Imaging prices at Clay County Hospital

Ashland, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $140 $140 1.9×
Abdomen 2 views (74019) $266 $266 3.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $654 $654 1.9×
Ankle 2 views (73600) $266 $266 3.5×
Bone age studies (77072) $151 $151 1.7×
Bone Imaging 3 Phase (78315) $793 $793 2.3×
Bone Imaging Limited Area (78300) $654 $654 1.9×
Bone Imaging Multiple Areas (78305) $743 $743 2.2×
Bone Imaging Whole Body (78306) $907 $907 2.6×
Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) $826 $826 1.8×
Chest 1 view (71045) $140 $140 1.9×
Chest 2 views (71046)
range across 2 matching MRF lines		 $195–$266 $195–$266 varies
Chest 4 or more views (71048) $266 $266 3.0×
Cholecystography Oral Contrast (74290) $283 $283 1.9×
Clavicle complete (73000) $114 $114 1.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $273 $273 3.0×
Contrast X-Ray Bladder (74430) $490 $490 1.6×
Contrast Xray Throat/Cerv Esopha (74210) $205 $205 1.4×
CT abdomen and pelvis without and with contrast (74178) $3,678 $3,678 12.2×
CT abdomen and pelvis without contrast (74176) $2,917 $2,917 14.2×
CT abdomen w contrast (74160) $2,006 $2,006 13.3×
CT abdomen w wo contrast (74170) $2,391 $2,391 15.8×
CT abdomen w/o contrast (74150) $1,624 $1,624 18.0×
CT Angio Abdomen and Pelvis (74174) $2,894 $2,894 9.6×
CT Angio Chest (71275) $2,911 $2,911 19.3×
CT Angio Head (70496) $2,774 $2,774 18.4×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,121 $3,121 20.6×
CT Angio Neck (70498) $2,820 $2,820 18.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,650 $2,650 17.5×
CT cervical spine w/ contrast (72126) $2,233 $2,233 7.4×
CT cervical spine w/o contrast (72125) $1,848 $1,848 20.5×
CT cervical spine w/wo cont (72127) $2,391 $2,391 15.8×
CT chest w contrast (71260) $2,006 $2,006 13.3×
CT chest w/wo contrast (71270) $2,391 $2,391 15.8×
CT head/brain with contrast (70460) $1,625 $1,625 10.7×
CT head/brain without and with contrast (70470)
range across 2 matching MRF lines		 $75–$1,982 $75–$1,982 varies
CT iac w contrast (70481) $1,851 $1,851 12.2×
CT l-spine w&w/o contrast (72133) $2,391 $2,391 15.8×
CT lower ext w/o (73700) $1,310 $1,310 14.5×
CT lower extremity w/contrast material (73701) $1,692 $1,692 11.2×
CT lumbar spine w contrast (72132) $2,233 $2,233 7.4×
CT lumbar spine w/o contrast (72131) $1,848 $1,848 20.5×
CT maxillofacial w contrast (70487) $1,851 $1,851 12.2×
CT maxillofacial wo contrast (70486) $1,467 $1,467 16.3×
CT neck tissue combo (70492) $2,055 $2,055 13.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,222 $2,222 14.7×
CT orbits w/o contrast (70480) $1,467 $1,467 16.3×
CT pelvis w&w/o contrast (72194) $2,344 $2,344 15.5×
CT pelvis w/o contrast (72192)
range across 3 matching MRF lines		 $1,310–$1,579 $1,310–$1,579 varies
CT scan of leg combo (73702) $1,910 $1,910 12.6×
CT scans face/jaw combo (70488) $2,222 $2,222 14.7×
CT soft tissue neck w contrast (70491) $1,692 $1,692 11.2×
CT soft tissue neck w/o contrast (70490) $1,310 $1,310 14.5×
CT thoracic spine w contrast (72129) $1,962 $1,962 13.0×
CT thoracic spine w/o contrast (72128) $1,579 $1,579 17.5×
CT thoracic spine w/wo cont (72130) $2,103 $2,103 13.9×
CT thorax w/o contrast (71250) $1,624 $1,624 18.0×
CT upper ext wo (73200) $1,310 $1,310 14.5×
CT upper extremity w/o & w/contrast material (73202) $1,910 $1,910 12.6×
CT upper extremity with contrast (73201) $1,692 $1,692 5.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,253 $3,253 21.5×
Cta Abdomen (74175) $2,894 $2,894 19.1×
CTA pelvis (72191) $2,779 $2,779 18.4×
Dxa Bone Density Axial (77080) $299 $299 3.3×
Esophagram (74220) $205 $205 1.4×
Fluoroscopy up to 1 hr (76000) $475 $475 2.3×
