Imaging prices at Clay County Hospital

Flora, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $511 $511 5.5×
Abdomen 2 views (74019) $569 $569 5.1×
Acute Gastrointestinal Blood Loss Imaging (78278) $2,611 $2,611 6.1×
Ankle 2 views (73600) $394 $394 4.2×
Bone age studies (77072) $318 $318 2.8×
Bone Imaging 3 Phase (78315) $2,564 $2,564 6.0×
Bone Imaging Limited Area (78300) $1,145 $1,145 2.7×
Bone Imaging Multiple Areas (78305) $1,971 $1,971 4.6×
Bone Imaging Whole Body (78306) $2,667 $2,667 6.2×
Chest 1 view (71045) $262 $262 2.8×
Chest 2 views (71046) $432 $432 4.6×
Chest 3 views (71047) $112 $112 1.2×
Chest 4 or more views (71048) $850 $850 7.6×
Clavicle complete (73000) $373 $373 4.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $3,010 $3,010 26.9×
Contrast X-Ray Bladder (74430) $670 $670 1.8×
CT abdomen and pelvis without and with contrast (74178) $7,964 $7,964 21.3×
CT abdomen and pelvis without contrast (74176) $5,366 $5,366 21.0×
CT abdomen w contrast (74160) $3,767 $3,767 20.0×
CT abdomen w wo contrast (74170) $4,117 $4,117 21.9×
CT abdomen w/o contrast (74150) $3,144 $3,144 28.1×
CT Angio Abdomen and Pelvis (74174) $8,245 $8,245 22.1×
CT Angio Chest (71275) $4,633 $4,633 24.6×
CT Angio Head (70496) $4,152 $4,152 22.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,749 $2,749 14.6×
CT Angio Neck (70498) $4,037 $4,037 21.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $4,179 $4,179 22.2×
CT cervical spine w/ contrast (72126) $3,240 $3,240 8.7×
CT cervical spine w/o contrast (72125) $3,097 $3,097 27.6×
CT cervical spine w/wo cont (72127) $3,777 $3,777 20.1×
CT chest w contrast (71260) $3,123 $3,123 16.6×
CT chest w/wo contrast (71270) $3,447 $3,447 18.3×
CT head/brain with contrast (70460) $2,672 $2,672 14.2×
CT head/brain without and with contrast (70470) $3,379 $3,379 18.0×
CT iac w contrast (70481) $2,991 $2,991 15.9×
CT l-spine w&w/o contrast (72133) $4,226 $4,226 22.5×
CT lower ext w/o (73700) $3,023 $3,023 27.0×
CT lower extremity w/contrast material (73701) $3,076 $3,076 16.4×
CT lumbar spine w contrast (72132) $3,540 $3,540 9.5×
CT lumbar spine w/o contrast (72131) $3,096 $3,096 27.6×
CT maxillofacial w contrast (70487) $2,662 $2,662 14.2×
CT maxillofacial wo contrast (70486) $2,508 $2,508 22.4×
CT neck tissue combo (70492) $3,469 $3,469 18.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $3,562 $3,562 19.0×
CT orbits w/o contrast (70480) $2,865 $2,865 25.6×
CT pelvis w&w/o contrast (72194) $3,733 $3,733 19.9×
CT pelvis w/o contrast (72192) $2,725 $2,725 24.3×
CT scan of leg combo (73702) $3,722 $3,722 19.8×
CT scans face/jaw combo (70488) $3,182 $3,182 16.9×
CT soft tissue neck w contrast (70491) $2,680 $2,680 14.3×
CT soft tissue neck w/o contrast (70490) $2,283 $2,283 20.4×
CT thoracic spine w contrast (72129) $3,215 $3,215 17.1×
CT thoracic spine w/o contrast (72128) $2,920 $2,920 26.1×
CT thoracic spine w/wo cont (72130) $3,926 $3,926 20.9×
CT thorax w/o contrast (71250) $2,812 $2,812 25.1×
CT upper ext wo (73200) $2,482 $2,482 22.2×
CT upper extremity with contrast (73201) $2,799 $2,799 7.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,450 $4,450 23.7×
Cta Abdomen (74175) $4,212 $4,212 22.4×
Dxa Bone Density Axial (77080) $675 $675 6.0×
Dxa bone density study (77085) $675 $675 6.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $456 $456 4.9×
Esophagram (74220) $677 $677 3.6×
Fetal Biophys Profile W/Nst (76818) $411 $411 3.7×
Fluoroscopy up to 1 hr (76000) $190 $190 0.7×
Foot 2 views (73620) $510 $510 5.5×
Forearm 2 views (73090) $484 $484 5.2×
Gastric emptying imaging study (78264) $2,123 $2,123 5.0×
Gated Heart, Multiple (78473) $2,479 $2,479 5.8×
Hand 2 views (73120) $390 $390 3.5×
Hepatobil Syst Image W/Drug (78227) $2,563 $2,563 4.4×
Hepatobiliary System Imaging (78226) $1,579 $1,579 3.7×
Ht Muscle Image Spect Sing (78451) $3,848 $3,848 2.8×
Joint Survey Single View (77077) $390 $390 3.5×
