material (73701) $967.20 $1,612 5.9×
CT lumbar spine w contrast (72132) $1,392.60 $2,321 4.3×
CT lumbar spine w/o contrast (72131) $1,384.20 $2,307 14.1×
CT maxillofacial w contrast (70487)
range across 3 matching MRF lines
$1,465.20–$2,358.60 $2,442–$3,931 varies
CT maxillofacial wo contrast (70486) $1,170 $1,950 11.9×
CT neck tissue combo (70492) $1,642.20 $2,737 10.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 3 matching MRF lines
$1,356.60–$1,620 $2,261–$2,700 varies
CT orbits w/o contrast (70480) $1,113 $1,855 11.3×
CT pelvis w&w/o contrast (72194) $1,597.80 $2,663 9.7×
CT pelvis w/o contrast (72192) $966.60 $1,611 9.9×
CT scan of leg combo (73702) $1,015.80 $1,693 6.2×
CT scans face/jaw combo (70488) $2,782.80 $4,638 16.9×
CT soft tissue neck w contrast (70491) $1,243.80 $2,073 7.6×
CT soft tissue neck w/o contrast (70490) $1,018.80 $1,698 10.4×
CT thoracic spine w contrast (72129) $1,018.80 $1,698 6.2×
CT thoracic spine w/o contrast (72128) $901.80 $1,503 9.2×
CT thoracic spine w/wo cont (72130) $1,032.60 $1,721 6.3×
CT thorax w/o contrast (71250) $1,081.80 $1,803 11.0×
CT unlisted procedure (76497)
range across 2 matching MRF lines
$28.20–$524.40 $47–$874 varies
CT upper ext wo (73200) $887.40 $1,479 9.0×
CT upper extremity w/o & w/contrast material (73202) $2,067.60 $3,446 12.6×
CT upper extremity with contrast (73201) $1,291.80 $2,153 3.9×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,812.20 $4,687 17.1×
Dxa Bone Density Axial (77080) $561.13 $935.22 5.7×
Dxa bone density study (77085) $561.13 $935.22 5.7×
Esophagram (74220) $270.12 $450.20 1.6×
Fluoroscopy up to 1 hr (76000) $13.20 $22 0.1×
Foot 2 views (73620) $229.60 $382.67 2.8×
Forearm 2 views (73090) $182.01 $303.35 2.2×
Gastric emptying imaging study (78264) $1,439.29 $2,398.82 3.8×
Gastroesophageal Reflux Exam (78262) $506.96 $844.94 1.4×
Gated Heart Planar Single (78472) $1,397.53 $2,329.21 3.7×
Hand 2 views (73120) $176.22 $293.70 1.8×
Hepatobil Syst Image W/Drug (78227) $1,378.89 $2,298.15 2.7×
Hepatobiliary System Imaging (78226) $1,186.13 $1,976.88 3.2×
Ht Musc Image Planar Mult (78454) $23.13 $38.55 0.0×
Infusion Ivp (74410) $555.67 $926.12 3.4×
K Flow/Funct Image Multiple (78709)
range across 2 matching MRF lines
$570.58–$1,396.24 $950.96–$2,327.07 varies
K Flow/Funct Image W/O Drug (78707) $1,581.29 $2,635.48 3.1×
Kidney Imaging Morphol (78700) $672.74 $1,121.23 1.8×
Knee 3 Views (73562) $237.32 $395.53 2.9×
Liver & Spleen Imaging Static Only (78215) $1,175.85 $1,959.75 3.1×
Liver & Spleen Imaging W/Vascular Flow (78216) $723.50 $1,205.83 1.9×
Lung Ventilat&Perfus Imaging (78582) $2,078.62 $3,464.36 4.1×
Magnetic Image Jaw Joint (70336) $1,737.60 $2,896 7.8×
Meckels Divert Exam (78290) $758.20 $1,263.66 2.0×
Mra Head W/O & W/Contrast Material (70546) $1,516.80 $2,528 4.6×
MRA head w/o contrast (70544) $1,127.40 $1,879 5.0×
MRA head with contrast (70545) $1,914.60 $3,191 5.8×
MRA neck w contrast (70548) $1,914.60 $3,191 5.8×
Mra Neck W/O &W/Contrast Material (70549) $2,038.80 $3,398 6.2×
MRA neck w/o contrast (70547) $1,206 $2,010 5.4×
MRI abdomen w contrast (74182) $1,585.20 $2,642 4.8×
MRI abdomen w/o contrast (74181) $1,806.60 $3,011 8.1×
MRI any jt lower extrem w/contrast material (73722) $1,476 $2,460 2.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,038.80 $3,398 6.2×
MRI any jt upper extremity w/contrast matrl (73222) $1,914.60 $3,191 2.6×
MRI cervical spine w contrast (72142) $1,566 $2,610 4.8×
MRI cervical spine w/o cont (72141) $1,555.20 $2,592 6.9×
MRI chest w/o contrast (71550) $1,737.60 $2,896 7.8×
MRI chest with contrast (71551) $1,737.60 $2,896 2.4×
MRI chest wo w contrast (71552) $2,038.80 $3,398 6.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,914.60 $3,191 5.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,038.80 $3,398 6.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,737.60 $2,896 7.8×
