Imaging prices at Parkview Montpelier Hospital
Montpelier, OH · every code in this section with a posted price and a Medicare benchmark.
237 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $2,922.50 | $5,845 | 2.2× |
| Abdomen 1 View (74018) | $180 | $360 | 2.2× |
| Abdomen 2 views (74019) | $260 | $520 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $978 | $1,956 | 2.6× |
| Angiography extremity bilateral rs&i (75716) | $3,975.50 | $7,951 | 1.3× |
| Angiography extremity unilateral rs&i (75710) | $4,929 | $9,858 | 1.7× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$205.50–$255 | $411–$510 | varies |
| Basic radiation dosimetry calculation (77300) | $303 | $606 | 2.4× |
| Bone age studies (77072) | $283 | $566 | 2.9× |
| Bone Imaging 3 Phase (78315) | $978 | $1,956 | 2.6× |
| Bone Imaging Limited Area (78300) | $633 | $1,266 | 1.7× |
| Bone Imaging Whole Body (78306) | $967 | $1,934 | 2.6× |
| Cat Scan Follow-Up Study (76380) | $494 | $988 | 6.0× |
| Chest 1 view (71045) | $171 | $342 | 2.1× |
| Chest 2 views (71046) | $171 | $342 | 2.1× |
| Chest 3 views (71047) | $154 | $308 | 1.9× |
| Chest 4 or more views (71048) | $247 | $494 | 2.5× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$261–$322 | $522–$644 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $78 | $156 | 0.8× |
| Continuing medical physics consltj pr wk (77336) | $303 | $606 | 2.4× |
| Contrast Exam Abdominl Aorta (75625) | $3,225.50 | $6,451 | 1.1× |
| Contrast X-Ray Bladder (74430) | $850 | $1,700 | 2.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,328.50 | $4,657 | 7.1× |
| CT abdomen and pelvis without contrast (74176) | $1,417.50 | $2,835 | 6.3× |
| CT abdomen w contrast (74160) | $1,043 | $2,086 | 6.3× |
| CT abdomen w wo contrast (74170) | $1,065.50 | $2,131 | 6.4× |
| CT abdomen w/o contrast (74150) | $658.50 | $1,317 | 6.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,142 | $4,284 | 6.5× |
| CT Angio Chest (71275) | $1,098.50 | $2,197 | 6.6× |
| CT Angio Head (70496) | $888.50 | $1,777 | 5.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,439–$1,593 | $2,878–$3,186 | varies |
| CT Angio Neck (70498) | $888.50 | $1,777 | 5.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,284.50–$1,593 | $2,569–$3,186 | varies |
| CT cervical spine w/ contrast (72126) | $1,597.50 | $3,195 | 4.8× |
| CT cervical spine w/o contrast (72125) | $539 | $1,078 | 5.4× |
| CT cervical spine w/wo cont (72127) | $1,220.50 | $2,441 | 7.4× |
| CT chest w contrast (71260) | $1,022 | $2,044 | 6.2× |
| CT chest w/wo contrast (71270) | $1,043 | $2,086 | 6.3× |
| CT head/brain with contrast (70460) | $1,005.50 | $2,011 | 6.1× |
| CT head/brain without and with contrast (70470) | $1,023.50 | $2,047 | 6.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $78 | $156 | 0.9× |
| CT iac w contrast (70481) | $907 | $1,814 | 5.5× |
| CT l-spine w&w/o contrast (72133) | $1,033 | $2,066 | 6.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$658.50–$817 | $1,317–$1,634 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$771–$1,230 | $1,542–$2,460 | varies |
| CT lumbar spine w contrast (72132) | $1,956 | $3,912 | 5.9× |
| CT lumbar spine w/o contrast (72131) | $670 | $1,340 | 6.8× |
| CT maxillofacial w contrast (70487) | $816.50 | $1,633 | 4.9× |
| CT maxillofacial wo contrast (70486) | $539 | $1,078 | 5.4× |
| CT neck tissue combo (70492) | $871.50 | $1,743 | 5.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,230.50 | $2,461 | 7.4× |
| CT orbits w/o contrast (70480) | $548 | $1,096 | 5.5× |
| CT pelvis w&w/o contrast (72194) | $1,054.50 | $2,109 | 6.4× |
| CT pelvis w/o contrast (72192) | $658.50 | $1,317 | 6.7× |
| CT scan of leg combo (73702) | $1,476 | $2,952 | 8.9× |
| CT scans face/jaw combo (70488) | $1,220.50 | $2,441 | 7.4× |
| CT soft tissue neck w contrast (70491) | $843.50 | $1,687 | 5.1× |
| CT soft tissue neck w/o contrast (70490) | $548 | $1,096 | 5.5× |
| CT thoracic spine w contrast (72129) | $1,022 | $2,044 | 6.2× |
| CT thoracic spine w/o contrast (72128) | $658.50 | $1,317 | 6.7× |
