Imaging prices at Chambers Memorial Hospital

Danville, AR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $96.17 $192.34 1.2×
Abdomen 2 views (74019) $135.25 $270.49 1.4×
Ankle 2 views (73600) $90.17 $180.33 1.1×
Bone age studies (77072) $63.12 $126.23 0.7×
Bone survey infant (77076) $86.46 $172.92 0.9×
Cat Scan Follow-Up Study (76380) $399.72 $799.43 5.0×
Chest 1 view (71045)
range across 2 matching MRF lines
$90.17–$108.20 $180.33–$216.39 varies
Chest 2 views (71046) $153.27 $306.54 1.9×
Chest 3 views (71047) $210.38 $420.76 2.7×
Clavicle complete (73000) $102.19 $204.37 1.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $112.50 $225 1.2×
Contrast X-Ray Bladder (74430) $204.37 $408.73 0.6×
CT abdomen and pelvis without and with contrast (74178) $2,097.75 $4,195.49 6.6×
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines
$811.45–$1,737.10 $1,622.90–$3,474.20 varies
CT abdomen w contrast (74160) $1,006.80 $2,013.59 6.3×
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines
$1,081.93–$1,184.12 $2,163.86–$2,368.23 varies
CT abdomen w/o contrast (74150) $736.32 $1,472.63 7.7×
CT Angio Abdomen and Pelvis (74174) $1,316.35 $2,632.70 4.1×
CT Angio Chest (71275) $1,202.15 $2,404.29 7.5×
CT Angio Head (70496) $991.77 $1,983.54 6.2×
CT Angio Neck (70498) $1,051.88 $2,103.76 6.6×
Ct Angio Upr Extrm W/O&W/Dye (73206) $901.61 $1,803.22 5.6×
CT bone density (77078) $147.27 $294.53 1.9×
CT cervical spine w/o contrast (72125) $931.67 $1,863.33 9.8×
CT chest w contrast (71260) $901.61 $1,803.22 5.6×
CT chest w/wo contrast (71270) $961.72 $1,923.43 6.0×
CT head/brain with contrast (70460) $901.61 $1,803.22 5.6×
CT head/brain without and with contrast (70470) $961.72 $1,923.43 6.0×
CT iac w contrast (70481)
range across 2 matching MRF lines
$694.24–$845.71 $1,388.47–$1,691.41 varies
CT lower ext w/o (73700) $646.15 $1,292.30 6.8×
CT lower extremity w/contrast material (73701) $766.37 $1,532.73 4.8×
CT lumbar spine w contrast (72132) $1,051.88 $2,103.76 3.3×
CT lumbar spine w/o contrast (72131) $931.67 $1,863.33 9.8×
CT maxillofacial w contrast (70487) $631.13 $1,262.26 4.0×
CT maxillofacial wo contrast (70486) $742.33 $1,484.65 7.8×
CT neck tissue combo (70492) $991.77 $1,983.54 6.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 2 matching MRF lines
$741.58–$877.27 $1,483.15–$1,754.53 varies
CT orbits w/o contrast (70480)
range across 2 matching MRF lines
$742.33–$781.40 $1,484.65–$1,562.79 varies
CT pelvis w&w/o contrast (72194) $920.19 $1,840.37 5.8×
CT pelvis w/o contrast (72192) $841.50 $1,683 8.8×
CT scans face/jaw combo (70488) $887.30 $1,774.60 5.6×
CT soft tissue neck w contrast (70491) $811.45 $1,622.90 5.1×
CT soft tissue neck w/o contrast (70490) $691.24 $1,382.47 7.3×
CT thoracic spine w/o contrast (72128) $931.67 $1,863.33 9.8×
CT thorax w/o contrast (71250) $742.33 $1,484.65 7.8×
CT upper ext wo (73200) $646.15 $1,292.30 6.8×
CT upper extremity with contrast (73201) $766.37 $1,532.73 2.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $991.77 $1,983.54 6.2×
Cta Abdomen (74175) $991.77 $1,983.54 6.2×
CTA pelvis (72191) $961.72 $1,923.43 6.0×
Esophagram (74220) $192.35 $384.69 1.2×
Fluoroscopy up to 1 hr (76000) $198.36 $396.71 0.9×
Foot 2 views (73620) $90.17 $180.33 1.1×
Forearm 2 views (73090) $105.19 $210.37 1.3×
Hand 2 views (73120) $93.17 $186.33 1.0×
Knee 3 Views (73562) $123.22 $246.44 1.6×
Magnetic Image Jaw Joint (70336) $1,003.50 $2,006.99 4.6×
Mra Head W/O & W/Contrast Material (70546) $1,348.72 $2,697.43 4.2×
MRA head w/o contrast (70544) $1,312.74 $2,625.48 6.0×
MRA head with contrast (70545) $1,251.53 $2,503.05 3.9×