Foot 2 views (73620) $86 $86 1.1×
Forearm 2 views (73090) $117 $117 1.6×
Gastric emptying imaging study (78264) $826 $826 2.4×
Gated Heart Planar Single (78472) $845 $845 2.5×
Gated Heart, Multiple (78473) $1,008 $1,008 2.9×
Hand 2 views (73120) $117 $117 1.3×
Heart first pass single,planar (78481) $1,034 $1,034 2.2×
Hepatobil Syst Image W/Drug (78227) $1,371 $1,371 2.9×
Ht Muscle Image Spect Sing (78451) $2,949 $2,949 2.6×
K Flow/Funct Image W/Drug (78708) $881 $881 1.9×
K Flow/Funct Image W/O Drug (78707) $881 $881 1.9×
Knee 3 Views (73562)
range across 3 matching MRF lines		 $137–$170 $137–$170 varies
Lung Perf&Ventilat Diferentl (78598) $837 $837 1.8×
Lung perfusion differential (78597) $837 $837 2.4×
Lung Ventilat&Perfus Imaging (78582) $1,288 $1,288 2.8×
Meckels Divert Exam (78290) $515 $515 1.5×
MRA neck w/o contrast (70547) $1,125 $1,125 5.5×
MRI abdomen w contrast (74182) $1,525 $1,525 5.1×
MRI abdomen w/o contrast (74181) $1,125 $1,125 5.5×
MRI cervical spine w contrast (72142) $1,290 $1,290 4.3×
MRI cervical spine w/o cont (72141) $1,863 $1,863 9.1×
MRI chest w/o contrast (71550) $1,125 $1,125 5.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,125 $1,125 3.7×
MRI lumbar spine w contrast (72149) $1,290 $1,290 4.3×
Mri Neck Spine W/O & W/Dye (72156) $1,730 $1,730 5.8×
MRI orbit face &/neck w/o contrast (70540) $1,125 $1,125 5.5×
MRI pelvis w contrast (72196) $1,125 $1,125 3.7×
MRI thoracic spine w/o contrast (72146) $1,125 $1,125 5.5×
Mri Uppr Extremity W/O&W/Dye (73220) $1,125 $1,125 3.7×
MRI, abdomen, combo (74183) $1,125 $1,125 3.7×
MRI, dorsal spine combo (72157) $1,730 $1,730 5.8×
MRI, dorsal spine contrast (72147) $1,290 $1,290 4.3×
MRI, joint upper extrem (73221) $1,125 $1,125 5.5×
MRI, lumbar spine combo (72158) $1,730 $1,730 5.8×
Myocardial Spect Multiple Studies (78452) $3,367 $3,367 3.0×
Neck soft tissue (70360) $160 $160 2.1×
Parathyroid planar imaging w/wo subtraction (78071) $603 $603 1.8×
Pelvis 1 or 2 views (72170) $117 $117 1.3×
Pulmonary Perfusion Imaging Particulate (78580) $525 $525 1.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $177 $177 2.0×
Radex Ankle Complete Minimum 3 Views (73610) $182 $182 2.4×
Radex Calcaneus Minimum 2 Views (73650) $92 $92 1.2×
Radex elbow complete minimum 3 views (73080) $137 $137 1.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $214 $214 2.4×
Radex fingr minimum 2 views (73140) $103 $103 1.4×
Radex foot complete minimum 3 views (73630) $117 $117 1.6×
Radex Hand Minimum 3 Views (73130) $176 $176 2.3×
Radex lower extremity infant minimum 2 views (73592) $117 $117 1.6×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $119 $119 1.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $157 $157 2.1×
Radex Ribs Unilateral 2 Views (71100) $137 $137 1.8×
Radex shoulder complete minimum 2 views (73030) $141 $141 1.9×
Radex Sinuses Paransl < 3 Views (70210) $87 $87 1.2×
Radex Sternum Minimum 2 Views (71120) $117 $117 1.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $184 $184 2.5×
Radex Toe Minimum 2 Views (73660) $103 $103 1.4×
Radex upper extremity infant minimum 2 views (73092) $117 $117 1.3×
Radex Wrist Complete Minimum 3 Views (73110) $117 $117 1.6×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $286 $286 3.2×
Radiolog exam mandible compl minimum 4 views (70110) $184 $184 2.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $266 $266 3.0×
Radiologic exam colon double contrast study (74280) $369 $369 2.4×
Radiologic exam colon single contrast study (74270) $328 $328 2.2×
Radiologic exam knee complete 4/more views (73564)
range across 5 matching MRF lines		 $147–$170 $147–$170 varies
Radiologic exam pelvis compl minimum 3 views (72190) $176 $176 2.0×
