Imaging prices at Frye Regional Medical Center

Hickory, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $4,636.06 $11,590.16 3.5×
Abdomen 2 views (74019) $410.42 $1,026.06 4.1×
Angiography extremity unilateral rs&i (75710) $1,805.90 $4,514.76 0.6×
Angiography pelvic slctv/supraslctv rs&i (75736) $2,992.05 $7,480.13 0.6×
Angiography visceral slctv/supraslctv rs&i (75726) $2,992.05 $7,480.13 0.6×
Ankle 2 views (73600) $387.69 $969.23 4.6×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $1,641.73 $4,104.33 0.5×
Aortography abdominal serialography rs&i (75625) $1,805.90 $4,514.76 0.6×
Basic radiation dosimetry calculation (77300) $492.10 $1,230.25 3.8×
Bone &/joint imaging whole body (78306) $2,008.98 $5,022.44 5.2×
Bone age studies (77072) $325.49 $813.73 3.2×
Bone Imaging 3 Phase (78315) $2,646.76 $6,616.89 6.9×
Bone survey complete (77075) $940.19 $2,350.47 9.3×
Cardiac MRI w/w/o contrast & further seq (75561) $3,367.32 $8,418.29 10.0×
Cervical spine 2 or 3 views (72040) $486.16 $1,215.39 5.8×
Chest 1 view (71045) $293.36 $733.39 3.5×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $434.04 $1,085.11 2.6×
Clavicle complete (73000) $419.82 $1,049.55 5.0×
Continuing medical physics consltj pr wk (77336) $615.65 $1,539.12 4.8×
CT abdomen and pelvis without and with contrast (74178) $5,227.29 $13,068.22 15.5×
CT abdomen and pelvis without contrast (74176) $4,141.76 $10,354.41 18.0×
CT abdomen w contrast (74160) $2,215.84 $5,539.61 13.1×
CT abdomen w wo contrast (74170) $2,651.51 $6,628.78 15.7×
CT abdomen w/o contrast (74150) $2,070.88 $5,177.19 20.5×
CT angio hrt w/3d image (75574) $2,634.40 $6,586 7.8×
CT c-spine w/o contrast (72125) $2,584.74 $6,461.84 25.6×
CT cervical spine with contrast (72126) $2,782.61 $6,956.53 8.3×
CT chest w/wo contrast (71270) $2,429.19 $6,072.97 14.4×
CT chest with contrast (71260) $2,217.47 $5,543.67 13.1×
CT colonography w/o cntrst (74261) $4,030.19 $10,075.48 40.0×
CT head/brain without and with contrast (70470) $2,377.89 $5,944.72 14.1×
CT heart contrast eval cardiac structure&morph (75572) $2,706.08 $6,765.20 8.0×
CT heart no contrast quant eval coronry calcium (75571) $2,294.81 $5,737.03 27.4×
CT limited/localized follow up study (76380) $918.73 $2,296.82 11.0×
CT lower ext w/o (73700) $1,903.94 $4,759.84 18.9×
CT lower extremity w wo contrast (73702) $2,263.06 $5,657.66 13.4×
CT lower extremity with contrast (73701) $2,139.28 $5,348.21 12.7×
CT lumbar spine w/o contrast (72131) $2,245.96 $5,614.91 22.3×
CT lumbar spine with contrast (72132) $2,398.24 $5,995.61 7.1×
CT maxillofacial w contrast (70487) $1,510.24 $3,775.60 8.9×
CT maxillofacial w/o contrast (70486) $1,285.84 $3,214.60 12.8×
CT maxillofacial w/wo contrast (70488) $1,872.24 $4,680.60 11.1×
CT neck soft tissue w contrast (70491) $2,159.64 $5,399.10 12.8×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $2,059.46 $5,148.66 12.2×
CT pelvis w & w/o contrast (72194) $2,507.38 $6,268.46 14.8×
CT pelvis w/o contrast (72192) $2,016.32 $5,040.79 20.0×
CT soft tissue neck w/o & w/contrast material (70492) $2,264.63 $5,661.57 13.4×
CT soft tissue neck w/o contrast (70490) $1,895.80 $4,739.49 18.8×
CT thoracic spine w/contrast (72129) $1,696.28 $4,240.71 10.0×
CT thoracic spine w/o contrast (72128) $1,564.36 $3,910.90 15.5×
CT thorax w/o contrast (71250) $1,944.66 $4,861.66 19.3×
CT upper extremity w/o & w/contrast material (73202) $2,337.91 $5,844.78 13.8×
CT upper extremity w/o contrast rt (73200) $2,219.89 $5,549.73 22.0×