MRA neck w contrast (70548) $1,218.71 $2,437.42 3.8×
Mra Neck W/O &W/Contrast Material (70549) $1,332.94 $2,665.87 4.2×
MRA neck w/o contrast (70547) $1,246.48 $2,492.95 5.7×
MRI abdomen w/o contrast (74181) $1,238.21 $2,476.42 5.7×
MRI any jt lower extrem w/contrast material (73722) $1,146.76 $2,293.51 1.6×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,325.99 $2,651.98 4.2×
MRI any jt upper extremity w/contrast matrl (73222) $1,209.87 $2,419.73 1.7×
MRI cervical spine w contrast (72142) $1,218.08 $2,436.15 3.8×
MRI cervical spine w/o cont (72141) $1,250.23 $2,500.46 5.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,146.76 $2,293.51 3.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,202.15 $2,404.29 3.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,021.83 $2,043.65 4.7×
MRI lumbar spine w contrast (72149) $1,250.23 $2,500.46 3.9×
Mri Neck Spine W/O & W/Dye (72156) $1,562.79 $3,125.58 4.9×
MRI orbit face &/neck w/o contrast (70540) $1,003.50 $2,006.99 4.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,325.99 $2,651.98 4.2×
MRI pelvis w contrast (72196) $1,003.50 $2,006.99 3.2×
MRI pelvis w/o & w contrast (72197) $1,322.36 $2,644.72 4.2×
MRI pelvis w/o contrast (72195) $871.56 $1,743.12 4.0×
MRI thoracic spine w/o contrast (72146) $1,142.04 $2,284.08 5.3×
MRI upper extremity oth than jt w/contr matrl (73219) $1,146.76 $2,293.51 3.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $860.23 $1,720.45 4.0×
Mri Uppr Extremity W/O&W/Dye (73220) $1,081.93 $2,163.86 3.4×
MRI, abdomen, combo (74183) $1,577.82 $3,155.63 5.0×
MRI, dorsal spine combo (72157) $1,562.79 $3,125.58 4.9×
MRI, dorsal spine contrast (72147) $1,218.08 $2,436.15 3.8×
MRI, joint upper extrem (73221) $1,262.25 $2,524.50 5.8×
MRI, joint upper extrem combo (73223) $1,325.99 $2,651.98 4.2×
MRI, lumbar spine combo (72158) $1,683.01 $3,366.01 5.3×
Neck soft tissue (70360) $96.17 $192.34 1.2×
Pelvis 1 or 2 views (72170) $114.21 $228.41 1.2×
Pulmonary Perfusion Imaging Particulate (78580) $562.34 $1,124.67 1.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $219.40 $438.79 2.3×
Radex Ankle Complete Minimum 3 Views (73610) $126.23 $252.46 1.6×
Radex Calcaneus Minimum 2 Views (73650) $96.17 $192.34 1.2×
Radex Facial Bones Complete Minimum 3 Views (70150) $116.76 $233.52 1.2×
Radex fingr minimum 2 views (73140) $84.15 $168.30 1.1×
Radex foot complete minimum 3 views (73630) $126.23 $252.46 1.6×
Radex Hand Minimum 3 Views (73130) $123.22 $246.44 1.6×
Radex lower extremity infant minimum 2 views (73592) $59.33 $118.65 0.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $85.21 $170.41 1.1×
Radex Ribs Unilateral 2 Views (71100) $126.23 $252.46 1.6×
Radex shoulder complete minimum 2 views (73030) $138.25 $276.50 1.7×
Radex Sinuses Paransl < 3 Views (70210) $81.15 $162.29 1.0×
Radex Spine 1 View Specify Level (72020) $108.20 $216.39 1.4×
Radex Sternum Minimum 2 Views (71120) $60.59 $121.18 0.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $119.92 $239.83 1.5×
Radex Toe Minimum 2 Views (73660) $90.17 $180.33 1.1×
Radex upper extremity infant minimum 2 views (73092) $64.38 $128.75 0.7×
Radex Wrist Complete Minimum 3 Views (73110) $97.83 $195.65 1.2×
Radiolog exam mandible compl minimum 4 views (70110) $107.30 $214.59 1.1×
Radiologic exam colon double contrast study (74280) $339.61 $679.21 2.1×
Radiologic exam colon single contrast study (74270) $294.53 $589.06 1.8×
Radiologic Exam Small Int Single Contrast Study (74250) $240.43 $480.86 1.5×
Radiologic exam swallow function contrast study (74230) $198.36 $396.71 1.2×