| CT thoracic spine w/wo cont (72130) | $1,427.50 | $2,855 | 8.6× |
| CT thorax w/o contrast (71250) | $658.50 | $1,317 | 6.7× |
| CT upper ext wo (73200) | $780 | $1,560 | 7.9× |
| CT upper extremity with contrast (73201) | $2,416.50 | $4,833 | 7.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $977.50 | $1,955 | 5.9× |
| Cta Abdomen (74175) | $1,098.50 | $2,197 | 6.6× |
| Dxa Bone Density Axial (77080) | $288.50 | $577 | 2.9× |
| Esophagram (74220) | $430 | $860 | 2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $495.50 | $991 | 5.0× |
| Fluoroscopy up to 1 hr (76000) | $536 | $1,072 | 2.4× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$205.50–$255 | $411–$510 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$185–$261 | $370–$522 | varies |
| Gastric emptying imaging study (78264) | $978 | $1,956 | 2.6× |
| Gated Heart Planar Single (78472) | $978 | $1,956 | 2.6× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$283–$349.50 | $566–$699 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,244.50 | $2,489 | 2.4× |
| Hepatobiliary System Imaging (78226) | $972 | $1,944 | 2.6× |
| Hysterosalpingogram (74740) | $545 | $1,090 | 2.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $388 | $776 | 4.7× |
| K Flow/Funct Image W/Drug (78708) | $1,173.50 | $2,347 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,189.50 | $2,379 | 2.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$210.50–$266.50 | $421–$533 | varies |
| Liver imaging static only (78201) | $865 | $1,730 | 1.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,217 | $2,434 | 2.4× |
| Mlc imrt design & construction per imrt plan (77338) | $790.50 | $1,581 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,069.50 | $4,139 | 6.3× |
| MRA head w/o contrast (70544) | $1,432.50 | $2,865 | 6.3× |
| MRA head with contrast (70545) | $2,208.50 | $4,417 | 6.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,864 | $5,728 | 8.7× |
| MRA neck w/o contrast (70547) | $1,432.50 | $2,865 | 6.3× |
| MRI abdomen w contrast (74182) | $2,638.50 | $5,277 | 8.0× |
| MRI abdomen w/o contrast (74181) | $1,497.50 | $2,995 | 6.6× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$4,970–$6,160.50 | $9,940–$12,321 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,497–$3,098.50 | $4,994–$6,197 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,970 | $9,940 | 6.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,452.50 | $2,905 | 6.4× |
| MRI cervical spine w contrast (72142) | $2,257.50 | $4,515 | 6.8× |
| MRI cervical spine w/o cont (72141) | $1,419 | $2,838 | 6.3× |
| MRI chest wo w contrast (71552) | $2,206.50 | $4,413 | 6.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,420.50 | $4,841 | 7.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,524–$1,896 | $3,048–$3,792 | varies |
| MRI lumbar spine w contrast (72149) | $2,369 | $4,738 | 7.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,317.50 | $4,635 | 7.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,355.50 | $4,711 | 7.1× |
| MRI pelvis w/o & w contrast (72197) | $2,458.50 | $4,917 | 7.4× |
| MRI pelvis w/o contrast (72195) | $1,524 | $3,048 | 6.8× |
| MRI thoracic spine w/o contrast (72146) | $1,497.50 | $2,995 | 6.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,549–$1,937.50 | $3,098–$3,875 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,472.50 | $4,945 | 7.5× |
| MRI, abdomen, combo (74183) | $2,458.50 | $4,917 | 7.4× |
| MRI, dorsal spine combo (72157) | $2,445.50 | $4,891 | 7.4× |
| MRI, dorsal spine contrast (72147) | $2,369 | $4,738 | 7.2× |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$1,511.50–$1,869 | $3,023–$3,738 | varies |
| MRI, joint upper extrem combo (73223) | $2,497 | $4,994 | 7.6× |
| MRI, lumbar spine combo (72158) | $2,445.50 | $4,891 | 7.4× |
| Myocardial Spect Multiple Studies (78452) | $2,983 | $5,966 | 2.4× |
| Neck soft tissue (70360) | $145 | $290 | 1.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,922.50 | $5,845 | 2.2× |
| Parathyroid Planar Imaging (78070) | $776.50 | $1,553 | 2.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $983.50 | $1,967 | 2.6× |