K Flow/Funct Image Multiple (78709) $1,477 $1,477 2.5×
K Flow/Funct Image W/Drug (78708) $2,225 $2,225 3.8×
K Flow/Funct Image W/O Drug (78707) $1,857 $1,857 3.2×
Knee 3 Views (73562) $591 $591 6.3×
Liver & Spleen Imaging Static Only (78215) $1,555 $1,555 3.6×
Lung Ventilat&Perfus Imaging (78582) $2,234 $2,234 3.8×
Magnetic Image Jaw Joint (70336) $3,821 $3,821 14.9×
Meckels Divert Exam (78290) $1,438 $1,438 3.4×
Mra Head W/O & W/Contrast Material (70546) $4,973 $4,973 13.3×
MRA head w/o contrast (70544) $3,901 $3,901 15.3×
MRA neck w contrast (70548) $4,450 $4,450 11.9×
Mra Neck W/O &W/Contrast Material (70549) $4,740 $4,740 12.7×
MRA neck w/o contrast (70547) $3,662 $3,662 14.3×
MRI abdomen w/o contrast (74181) $3,448 $3,448 13.5×
MRI any jt lower extrem w/contrast material (73722) $3,959 $3,959 4.7×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,573 $4,573 12.2×
MRI any jt upper extremity w/contrast matrl (73222) $4,154 $4,154 4.9×
MRI cervical spine w contrast (72142) $3,853 $3,853 10.3×
MRI cervical spine w/o cont (72141) $4,325 $4,325 16.9×
MRI chest w/o contrast (71550) $3,926 $3,926 15.4×
MRI chest with contrast (71551) $4,328 $4,328 5.2×
MRI chest wo w contrast (71552) $6,334 $6,334 16.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $4,580 $4,580 12.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,367 $4,367 11.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,748 $3,748 14.7×
MRI lumbar spine w contrast (72149) $4,430 $4,430 11.8×
Mri Neck Spine W/O & W/Dye (72156) $5,952 $5,952 15.9×
MRI orbit face &/neck w/o contrast (70540) $3,619 $3,619 14.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $5,798 $5,798 15.5×
MRI pelvis w contrast (72196) $4,301 $4,301 11.5×
MRI pelvis w/o & w contrast (72197) $5,952 $5,952 15.9×
MRI pelvis w/o contrast (72195) $3,715 $3,715 14.5×
MRI thoracic spine w/o contrast (72146) $3,962 $3,962 15.5×
MRI upper extremity oth than jt w/contr matrl (73219) $3,087 $3,087 8.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $4,319 $4,319 16.9×
Mri Uppr Extremity W/O&W/Dye (73220) $4,520 $4,520 12.1×
MRI, abdomen, combo (74183) $4,905 $4,905 13.1×
MRI, dorsal spine combo (72157) $5,952 $5,952 15.9×
MRI, dorsal spine contrast (72147) $3,853 $3,853 10.3×
MRI, joint upper extrem (73221) $3,711 $3,711 14.5×
MRI, joint upper extrem combo (73223) $4,596 $4,596 12.3×
MRI, lumbar spine combo (72158) $5,952 $5,952 15.9×
Myocardial Spect Multiple Studies (78452) $7,852 $7,852 5.7×
Neck soft tissue (70360) $271 $271 2.9×
Nm whole blood volume (78122) $1,354 $1,354 2.3×
Parathyroid Planar Imaging (78070) $1,662 $1,662 3.9×
Parathyroid planar imaging w/wo subtraction (78071) $2,029 $2,029 4.7×
Pelvis 1 or 2 views (72170) $549 $549 4.9×
PET image w/CT, full body (78816) $6,250 $6,250 4.1×
PET imaging CT attenuation skull base mid-thigh (78815) $7,203 $7,203 4.7×
Pulmonary Perfusion Imaging Particulate (78580) $1,832 $1,832 4.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $901 $901 8.0×
Radex Ankle Complete Minimum 3 Views (73610) $393 $393 4.2×
Radex Calcaneus Minimum 2 Views (73650) $389 $389 4.2×
Radex elbow complete minimum 3 views (73080) $412 $412 4.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $442 $442 3.9×
Radex fingr minimum 2 views (73140) $350 $350 3.8×
Radex foot complete minimum 3 views (73630) $393 $393 4.2×
Radex Hand Minimum 3 Views (73130) $393 $393 4.2×
Radex lower extremity infant minimum 2 views (73592) $468 $468 5.0×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $315 $315 2.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $287 $287 3.1×
Radex Ribs Unilateral 2 Views (71100) $591 $591 6.3×
Radex shoulder complete minimum 2 views (73030) $555 $555 6.0×
Radex Spine 1 View Specify Level (72020) $301 $301 3.2×
Radex Sternum Minimum 2 Views (71120) $318 $318 3.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $418 $418 4.5×
Radex Toe Minimum 2 Views (73660) $329 $329 3.5×
