Imaging prices at Franklin Hospital
Benton, IL · every code in this section with a posted price and a Medicare benchmark.
197 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) | $531 | $708 | 5.7× |
| Abdomen 2 views (74019) | $736.13 | $981.50 | 6.6× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$283.88–$324.75 | $378.50–$433 | varies |
| Bone age studies (77072) | $618.38 | $824.50 | 5.5× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$345–$903.75 | $460–$1,205 | varies |
| Chest 2 views (71046) | $356.25 | $475 | 3.8× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$324.75–$531 | $433–$708 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$356.25–$926.63 | $475–$1,235.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $496.50 | $662 | 4.4× |
| Contrast X-Ray Bladder (74430) | $886.88 | $1,182.50 | 2.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,059.50 | $2,746 | 5.5× |
| CT abdomen and pelvis without contrast (74176) | $4,282.88 | $5,710.50 | 16.8× |
| CT abdomen w contrast (74160) | $1,011 | $1,348 | 5.4× |
| CT abdomen w wo contrast (74170) | $1,611.75 | $2,149 | 8.6× |
| CT abdomen w/o contrast (74150) | $2,090.63 | $2,787.50 | 18.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,511.25 | $2,015 | 4.0× |
| CT Angio Chest (71275) | $1,611.75 | $2,149 | 8.6× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,860–$4,279.88 | $2,480–$5,706.50 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $108.38 | $144.50 | 0.6× |
| CT Angio Neck (70498) | $1,716 | $2,288 | 9.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,011–$2,508.75 | $1,348–$3,345 | varies |
| CT cervical spine w/ contrast (72126) | $3,962.25 | $5,283 | 10.6× |
| CT cervical spine w/o contrast (72125) | $3,166.50 | $4,222 | 28.3× |
| CT cervical spine w/wo cont (72127) | $3,789 | $5,052 | 20.2× |
| CT chest w contrast (71260) | $3,942 | $5,256 | 21.0× |
| CT chest w/wo contrast (71270) | $1,842 | $2,456 | 9.8× |
| CT head/brain with contrast (70460) | $1,460.25 | $1,947 | 7.8× |
| CT head/brain without and with contrast (70470) | $2,334.75 | $3,113 | 12.4× |
| CT iac w contrast (70481) | $1,674 | $2,232 | 8.9× |
| CT l-spine w&w/o contrast (72133) | $2,102.25 | $2,803 | 11.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$679.88–$763.50 | $906.50–$1,018 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$763.50–$865.13 | $1,018–$1,153.50 | varies |
| CT lumbar spine w contrast (72132) | $763.50 | $1,018 | 2.0× |
| CT lumbar spine w/o contrast (72131) | $3,962.25 | $5,283 | 35.4× |
| CT maxillofacial w contrast (70487) | $1,957.88 | $2,610.50 | 10.4× |
| CT maxillofacial wo contrast (70486) | $1,860 | $2,480 | 16.6× |
| CT neck tissue combo (70492) | $208.50 | $278 | 1.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,102.25 | $2,803 | 11.2× |
| CT orbits w/o contrast (70480) | $1,310.25 | $1,747 | 11.7× |
| CT pelvis w&w/o contrast (72194) | $2,102.25 | $2,803 | 11.2× |
| CT pelvis w/o contrast (72192) | $1,852.50 | $2,470 | 16.5× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$700.13–$865.13 | $933.50–$1,153.50 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,571.25–$1,779 | $2,095–$2,372 | varies |
| CT soft tissue neck w contrast (70491) | $2,508.75 | $3,345 | 13.3× |
| CT soft tissue neck w/o contrast (70490) | $1,363.13 | $1,817.50 | 12.2× |
| CT thoracic spine w contrast (72129) | $3,962.25 | $5,283 | 21.1× |
| CT thoracic spine w/o contrast (72128) | $2,090.63 | $2,787.50 | 18.7× |
| CT thoracic spine w/wo cont (72130) | $1,859.25 | $2,479 | 9.9× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,334.75–$2,691 | $3,113–$3,588 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$763.50–$1,152.75 | $1,018–$1,537 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,108.88–$1,152.75 | $1,478.50–$1,537 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,108.88–$2,010.38 | $1,478.50–$2,680.50 | varies |
| Cta Abdomen (74175) | $1,689.75 | $2,253 | 9.0× |
| Dxa Bone Density Axial (77080) | $477.38 | $636.50 | 4.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $221.25 | $295 | 2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $709.88 | $946.50 | 6.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$294–$324.75 | $392–$433 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$273.75–$294 | $365–$392 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$280.88–$324.75 | $374.50–$433 | varies |
| Infusion Ivp (74410) | $496.13 | $661.50 | 2.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$428.25–$531 | $571–$708 | varies |
| Magnetic Image Jaw Joint (70336) | $2,415.38 | $3,220.50 | 9.4× |
| Mra Head W/O & W/Contrast Material (70546) | $655.50 | $874 | 1.8× |
| MRA head w/o contrast (70544) | $2,262 | $3,016 | 8.8× |