| Pelvis 1 or 2 views (72170) | $283 | $566 | 2.9× |
| PET image w/CT, full body (78816) | $3,417.50 | $6,835 | 2.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,417.50 | $6,835 | 2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $950.50 | $1,901 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $260 | $520 | 2.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$166.50–$210.50 | $333–$421 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$205.50–$255 | $411–$510 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$210.50–$266.50 | $421–$533 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $288.50 | $577 | 2.9× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$261–$322 | $522–$644 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$210.50–$266.50 | $421–$533 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$210.50–$266.50 | $421–$533 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $230 | $460 | 2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $166.50 | $333 | 2.0× |
| Radex Ribs Unilateral 2 Views (71100) | $166.50 | $333 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$210.50–$266.50 | $421–$533 | varies |
| Radex Spine 1 View Specify Level (72020) | $160.50 | $321 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $166.50 | $333 | 2.0× |
| Radex Toe Minimum 2 Views (73660) | $249.50 | $499 | 3.0× |
| Radex upper extremity infant minimum 2 views (73092) | $385 | $770 | 3.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$190–$266.50 | $380–$533 | varies |
| Radiation treatment delivery level 1 (77402) | $290 | $580 | 3.0× |
| Radiation treatment delivery level 3 (77412) | $562 | $1,124 | 1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $288.50 | $577 | 2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $260 | $520 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $515 | $1,030 | 3.1× |
| Radiologic exam colon single contrast study (74270) | $450 | $900 | 2.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $380 | $760 | 2.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$266.50–$361 | $533–$722 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $288.50 | $577 | 2.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $435 | $870 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $435 | $870 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $445 | $890 | 2.7× |
| Radiologic examination femur 1 view (73551) | $205.50 | $411 | 2.5× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$210.50–$266.50 | $421–$533 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$210.50–$266.50 | $421–$533 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $294 | $588 | 3.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$205.50–$261 | $411–$522 | varies |
| Ribs bilateral 3 views (71110) | $361 | $722 | 3.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,408 | $2,816 | 3.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,254 | $6,508 | 6.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,904.50 | $7,809 | 2.9× |
| Scapula (73010) | $349.50 | $699 | 3.5× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$249.50–$310.50 | $499–$621 | varies |
| Skull less than 4 views (70250) | $288.50 | $577 | 2.9× |
| Special dosimetry (77331) | $303 | $606 | 2.4× |
| Special Physics Consult (77370) | $303 | $606 | 2.4× |
| Special teletherapy port plan (77321) | $790.50 | $1,581 | 2.2× |
| Special treatment procedure (77470) | $1,260 | $2,520 | 2.4× |
| Stereotactic Body Radiation Delivery (77373) | $4,102.50 | $8,205 | 2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $790.50 | $1,581 | 2.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $790.50 | $1,581 | 2.2× |
| Ther rad simulaj-aided field setting simple (77280) | $303 | $606 | 2.4× |
| Thoracic spine 2 views (72070) | $288.50 | $577 | 2.9× |
| Thoracic spine 3 views (72072) | $266.50 | $533 | 2.7× |
| Thyroid Met Imaging Body (78018) | $1,173.50 | $2,347 | 2.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $950.50 | $1,901 | 2.5× |
