Imaging prices at Community Hospital of Stokes
Danbury, NC · every code in this section with a posted price and a Medicare benchmark.
161 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $275.09 | $404.54 | 3.3× |
| Abdomen 2 views (74019) | $275.09 | $404.54 | 2.7× |
| Ankle 2 views (73600) | $275.09 | $404.54 | 3.3× |
| Arthrogram hip (73525) | $428.77 | $630.54 | 1.3× |
| Bone age studies (77072) | $275.09 | $404.54 | 2.7× |
| Bone survey infant (77076) | $464.11 | $682.52 | 4.6× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$275.09–$584.12 | $404.54–$859 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$275.09–$584.12 | $404.54–$859 | varies |
| Chest 3 views (71047) | $275.09 | $404.54 | 3.3× |
| Chest 4 or more views (71048) | $584.12 | $859 | 5.8× |
| Clavicle complete (73000) | $275.09 | $404.54 | 3.3× |
| Contrast X-Ray Bladder (74430) | $1,211.76 | $1,782 | 3.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $746.37 | $1,097.60 | 4.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,068.56 | $3,042 | 6.1× |
| CT abdomen and pelvis without contrast (74176) | $1,504.57 | $2,212.60 | 6.5× |
| CT abdomen w contrast (74160) | $1,905.02 | $2,801.50 | 11.2× |
| CT abdomen w wo contrast (74170) | $2,110.11 | $3,103.10 | 12.4× |
| CT abdomen w/o contrast (74150) | $1,203.12 | $1,769.30 | 11.9× |
| CT Angio Chest (71275) | $2,177.29 | $3,201.90 | 12.8× |
| CT Angio Head (70496) | $2,095.96 | $3,082.30 | 12.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,069.24 | $3,043 | 12.2× |
| CT Angio Neck (70498) | $2,095.96 | $3,082.30 | 12.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$2,069.24–$2,177.29 | $3,043–$3,201.90 | varies |
| CT cervical spine w/ contrast (72126) | $2,380 | $3,500 | 7.0× |
| CT cervical spine w/o contrast (72125) | $1,889.99 | $2,779.40 | 18.6× |
| CT cervical spine w/wo cont (72127) | $3,202.73 | $4,709.90 | 18.8× |
| CT chest w contrast (71260) | $1,905.02 | $2,801.50 | 11.2× |
| CT chest w/wo contrast (71270) | $2,110.11 | $3,103.10 | 12.4× |
| CT head/brain with contrast (70460) | $1,860.82 | $2,736.50 | 10.9× |
| CT head/brain without and with contrast (70470) | $2,110.11 | $3,103.10 | 12.4× |
| CT iac w contrast (70481) | $1,905.02 | $2,801.50 | 11.2× |
| CT l-spine w&w/o contrast (72133) | $3,202.73 | $4,709.90 | 18.8× |
| CT lower ext w/o (73700) | $884 | $1,300 | 8.7× |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,202.92–$1,905.02 | $1,769–$2,801.50 | varies |
| CT lumbar spine w contrast (72132) | $2,993.22 | $4,401.80 | 8.8× |
| CT lumbar spine w/o contrast (72131) | $1,889.99 | $2,779.40 | 18.6× |
| CT maxillofacial w contrast (70487) | $1,860.82 | $2,736.50 | 10.9× |
| CT maxillofacial wo contrast (70486) | $1,203.12 | $1,769.30 | 11.9× |
| CT neck tissue combo (70492) | $2,110.11 | $3,103.10 | 12.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,110.11 | $3,103.10 | 12.4× |
| CT orbits w/o contrast (70480) | $1,289.76 | $1,896.70 | 12.7× |
| CT pelvis w&w/o contrast (72194) | $2,110.11 | $3,103.10 | 12.4× |
| CT pelvis w/o contrast (72192) | $1,203.12 | $1,769.30 | 11.9× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,069.24–$2,069.44 | $3,043–$3,043.30 | varies |
| CT scans face/jaw combo (70488) | $2,110.11 | $3,103.10 | 12.4× |
| CT soft tissue neck w contrast (70491) | $1,860.82 | $2,736.50 | 10.9× |
| CT soft tissue neck w/o contrast (70490) | $1,203.12 | $1,769.30 | 11.9× |
| CT thoracic spine w contrast (72129) | $2,924.27 | $4,300.40 | 17.2× |
| CT thoracic spine w/o contrast (72128) | $1,889.99 | $2,779.40 | 18.6× |
| CT thoracic spine w/wo cont (72130) | $3,251.35 | $4,781.40 | 19.1× |
| CT thorax w/o contrast (71250) | $1,203.12 | $1,769.30 | 11.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$884–$1,224 | $1,300–$1,800 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$2,069.24–$2,069.44 | $3,043–$3,043.30 | varies |