| MRA head with contrast (70545) | $1,531.88 | $2,042.50 | 4.1× |
| MRA neck w contrast (70548) | $2,461.50 | $3,282 | 6.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,415.38 | $3,220.50 | 6.5× |
| MRA neck w/o contrast (70547) | $2,461.50 | $3,282 | 9.6× |
| MRI abdomen w contrast (74182) | $2,628.75 | $3,505 | 7.0× |
| MRI abdomen w/o contrast (74181) | $2,628.75 | $3,505 | 10.3× |
| MRI any jt lower extrem w/contrast material (73722) | $2,628.75 | $3,505 | 3.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,415.38 | $3,220.50 | 6.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,628.75 | $3,505 | 3.1× |
| MRI cervical spine w contrast (72142) | $2,415.38 | $3,220.50 | 6.5× |
| MRI cervical spine w/o cont (72141) | $2,629.50 | $3,506 | 10.3× |
| MRI chest w/o contrast (71550) | $2,628.75 | $3,505 | 10.3× |
| MRI chest with contrast (71551) | $2,628.75 | $3,505 | 3.1× |
| MRI chest wo w contrast (71552) | $2,415.38 | $3,220.50 | 6.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,628.75 | $3,505 | 7.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,415.38 | $3,220.50 | 6.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,628.75 | $3,505 | 10.3× |
| MRI lumbar spine w contrast (72149) | $2,628.75 | $3,505 | 7.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,628.75 | $3,505 | 7.0× |
| MRI orbit face &/neck w/o contrast (70540) | $2,628.75 | $3,505 | 10.3× |
| MRI orbit face neck w contrast (70542) | $2,628.75 | $3,505 | 7.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,614.38 | $2,152.50 | 4.3× |
| MRI pelvis w contrast (72196) | $2,628.75 | $3,505 | 7.0× |
| MRI pelvis w/o & w contrast (72197) | $2,461.50 | $3,282 | 6.6× |
| MRI pelvis w/o contrast (72195) | $2,628.75 | $3,505 | 10.3× |
| MRI thoracic spine w/o contrast (72146) | $2,628.75 | $3,505 | 10.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,628.75 | $3,505 | 7.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,628.75 | $3,505 | 10.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,415.38 | $3,220.50 | 6.5× |
| MRI, abdomen, combo (74183) | $2,628.75 | $3,505 | 7.0× |
| MRI, dorsal spine combo (72157) | $2,628.75 | $3,505 | 7.0× |
| MRI, dorsal spine contrast (72147) | $2,415.38 | $3,220.50 | 6.5× |
| MRI, joint upper extrem (73221) | $2,628.75 | $3,505 | 10.3× |
| MRI, joint upper extrem combo (73223) | $2,461.50 | $3,282 | 6.6× |
| MRI, lumbar spine combo (72158) | $2,415.38 | $3,220.50 | 6.5× |
| Neck soft tissue (70360) | $566.63 | $755.50 | 6.1× |
| Ob us nuchal meas 1 gest (76813) | $585.38 | $780.50 | 5.2× |
| Pelvis 1 or 2 views (72170) | $506.63 | $675.50 | 4.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $283.88 | $378.50 | 2.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$324.75–$531 | $433–$708 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$324.75–$364.88 | $433–$486.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$324.75–$531 | $433–$708 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $243.75 | $325 | 2.2× |
| Radex fingr minimum 2 views (73140) | $221.25 | $295 | 2.4× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$280.88–$324.75 | $374.50–$433 | varies |
| Radex Hand Minimum 3 Views (73130) | $324.75 | $433 | 3.5× |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$324.75–$751.88 | $433–$1,002.50 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $372.38 | $496.50 | 3.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $485.25 | $647 | 5.2× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $428.25 | $571 | 4.6× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$531–$721.13 | $708–$961.50 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$221.25–$428.25 | $295–$571 | varies |
| Radex Spine 1 View Specify Level (72020) | $615 | $820 | 6.6× |
| Radex Sternum Minimum 2 Views (71120) | $531 | $708 | 5.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $437.63 | $583.50 | 4.7× |
| Radex Toe Minimum 2 Views (73660) | $221.25 | $295 | 2.4× |
| Radex upper extremity infant minimum 2 views (73092) | $531 | $708 | 4.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $324.75 | $433 | 3.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $634.13 | $845.50 | 5.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $428.25 | $571 | 3.8× |
| Radiologic exam colon double contrast study (74280) | $531 | $708 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) | $531 | $708 | 4.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $531 | $708 | 4.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $418.50 | $558 | 2.2× |
| Radiologic exam swallow function contrast study (74230) | $324.75 | $433 | 1.7× |