| Tx Devices Design & Construction Complex (77334) | $790.50 | $1,581 | 2.2× |
| Tx devices design & construction simple (77332) | $319 | $638 | 2.5× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$450–$549.50 | $900–$1,099 | varies |
| Ultrasound Exam Aaa Screen (76706) | $504 | $1,008 | 5.1× |
| Ultrasound, abdomen limited (76705) | $495.50 | $991 | 5.0× |
| Umbilical-artery Doppler (OB) (76820) | $300 | $600 | 3.0× |
| Unlis px ther radiol clinical tx planning (77299) | $916.50 | $1,833 | 7.2× |
| Upper gi w/o kub (74240) | $440 | $880 | 2.7× |
| Urethrocystogram voiding (74455) | $605 | $1,210 | 2.7× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$613–$757 | $1,226–$1,514 | varies |
| Us chest (76604) | $486.50 | $973 | 4.9× |
| Us exam, pelvic, limited (76857) | $478 | $956 | 4.8× |
| Us kidney transplant (76776) | $504 | $1,008 | 5.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$594–$730 | $1,188–$1,460 | varies |
| Us ob limited 1 or more fetuses (76815) | $495.50 | $991 | 5.0× |
| Us ob transvaginal (76817) | $504 | $1,008 | 5.1× |
| Us pelvic non ob complete (76856) | $504 | $1,008 | 5.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $513 | $1,026 | 5.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $504 | $1,008 | 5.1× |
| Us retroperitoneal complete (76770) | $504 | $1,008 | 5.1× |
| Us retroperitoneal limited (76775) | $486.50 | $973 | 4.9× |
| Us scrotum and contents (76870) | $504 | $1,008 | 5.1× |
| Us spinal canal and contents (76800) | $523 | $1,046 | 5.3× |
| Us thyroid (76536) | $513 | $1,026 | 5.2× |
| Us transrectal (76872) | $432.50 | $865 | 4.4× |
| Venography caval inferior serialography rs&i (75825) | $5,952.50 | $11,905 | 2.0× |
| Venography extremity unilateral rs&i (75820) | $1,505.50 | $3,011 | 1.0× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$261–$322 | $522–$644 | varies |
| X-Ray Aorta Leg Arteries (75630) | $4,929 | $9,858 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) | $288.50 | $577 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$249.50–$310.50 | $499–$621 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $210.50 | $421 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $294 | $588 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $210.50 | $421 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $210.50 | $421 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $277.50 | $555 | 2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $277.50 | $555 | 2.8× |
| X-Ray Exam L-S Spine Bending (72114) | $294 | $588 | 3.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $166.50 | $333 | 2.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $294 | $588 | 3.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $288.50 | $577 | 2.9× |
| X-ray eye for foreign body (70030) | $180 | $360 | 2.2× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$210.50–$266.50 | $421–$533 | varies |
| X-ray IV pyelogram (ivp) (74400) | $475 | $950 | 2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $210.50 | $421 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $288.50 | $577 | 2.9× |
| X-ray nose-rectum child f.b. (76010) | $180 | $360 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $361 | $722 | 3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $288.50 | $577 | 2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $210.50 | $421 | 2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $166.50 | $333 | 2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $288.50 | $577 | 2.9× |
| X-Ray Stress View (77071) | $183 | $366 | 2.2× |
| X-ray thoracic spine 4 vw (72074) | $288.50 | $577 | 2.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $860 | $1,720 | 2.6× |
| X-Rays Bone Length Studies (77073) | $288.50 | $577 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $305.50 | $611 | 3.1× |
| Xr c-spine 4 or 5 views (72050) | $294 | $588 | 3.0× |
| Xr facial bones less than 3 views (70140) | $155 | $310 | 1.9× |
| Xr orbits complete 4 views (70200) | $288.50 | $577 | 2.9× |
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.