Radiologic exam upr gi trc double contrast study (74246) $270.49 $540.97 1.7×
Radiologic examination femur minimum 2 views (73552) $126.23 $252.46 1.6×
Radiologic examination knee 1/2 views (73560) $114.21 $228.41 1.4×
Radiologic examination tibia & fibula 2 views (73590) $111.20 $222.40 1.4×
Ribs bilateral 3 views (71110) $129.38 $258.76 1.4×
Scapula (73010) $105.19 $210.37 1.1×
Screening Digital Breast Tomosynthesis Bi (77063) $25.50 $51 1.1×
Sella turcica (70240) $60.59 $121.18 0.8×
Shoulder 1 view (73020) $102.19 $204.37 1.3×
Skull less than 4 views (70250) $102.19 $204.37 1.1×
Sternoclavicular joints (71130) $59.96 $119.91 0.8×
Thoracic spine 2 views (72070) $150.27 $300.54 1.6×
Thoracic spine 3 views (72072) $135.25 $270.49 1.4×
Thoracolumbar 2 views (72080) $123.22 $246.44 1.6×
Thyroid Met Imaging Body (78018) $823.47 $1,646.94 1.7×
Ultrasound Breast Limited (76642) $148.95 $297.89 1.9×
Ultrasound, abdomen limited (76705) $252.45 $504.90 2.7×
Unlisted us procedure (76999) $138.25 $276.50 1.7×
Upper gi w/o kub (74240) $246.44 $492.88 1.5×
Urethrocystogram voiding (74455) $156.28 $312.56 0.7×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$148.95–$208.28 $297.89–$416.55 varies
Us complete joint (76881) $234.42 $468.84 2.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $123.22 $246.44 1.3×
Us ob limited 1 or more fetuses (76815) $129.38 $258.76 1.4×
Us ob transvaginal (76817) $198.81 $397.61 2.1×
Us pelvic non ob complete (76856) $321.57 $643.14 3.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $258.47 $516.93 2.7×
Us retroperitoneal complete (76770) $273.49 $546.97 2.9×
Us scrotum and contents (76870) $240.43 $480.86 2.5×
Us thyroid (76536) $234.42 $468.84 2.5×
Wrist 2 views (73100) $90.17 $180.33 1.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $94.68 $189.35 1.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $96.17 $192.34 1.2×
X-Ray Exam Breast Specimen (76098) $249.30 $498.59 0.5×
X-Ray Exam Entire Spi 4/5 Vw (72083) $119.92 $239.83 1.3×
X-Ray Exam Hip Uni 1 View (73501) $65.64 $131.28 0.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $94.68 $189.35 1.2×
X-Ray Exam Hips Bi 2 Views (73521) $142 $284 1.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $135.25 $270.49 1.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $186.19 $372.37 2.0×
X-Ray Exam Unilat Ribs/Chest (71101) $150.27 $300.54 1.6×
X-ray humerus (73060)
range across 2 matching MRF lines
$105.19–$108.20 $210.37–$216.39 varies
X-ray IV pyelogram (ivp) (74400) $381.68 $763.36 2.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $72.13 $144.26 0.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $78.89 $157.78 1.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $150.27 $300.54 1.6×
X-ray nose-rectum child f.b. (76010) $108.20 $216.39 1.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $165.30 $330.59 1.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $108.20 $216.39 1.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $114.21 $228.41 1.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $132.24 $264.47 1.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $135.69 $271.38 1.4×
X-Ray Tmj Unilat (70328) $58.07 $116.13 0.7×
X-Ray Urinary Tract Exam With Contrast Material (74420) $264.47 $528.94 0.8×
X-Rays Bone Survey Complete (77075) $77.58 $155.15 0.8×
Xr c-spine 4 or 5 views (72050) $195.35 $390.70 2.1×
Xr facial bones less than 3 views (70140) $99.18 $198.36 1.3×
XR Mastoids < 3 Views Bilateral (70120) $66.90 $133.80 0.7×
Xr orbits complete 4 views (70200) $110.45 $220.90 1.2×

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.