| Radiologic examination femur 1 view (73551) | $69 | $92 | 0.7× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$273.75–$634.13 | $365–$845.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$221.25–$733.88 | $295–$978.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $313.50 | $418 | 2.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$383.63–$428.25 | $511.50–$571 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $396.75 | $529 | 4.3× |
| Ribs bilateral 3 views (71110) | $415.50 | $554 | 3.7× |
| Scapula (73010) | $428.25 | $571 | 3.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $224.63 | $299.50 | 9.6× |
| Sella turcica (70240) | $324.75 | $433 | 3.5× |
| Shoulder 1 view (73020) | $221.25 | $295 | 2.4× |
| Skull less than 4 views (70250) | $531 | $708 | 4.7× |
| Speech evaluation, complex (70371) | $108 | $144 | 0.4× |
| Sternoclavicular joints (71130) | $634.13 | $845.50 | 6.8× |
| Thoracic spine 2 views (72070) | $531 | $708 | 4.7× |
| Thoracic spine 3 views (72072) | $283.88 | $378.50 | 2.5× |
| Ultrasound Breast Limited (76642) | $514.88 | $686.50 | 5.5× |
| Ultrasound elastography first target lesion (76982) | $355.13 | $473.50 | 3.2× |
| Ultrasound Exam Aaa Screen (76706) | $171.38 | $228.50 | 1.5× |
| Ultrasound, abdomen limited (76705) | $712.88 | $950.50 | 6.4× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $253.88 | $338.50 | 0.6× |
| Upper gi w/o kub (74240) | $711 | $948 | 3.8× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$514.88–$879 | $686.50–$1,172 | varies |
| Us chest (76604) | $513.75 | $685 | 4.6× |
| Us complete joint (76881) range across 2 matching MRF lines |
$474.75–$501.38 | $633–$668.50 | varies |
| Us exam, pelvic, limited (76857) | $688.13 | $917.50 | 6.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $603.38 | $804.50 | 5.4× |
| Us ob detailed single fetus (76811) | $340.13 | $453.50 | 1.3× |
| Us ob limited 1 or more fetuses (76815) | $463.13 | $617.50 | 4.1× |
| Us ob transvaginal (76817) | $248.25 | $331 | 2.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $248.25 | $331 | 2.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $741.75 | $989 | 6.6× |
| Us retroperitoneal complete (76770) | $1,081.13 | $1,441.50 | 9.7× |
| Us scrotum and contents (76870) | $681.38 | $908.50 | 6.1× |
| Us spinal canal and contents (76800) | $785.25 | $1,047 | 7.0× |
| Us thyroid (76536) | $926.63 | $1,235.50 | 8.3× |
| Us transrectal (76872) | $1,174.13 | $1,565.50 | 10.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$221.25–$324.75 | $295–$433 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $324.75 | $433 | 3.5× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$531–$1,013.25 | $708–$1,351 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$283.88–$324.75 | $378.50–$433 | varies |
| X-Ray Exam Breast Specimen (76098) | $520.88 | $694.50 | 0.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$221.25–$324.75 | $295–$433 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$324.75–$820.88 | $433–$1,094.50 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $221.25 | $295 | 2.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $520.88 | $694.50 | 4.6× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$67.50–$612 | $90–$816 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $324.75 | $433 | 3.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$66.75–$364.88 | $89–$486.50 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$634.13–$736.13 | $845.50–$981.50 | varies |
| X-ray eye for foreign body (70030) | $634.13 | $845.50 | 6.8× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$261–$324.75 | $348–$433 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $472.88 | $630.50 | 5.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $428.25 | $571 | 4.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $622.50 | $830 | 5.6× |
| X-ray nose-rectum child f.b. (76010) | $261 | $348 | 2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $415.50 | $554 | 3.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $428.25 | $571 | 3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $333 | $444 | 3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $457.50 | $610 | 4.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $447.38 | $596.50 | 4.0× |
| X-ray thoracic spine 4 vw (72074) | $108 | $144 | 1.0× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$439.50–$469.88 | $586–$626.50 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $221.25 | $295 | 0.6× |
| X-Rays Bone Length Studies (77073) | $642 | $856 | 5.7× |
| Xr c-spine 4 or 5 views (72050) | $356.25 | $475 | 3.2× |
| Xr facial bones less than 3 views (70140) | $572.25 | $763 | 6.1× |
| Xr orbits complete 4 views (70200) | $324.75 | $433 | 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.