CT upper extremity with contrast (73201) $2,481.32 $6,203.29 7.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,438.14 $6,095.35 14.4×
Cta Abdomen (74175) $2,706.08 $6,765.20 16.0×
CTA abdomen pelvis (74174) $5,329.88 $13,324.70 15.8×
CTA chest (71275) $2,545.59 $6,363.98 15.1×
Cta Head (70496) $2,750.84 $6,877.11 16.3×
CTA lwr ext w&w/o contrast (73706) $2,403.14 $6,007.84 14.2×
Cta Neck (70498) $2,750.84 $6,877.11 16.3×
Cta Pelvis (72191) $2,351.02 $5,877.54 13.9×
Dxa bone density study 1/> sites axial skel (77080) $657.20 $1,642.99 6.5×
Echoencephalography real time imaging (76506) $327.38 $818.44 3.2×
Esophagus (74220) $538.29 $1,345.72 3.2×
Fetal biophysical profile non-stress testing (76818) $792.92 $1,982.29 7.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $226.54 $566.35 2.2×
Fluoroscopy up to 1 hr (76000) $461.74 $1,154.35 2.0×
Foot 2 views (73620) $342.11 $855.27 4.1×
Forearm 2 views (73090) $397.02 $992.54 4.7×
Gated Heart Planar Single (78472) $1,671.72 $4,179.31 4.3×
Hand 2 views (73120) $439.05 $1,097.63 4.4×
Hand 3 views (73130) $397.56 $993.90 4.7×
Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) $2,444.93 $6,112.33 3.6×
Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) $5,894.86 $14,737.15 8.8×
Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) $4,013.44 $10,033.59 6.0×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $2,482.06 $6,205.14 4.7×
Hepatobiliary syst imaging including gallbladder (78226) $2,119.34 $5,298.35 5.5×
Ht muscle image spect sing (78451) $2,054.66 $5,136.65 1.6×
Humerus Min 2 Views Left (73060) $407.38 $1,018.45 4.9×
Hysterosalpingogram (74740) $513.85 $1,284.62 2.2×
Kidney img morphology vascular flow 1 w/rx (78708) $1,965.35 $4,913.38 3.8×
Knee 3 views (73562) $417.91 $1,044.77 5.0×
Liver & spleen imaging static only (78215) $1,822.50 $4,556.26 4.7×
Lung Ventilation Imaging (78579) $1,040.35 $2,600.88 2.7×
Lymphoscintigraphy (78195) $1,517.56 $3,793.90 2.9×
Mlc imrt design & construction per imrt plan (77338) $1,092.04 $2,730.09 3.0×
MRA head w & w/o contrast (70546) $2,443.84 $6,109.61 7.3×
MRA head w/o contrast (70544) $2,105.08 $5,262.69 9.2×
MRA head with contrast (70545) $2,048.45 $5,121.13 6.1×
MRA neck w contrast (70548) $2,253.30 $5,633.24 6.7×
Mra Neck W/O &W/Contrast Material (70549) $2,443.84 $6,109.61 7.3×
MRA neck w/o contrast (70547) $1,829.02 $4,572.56 8.0×
MRI abdomen w contrast (74182) $2,837.62 $7,094.06 8.4×
MRI abdomen w/o & w/contrast material (74183) $3,826.60 $9,566.51 11.4×
MRI abdomen w/o contrast (74181) $2,925.94 $7,314.84 12.7×
MRI any jnt lwr ext with con lt (73722) $2,960.95 $7,402.38 3.9×
MRI any jt upper extremity w/contrast matrl (73222) $2,989.46 $7,473.66 4.0×
MRI cardiac w/o contrast (75557) $1,650.16 $4,125.40 7.2×
MRI cervical spine w/o contrast (72141) $2,712.59 $6,781.47 11.8×
MRI chest w/o & w/contrast material (71552) $3,910.49 $9,776.22 11.6×
MRI chest w/o contrast (71550) $2,717.69 $6,794.23 11.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,683.27 $6,708.17 11.7×
MRI orbit face &/neck w/o contrast (70540) $2,790.77 $6,976.92 12.1×
MRI orbit/face/neck w&w/o cont (70543) $3,205.26 $8,013.15 9.5×
MRI pelvis w/o & w/contrast material (72197) $3,518.78 $8,796.95 10.5×
MRI pelvis w/o contrast (72195) $2,451.98 $6,129.96 10.7×
MRI scan of arm joint before and after contrast (73223) $3,885.23 $9,713.08 11.6×
MRI scan of leg joint before and after contrast (73723) $3,849.42 $9,623.54 11.4×