| CT upper extremity with contrast (73201) | $1,202.92 | $1,769 | 3.6× |
| Cta Abdomen (74175) | $2,177.29 | $3,201.90 | 12.8× |
| CTA pelvis (72191) | $2,177.29 | $3,201.90 | 12.8× |
| Dxa Bone Density Axial (77080) | $439.52 | $646.36 | 4.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $198.25 | $291.54 | 2.3× |
| Echograp Trans R Pros Study (76873) | $5,468.56 | $8,042 | 53.9× |
| Fluoroscopy up to 1 hr (76000) | $542.49 | $797.78 | 2.3× |
| Foot 2 views (73620) | $275.09 | $404.54 | 3.3× |
| Forearm 2 views (73090) | $275.09 | $404.54 | 3.3× |
| Hand 2 views (73120) | $275.09 | $404.54 | 2.7× |
| Knee 3 Views (73562) | $275.09 | $404.54 | 3.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $4,234.02 | $6,226.50 | 10.9× |
| Neck soft tissue (70360) | $275.09 | $404.54 | 3.3× |
| Pelvis 1 or 2 views (72170) | $275.09 | $404.54 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $464.11 | $682.52 | 4.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $275.09 | $404.54 | 3.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $275.09 | $404.54 | 3.3× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$275.09–$275.40 | $404.54–$405 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $275.09 | $404.54 | 2.7× |
| Radex fingr minimum 2 views (73140) | $275.09 | $404.54 | 3.3× |
| Radex foot complete minimum 3 views (73630) | $275.09 | $404.54 | 3.3× |
| Radex Hand Minimum 3 Views (73130) | $275.09 | $404.54 | 3.3× |
| Radex lower extremity infant minimum 2 views (73592) | $275.09 | $404.54 | 3.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $275.09 | $404.54 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $275.09 | $404.54 | 3.3× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $767.31 | $1,128.40 | 9.1× |
| Radex Ribs Unilateral 2 Views (71100) | $275.09 | $404.54 | 3.3× |
| Radex shoulder complete minimum 2 views (73030) | $275.09 | $404.54 | 3.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $275.09 | $404.54 | 3.3× |
| Radex Spine 1 View Specify Level (72020) | $275.09 | $404.54 | 3.3× |
| Radex Sternum Minimum 2 Views (71120) | $275.09 | $404.54 | 3.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $275.09 | $404.54 | 3.3× |
| Radex Toe Minimum 2 Views (73660) | $275.09 | $404.54 | 3.3× |
| Radex upper extremity infant minimum 2 views (73092) | $275.09 | $404.54 | 2.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$275.09–$275.40 | $404.54–$405 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $883.66 | $1,299.50 | 8.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $275.09 | $404.54 | 2.7× |
| Radiologic exam colon double contrast study (74280) | $874.41 | $1,285.90 | 5.1× |
| Radiologic exam colon single contrast study (74270) | $528.66 | $777.44 | 3.1× |
| Radiologic exam knee complete 4/more views (73564) | $275.09 | $404.54 | 2.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$461.04–$1,312.40 | $678–$1,930 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $528.66 | $777.44 | 3.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $528.66 | $777.44 | 3.1× |
| Radiologic examination femur 1 view (73551) | $281.23 | $413.58 | 3.3× |
| Radiologic examination femur minimum 2 views (73552) | $281.23 | $413.58 | 3.3× |
| Radiologic examination knee 1/2 views (73560) | $275.09 | $404.54 | 3.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $464.11 | $682.52 | 4.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $275.09 | $404.54 | 3.3× |
| Ribs bilateral 3 views (71110) | $275.09 | $404.54 | 2.7× |
| Scapula (73010) | $275.09 | $404.54 | 2.7× |
| Shoulder 1 view (73020) | $275.09 | $404.54 | 3.3× |
| Skull less than 4 views (70250) | $275.09 | $404.54 | 2.7× |
| Speech evaluation, complex (70371) | $1,050.21 | $1,544.42 | 4.5× |