MRI lumbar spine w contrast (72149) $1,914.60 $3,191 5.8×
Mri Neck Spine W/O & W/Dye (72156) $2,276.40 $3,794 7.0×
MRI orbit face &/neck w/o contrast (70540) $1,506.60 $2,511 6.7×
MRI orbit face neck w contrast (70542) $1,653.60 $2,756 5.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,038.80 $3,398 6.2×
MRI pelvis w contrast (72196) $1,827.60 $3,046 5.6×
MRI pelvis w/o & w contrast (72197) $2,038.80 $3,398 6.2×
MRI pelvis w/o contrast (72195) $1,506.60 $2,511 6.7×
MRI thoracic spine w/o contrast (72146) $1,994.40 $3,324 8.9×
MRI upper extremity oth than jt w/contr matrl (73219) $1,914.60 $3,191 5.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,297.20 $2,162 5.8×
Mri Uppr Extremity W/O&W/Dye (73220) $2,038.80 $3,398 6.2×
MRI, abdomen, combo (74183) $2,276.40 $3,794 7.0×
MRI, dorsal spine combo (72157) $2,276.40 $3,794 7.0×
MRI, dorsal spine contrast (72147) $1,897.20 $3,162 5.8×
MRI, joint upper extrem (73221) $1,816.80 $3,028 8.1×
MRI, joint upper extrem combo (73223) $2,038.80 $3,398 6.2×
MRI, lumbar spine combo (72158) $2,276.40 $3,794 7.0×
Musculoskeletal Nuclear Exam (78399) $34.06 $56.76 0.1×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $489.62 $816.03 0.4×
Myocardial Spect Multiple Studies (78452) $2,637.62 $4,396.04 2.2×
Neck soft tissue (70360) $215.45 $359.09 2.6×
Parathyroid Planar Imaging (78070) $663.10 $1,105.17 1.8×
Pelvis 1 or 2 views (72170)
range across 2 matching MRF lines
$177.50–$187.15 $295.84–$311.92 varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $337.65 $562.75 3.4×
Radex Ankle Complete Minimum 3 Views (73610) $229.60 $382.67 2.8×
Radex Calcaneus Minimum 2 Views (73650) $177.50 $295.84 2.2×
Radex elbow complete minimum 3 views (73080) $229.60 $382.67 2.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $291.98 $486.64 3.0×
Radex fingr minimum 2 views (73140) $187.15 $311.92 2.3×
Radex foot complete minimum 3 views (73630) $297.13 $495.22 3.6×
Radex Hand Minimum 3 Views (73130) $229.60 $382.67 2.8×
Radex lower extremity infant minimum 2 views (73592) $308.06 $513.44 3.8×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $291.98 $486.64 3.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $210.95 $351.58 2.6×
Radex Ribs Unilateral 2 Views (71100) $240.53 $400.89 2.9×
Radex shoulder complete minimum 2 views (73030) $229.60 $382.67 2.8×
Radex Sinuses Paransl < 3 Views (70210) $232.18 $386.96 2.8×
Radex Spine 1 View Specify Level (72020) $142.78 $237.96 1.7×
Radex Sternum Minimum 2 Views (71120) $225.10 $375.17 2.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $268.19 $446.98 3.3×
Radex Toe Minimum 2 Views (73660) $168.50 $280.84 2.1×
Radex upper extremity infant minimum 2 views (73092) $289.42 $482.36 3.0×
Radex Wrist Complete Minimum 3 Views (73110) $231.53 $385.88 2.8×
Radiolog exam mandible compl minimum 4 views (70110) $229.60 $382.67 2.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $255 $425 2.6×
Radiologic exam knee complete 4/more views (73564) $290.06 $483.43 3.0×
Radiologic examination femur minimum 2 views (73552) $210.95 $351.58 2.6×
Radiologic examination knee 1/2 views (73560) $216.10 $360.16 2.6×
Radiologic Examination Osseous Survey Limited (77074) $882.39 $1,470.65 9.0×
Radiologic examination tibia & fibula 2 views (73590) $182.01 $303.35 2.2×
Ribs bilateral 3 views (71110) $305.49 $509.15 3.1×
Rp loclzj tum plnr 1 area single day imaging (78800) $411.87 $686.45 1.1×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $820.52 $1,367.54 2.2×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $882.85 $1,471.42 1.7×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $820.52 $1,367.54 1.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 3 matching MRF lines
$491.54–$516.60 $819.24–$861 varies
Rp Therapy Unlisted Procedure (79999) $113.09 $188.48 0.5×