MRI spinal canal cervical w/o & w/contr matrl (72156) $3,163.74 $7,909.34 9.4×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $3,307.05 $8,267.63 9.8×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $2,998.41 $7,496.03 8.9×
MRI thoracic spine w/o contrast (72146) $2,592.87 $6,482.17 11.3×
MRI upper ext joint w/o contrast (73221) $2,708.51 $6,771.27 11.8×
MRI upper extrem other than jt w/o & w/contras (73220) $3,885.23 $9,713.08 11.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,708.51 $6,771.27 11.8×
Myocardial Spect Multiple Studies (78452) $3,868.75 $9,671.88 3.1×
Neck soft tissue (70360) $302.80 $756.99 3.6×
Nm cisternogram (78630) $1,520 $3,799.99 2.9×
Nm gastric emptying study (78264) $1,225.24 $3,063.10 3.2×
Ntsty modul radthx pln dose-vol histos (77301) $4,522.86 $11,307.15 3.4×
Osseous survey limited (77074) $940.19 $2,350.47 9.3×
Parathyrd planar w/spect&CT (78072) $1,191.90 $2,979.75 2.3×
Parathyrd planar w/wo subtrj (78071) $1,088.26 $2,720.66 2.8×
Pelvis 1 or 2 views (72170) $417.76 $1,044.40 4.1×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $3,849.42 $9,623.54 11.4×
Pulmonary Ventilation & Perfusion Imaging (78582) $2,412.13 $6,030.33 4.6×
Radex abscess/fistula/sinus tract rs&i (76080) $309.19 $772.98 0.6×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $230.76 $576.90 2.3×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $518.30 $1,295.75 5.1×
Radiation treatment delivery 1 mev >= complex (77412) $792.36 $1,980.89 1.5×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $272.81 $682.02 3.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $410.42 $1,026.06 4.1×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $440.55 $1,101.38 5.3×
Radiologic exam colon single contrast study (74270) $575.73 $1,439.33 3.4×
Radiologic exam upr gi trc double contrast study (74246) $921.03 $2,302.58 5.4×
Radiologic exam upr gi trc single contrast study (74240) $614.01 $1,535.03 3.6×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $445.74 $1,114.36 5.3×
Radiological examination surgical specimen (76098) $1,020.34 $2,550.85 1.9×
Ribs bilateral 3 views (71110) $637.50 $1,593.74 6.3×
Scanogram (77073) $361.52 $903.79 3.6×
Screening digital breast tomosynthesis (77063) $14.82 $37.05 0.6×
Small bowel series (74250) $578.99 $1,447.48 3.4×
Spec medical radj physics consltj (77370) $783.25 $1,958.12 6.0×
Special treatment procedure (77470) $2,099.38 $5,248.45 3.9×
Spine thoracic 3 views (72072) $567.01 $1,417.53 5.6×
Stereotactic body radiation delivery (77373) $6,716.45 $16,791.12 3.9×
Telethx isodose pln cplx w/basic dosimetry (77307) $983.74 $2,459.34 2.7×
Ther rad simulaj-aided field setting complex (77290) $1,544 $3,859.99 4.3×
Ther rad simulaj-aided field setting simple (77280) $794.80 $1,986.99 6.1×
Thoracolumbar 2 views (72080) $388.25 $970.63 4.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,660.60 $4,151.51 4.3×
Tmj unilateral (70328) $116.15 $290.38 1.4×
Treatment devices simple (77332) $230.77 $576.93 1.8×
Tx devices design & construction complex (77334) $1,161.26 $2,903.14 3.2×
Ultrasound, abdomen limited (76705) $654.73 $1,636.83 6.5×
Unlisted Ultrasound Procedure (76999) $364.83 $912.08 4.3×
Urethrocystography voiding (74455) $587.06 $1,467.66 2.6×
Us abdl aorta screen aaa (76706) $844.46 $2,111.16 8.4×
Us breast unilateral complete (76641) $689.70 $1,724.25 6.8×
Us breast unilateral limited (76642) $532.58 $1,331.45 6.3×
Us chest (76604) $425.09 $1,062.72 4.2×
Us elastography parenchyma (76981) $203.58 $508.94 2.0×
Us infant hips dynamic (76885) $560.27 $1,400.67 6.7×