| Sternoclavicular joints (71130) | $275.09 | $404.54 | 3.3× |
| Thoracic spine 2 views (72070) | $275.09 | $404.54 | 2.7× |
| Thoracic spine 3 views (72072) | $275.09 | $404.54 | 2.7× |
| Thoracolumbar 2 views (72080) | $275.09 | $404.54 | 3.3× |
| Ultrasound, abdomen limited (76705) | $676.19 | $994.40 | 6.7× |
| Upper gi w/o kub (74240) | $528.66 | $777.44 | 3.1× |
| Us chest (76604) | $570.15 | $838.46 | 5.6× |
| Us complete joint (76881) range across 3 matching MRF lines |
$665.43–$665.72 | $978.58–$979 | varies |
| Us exam, pelvic, limited (76857) | $434.91 | $639.58 | 4.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $676.19 | $994.40 | 6.7× |
| Us ob detailed single fetus (76811) | $6,012.22 | $8,841.50 | 26.0× |
| Us ob transvaginal (76817) | $3,214.02 | $4,726.50 | 31.7× |
| Us pelvic non ob complete (76856) | $676.19 | $994.40 | 6.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $4,098.70 | $6,027.50 | 40.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $736.85 | $1,083.60 | 7.3× |
| Us retroperitoneal complete (76770) | $676.19 | $994.40 | 6.7× |
| Us retroperitoneal limited (76775) | $676.19 | $994.40 | 6.7× |
| Us scrotum and contents (76870) | $676.19 | $994.40 | 6.7× |
| Us thyroid (76536) | $676.19 | $994.40 | 6.7× |
| Us transrectal (76872) | $666.97 | $980.84 | 6.6× |
| Wrist 2 views (73100) | $275.09 | $404.54 | 3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $275.09 | $404.54 | 3.3× |
| X-Ray Bend Only L-S Spine (72120) | $275.09 | $404.54 | 2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $275.09 | $404.54 | 3.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $279.70 | $411.32 | 3.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $464.11 | $682.52 | 4.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $883.66 | $1,299.50 | 8.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $284.31 | $418.10 | 3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $284.31 | $418.10 | 3.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $461.04 | $678 | 4.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $461.04 | $678 | 4.5× |
| X-Ray Exam L-S Spine Bending (72114) | $464.11 | $682.52 | 4.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $275.09 | $404.54 | 3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $464.11 | $682.52 | 4.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $275.09 | $404.54 | 2.7× |
| X-ray eye for foreign body (70030) | $275.09 | $404.54 | 3.3× |
| X-ray humerus (73060) | $275.09 | $404.54 | 3.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $275.09 | $404.54 | 3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $275.09 | $404.54 | 3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $275.09 | $404.54 | 2.7× |
| X-ray nose-rectum child f.b. (76010) | $275.09 | $404.54 | 3.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $464.11 | $682.52 | 4.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $275.09 | $404.54 | 2.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $275.40 | $405 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $275.09 | $404.54 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $275.09 | $404.54 | 3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $464.11 | $682.52 | 4.6× |
| X-ray thoracic spine 4 vw (72074) | $464.44 | $683 | 4.6× |
| X-Ray Tmj Unilat (70328) | $275.09 | $404.54 | 3.3× |
| X-Rays Bone Length Studies (77073) | $275.09 | $404.54 | 2.7× |
| X-Rays Bone Survey Complete (77075) | $464.11 | $682.52 | 4.6× |
| Xr c-spine 4 or 5 views (72050) | $464.11 | $682.52 | 4.6× |
| Xr facial bones less than 3 views (70140) | $275.09 | $404.54 | 3.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $275.40 | $405 | 2.7× |
| Xr orbits complete 4 views (70200) | $275.09 | $404.54 | 2.7× |
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.