Scapula (73010) $210.31 $350.51 2.1×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines
$123.60–$247.54 $206–$412.56 varies
Shoulder 1 view (73020) $112.20 $187 1.4×
Skull less than 4 views (70250) $291.98 $486.64 3.0×
Sternoclavicular joints (71130) $291.98 $486.64 3.6×
Thoracic spine 2 views (72070) $301.63 $502.72 3.1×
Thoracic spine 3 views (72072) $301.63 $502.72 3.1×
Ultrasound Breast Limited (76642)
range across 4 matching MRF lines
$290.69–$436.03 $484.48–$726.72 varies
Ultrasound Exam Aaa Screen (76706) $410.05 $683.41 4.2×
Ultrasound, abdomen limited (76705) $540 $900 5.5×
Unlisted Dx Radiographic Procedure (76499) $30.23 $50.38 0.4×
Unlisted magnetic resonance procedure (76498) $28.20 $47 0.3×
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999)
range across 6 matching MRF lines
$26.35–$2,852.24 $43.91–$4,753.73 varies
Unlisted us procedure (76999) $30.16 $50.27 0.4×
Urethrocystogram voiding (74455) $569.18 $948.63 2.5×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$290.69–$417.74 $484.48–$696.24 varies
Us chest (76604) $576.25 $960.41 5.9×
Us complete joint (76881) $540 $900 5.5×
Us exam, pelvic, limited (76857) $360 $600 3.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $417.74 $696.24 4.3×
Us ob limited 1 or more fetuses (76815) $561.49 $935.81 5.7×
Us ob transvaginal (76817) $517.80 $863 5.3×
Us pelvic non ob complete (76856) $417.74 $696.24 4.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $634 $1,056.67 6.5×
Us retroperitoneal complete (76770) $484.48 $807.47 4.9×
Us retroperitoneal limited (76775) $462.67 $771.11 4.7×
Us scrotum and contents (76870) $437 $728.33 4.5×
Us thyroid (76536) $374.11 $623.52 3.8×
Vein X-Ray Chest (75827) $1,920 $3,200 1.3×
Venography caval inferior serialography rs&i (75825) $4,140 $6,900 1.4×
Wrist 2 views (73100) $200.66 $334.43 2.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $232.82 $388.03 2.9×
X-Ray Bend Only L-S Spine (72120) $308.06 $513.44 3.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $162.07 $270.12 2.0×
X-Ray Exam Entire Spi 1 Vw (72081) $211.20 $352 2.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $273.34 $455.56 2.8×
X-Ray Exam Entire Spi 4/5 Vw (72083) $308.06 $513.44 3.1×
X-Ray Exam Hip Uni 1 View (73501) $141.49 $235.82 1.7×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 3 matching MRF lines
$187.15–$210.95 $311.92–$351.58 varies
X-Ray Exam Hips Bi 2 Views (73521) $421.25 $702.09 4.3×
X-Ray Exam L-S Spine Bending (72114) $308.06 $513.44 3.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $261.11 $435.19 3.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $319.64 $532.73 3.3×
X-Ray Exam Unilat Ribs/Chest (71101) $263.69 $439.48 2.7×
X-ray eye for foreign body (70030) $207.09 $345.15 2.5×
X-ray humerus (73060) $180.72 $301.20 2.2×
X-ray IV pyelogram (ivp) (74400) $526.09 $876.81 3.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $206.45 $344.08 2.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $237.32 $395.53 2.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
$261.11–$308.06 $435.19–$513.44 varies
X-ray nose-rectum child f.b. (76010) $90.04 $150.07 1.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $337.65 $562.75 3.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $229.60 $382.67 2.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $207.09 $345.15 2.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $243.11 $405.18 3.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $297.13 $495.22 3.0×
X-ray thoracic spine 4 vw (72074) $301.63 $502.72 3.1×
X-Rays Bone Length Studies (77073) $387.17 $645.28 3.9×
X-Rays Bone Survey Complete (77075) $892.68 $1,487.80 9.1×
Xr c-spine 4 or 5 views (72050) $333.79 $556.32 3.4×
Xr facial bones less than 3 views (70140) $207.09 $345.15 2.5×
Xr orbits complete 4 views (70200) $316.42 $527.37 3.2×

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.