Us kidney transplant (76776) $216.17 $540.43 2.1×
Us ob transvaginal (76817) $263.55 $658.88 2.6×
Us pelvic non ob complete (76856) $722.33 $1,805.82 7.2×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $694.63 $1,736.58 6.9×
Us pregnancy ltd (76815) $472.32 $1,180.80 4.7×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $342.76 $856.90 3.4×
Us retroperitoneal complete (76770) $763.04 $1,907.61 7.6×
Us retroperitoneal limited (76775) $282.06 $705.14 2.8×
Us scrotum and contents (76870) $606.70 $1,516.74 6.0×
Us soft tissue head/neck (76536) $596.91 $1,492.28 5.9×
Us xtr non-vasc lmtd (76882) $541.54 $1,353.86 5.4×
Venography caval inferior serialography rs&i (75825) $3,535.14 $8,837.84 1.2×
Wrist 2 views (73100) $373.17 $932.93 4.4×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $546.42 $1,366.06 5.4×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $469.56 $1,173.91 5.6×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $863.21 $2,158.02 5.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $371.10 $927.76 4.4×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $412.56 $1,031.39 4.9×
X-ray exam entire spi 4/5 vw (72083) $388.25 $970.63 3.9×
X-ray exam hip uni 1 view (73501) $346.22 $865.56 4.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $474.76 $1,186.89 5.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $542.13 $1,355.32 5.4×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $592.92 $1,482.31 5.9×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $435.35 $1,088.37 5.2×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $377.34 $943.34 4.5×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $485.06 $1,212.65 4.8×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $162.09 $405.22 1.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $518.30 $1,295.75 5.1×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $732.19 $1,830.48 7.3×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $434.41 $1,086.03 5.2×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $127.85 $319.63 1.5×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $498.50 $1,246.25 4.9×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $622.99 $1,557.48 6.2×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $432.25 $1,080.63 5.2×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $535.91 $1,339.78 5.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $655.11 $1,637.78 6.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $461.28 $1,153.20 4.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $427.08 $1,067.69 5.1×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $500.68 $1,251.70 6.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $682.07 $1,705.18 6.8×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $370.34 $925.86 3.7×
X-Ray Spine One View - Xr Spine (72020) $359.69 $899.23 4.3×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $308.90 $772.26 3.7×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $353.48 $883.69 3.5×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $327.56 $818.90 3.9×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $418.78 $1,046.94 5.0×
Xr c-spine 6 or more views (72052) $824.55 $2,061.38 8.2×
Xr chest 4+ views (71048) $631.38 $1,578.44 6.3×
Xr finger(s) 2+ views (73140) $335.85 $839.62 4.0×
Xr shoulder 1 view (73020) $302.50 $756.26 3.6×
Xr spine cervical 4 or 5 views (72050) $798.16 $1,995.40 7.9×
Xr tibia/fibula 2 views (73590) $419.81 $1,049.53 5.0×
Xray knee 1 or 2 views rt (73560) $344.20 $860.49 4.1×