Radiologic Exam Small Int Single Contrast Study (74250) $240 $240 1.6×
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines		 $291–$438 $291–$438 varies
Radiologic examination femur 1 view (73551) $160 $160 2.1×
Radiologic examination femur minimum 2 views (73552) $160 $160 2.1×
Radiologic examination knee 1/2 views (73560) $117 $117 1.6×
Radiologic examination tibia & fibula 2 views (73590) $141 $141 1.9×
Ribs bilateral 3 views (71110) $184 $184 2.0×
Scapula (73010) $160 $160 1.8×
Shoulder 1 view (73020) $87 $87 1.2×
Skull less than 4 views (70250) $141 $141 1.6×
Sternoclavicular joints (71130) $117 $117 1.6×
Thoracic spine 2 views (72070) $159 $159 1.8×
Thoracic spine 3 views (72072) $184 $184 2.0×
Thyroid Imaging With Vascular Flow (78013) $704 $704 2.0×
Thyroid Uptake Measurement (78012) $598 $598 1.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $349 $349 1.0×
Ultrasound Breast Limited (76642) $333 $333 4.4×
Ultrasound Exam Aaa Screen (76706)
range across 2 matching MRF lines		 $530–$585 $530–$585 varies
Ultrasound, abdomen limited (76705)
range across 6 matching MRF lines		 $401–$417 $401–$417 varies
Upper gi w/o kub (74240)
range across 2 matching MRF lines		 $275–$438 $275–$438 varies
Urethrocystogram voiding (74455) $490 $490 2.4×
Us breast unilateral complete (76641) $333 $333 3.7×
Us chest (76604) $304 $304 3.4×
Us complete joint (76881) $429 $429 4.8×
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines		 $410–$521 $410–$521 varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $280 $280 3.1×
Us ob limited 1 or more fetuses (76815) $441 $441 4.9×
Us ob transvaginal (76817) $324 $324 3.6×
Us pelvic non ob complete (76856) $322 $322 3.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $271 $271 3.0×
Us retroperitoneal limited (76775)
range across 3 matching MRF lines		 $521–$585 $521–$585 varies
Us scrotum and contents (76870) $349 $349 3.9×
Us thyroid (76536)
range across 3 matching MRF lines		 $312–$333 $312–$333 varies
Wrist 2 views (73100) $87 $87 1.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $136 $136 1.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $86 $86 1.1×
X-Ray Exam Entire Spi 1 Vw (72081) $158 $158 2.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $286 $286 3.2×
X-Ray Exam Entire Spi 4/5 Vw (72083) $496 $496 5.5×
X-Ray Exam Hip Uni 1 View (73501) $160 $160 2.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $160 $160 2.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $261 $261 2.9×
X-Ray Exam L-S Spine Bending (72114) $184 $184 2.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $160 $160 2.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $263 $263 2.9×
X-Ray Exam Unilat Ribs/Chest (71101) $205 $205 2.3×
X-ray humerus (73060) $117 $117 1.6×
X-ray IV pyelogram (ivp) (74400) $483 $483 3.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $124 $124 1.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $205 $205 2.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $117 $117 1.3×
X-ray nose-rectum child f.b. (76010) $86 $86 1.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $228 $228 2.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $137 $137 1.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $117 $117 1.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $117 $117 1.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $228 $228 2.5×
X-Rays Bone Survey Complete (77075) $205 $205 2.3×
Xr c-spine 4 or 5 views (72050) $215 $215 2.4×
Xr facial bones less than 3 views (70140)
range across 2 matching MRF lines		 $110–$170 $110–$170 varies
XR Mastoids < 3 Views Bilateral (70120) $86 $86 1.0×
Xr orbits complete 4 views (70200) $173 $173 1.9×

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.