Radex upper extremity infant minimum 2 views (73092) $412 $412 3.7×
Radex Wrist Complete Minimum 3 Views (73110) $393 $393 4.2×
Radiolog exam mandible compl minimum 4 views (70110) $462 $462 4.1×
Radiologic exam colon double contrast study (74280) $931 $931 5.0×
Radiologic exam colon single contrast study (74270) $916 $916 4.9×
Radiologic Exam Esophagus Double Contrast Study (74221) $690 $690 3.7×
Radiologic exam knee complete 4/more views (73564) $905 $905 8.1×
Radiologic exam pelvis compl minimum 3 views (72190) $521 $521 4.7×
Radiologic Exam Small Int Single Contrast Study (74250) $598 $598 3.2×
Radiologic exam swallow function contrast study (74230) $1,332 $1,332 7.1×
Radiologic exam upr gi trc double contrast study (74246) $1,397 $1,397 7.4×
Radiologic examination femur minimum 2 views (73552) $468 $468 5.0×
Radiologic examination knee 1/2 views (73560) $334 $334 3.6×
Radiologic examination tibia & fibula 2 views (73590) $397 $397 4.3×
Ribs bilateral 3 views (71110) $654 $654 5.8×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,691 $1,691 2.9×
Scapula (73010) $329 $329 2.9×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines		 $171–$261 $171–$261 varies
Shoulder 1 view (73020) $301 $301 3.2×
Skull less than 4 views (70250) $374 $374 3.3×
Thoracic spine 2 views (72070) $308 $308 2.7×
Thoracic spine 3 views (72072) $462 $462 4.1×
Thyroid Imaging With Vascular Flow (78013) $1,550 $1,550 3.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,953 $1,953 4.6×
Ultrasound Breast Limited (76642) $839 $839 9.0×
Ultrasound Exam Aaa Screen (76706) $778 $778 6.9×
Ultrasound, abdomen limited (76705) $1,293 $1,293 11.5×
Urethrocystogram voiding (74455) $678 $678 2.7×
Us breast unilateral complete (76641) $617 $617 5.5×
Us chest (76604) $706 $706 6.3×
Us kidney transplant (76776) $1,095 $1,095 9.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $565 $565 5.0×
Us ob limited 1 or more fetuses (76815) $924 $924 8.2×
Us ob transvaginal (76817) $829 $829 7.4×
Us pelvic non ob complete (76856) $1,360 $1,360 12.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,264 $1,264 11.3×
Us preg uterus real time f/u trnsabdl per fetus (76816) $642 $642 5.7×
Us retroperitoneal complete (76770) $1,433 $1,433 12.8×
Us retroperitoneal limited (76775) $1,095 $1,095 9.8×
Us scrotum and contents (76870) $1,200 $1,200 10.7×
Us thyroid (76536) $1,060 $1,060 9.5×
Venography extremity unilateral rs&i (75820) $769 $769 0.5×
Wrist 2 views (73100)
range across 2 matching MRF lines		 $356–$607 $356–$607 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $393 $393 4.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $328 $328 3.5×
X-Ray Exam Entire Spi 1 Vw (72081) $684 $684 7.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $744 $744 6.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $750 $750 8.0×
X-Ray Exam Hip Uni 4/> Views (73503) $905 $905 8.1×
X-Ray Exam Hips Bi 2 Views (73521) $1,020 $1,020 9.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $814 $814 7.3×
X-Ray Exam Hips Bi 5/> Views (73523) $885 $885 7.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $619 $619 6.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $654 $654 5.8×
X-ray eye for foreign body (70030) $343 $343 3.7×
X-ray humerus (73060) $366 $366 3.9×
X-ray IV pyelogram (ivp) (74400) $1,454 $1,454 7.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $327 $327 3.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $566 $566 5.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $652 $652 5.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $426 $426 4.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $633 $633 6.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $524 $524 4.7×
X-Rays Bone Survey Complete (77075) $1,347 $1,347 12.0×
Xr c-spine 4 or 5 views (72050) $791 $791 7.1×
Xr orbits complete 4 views (70200) $442 $442 3.9×

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.