Imaging prices at Great River Medical Center
Blytheville, AR · every code in this section with a posted price and a Medicare benchmark.
218 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) range across 5 matching MRF lines |
$122.12–$128.83 | $182–$192 | varies |
| Abdomen 2 views (74019) | $212.03 | $316 | 2.2× |
| Ankle 2 views (73600) | $148.29 | $221 | 1.8× |
| Bone age studies (77072) | $231.49 | $345 | 2.4× |
| Bone Imaging 3 Phase (78315) | $688.44 | $1,026 | 1.8× |
| Bone Imaging Limited Area (78300) | $545.52 | $813 | 1.5× |
| Bone Imaging Whole Body (78306) | $667.64 | $995 | 1.8× |
| Bone survey infant (77076) | $163.72 | $244 | 1.7× |
| Chest 1 view (71045) | $122.12 | $182 | 1.5× |
| Chest 2 views (71046) range across 5 matching MRF lines |
$43.61–$122.12 | $65–$182 | varies |
| Clavicle complete (73000) | $128.16 | $191 | 1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,048.77 | $1,563 | 10.8× |
| Contrast X-Ray Bladder (74430) | $355.63 | $530 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $1,970.72 | $2,937 | 6.1× |
| CT abdomen and pelvis without contrast (74176) | $1,390.98 | $2,073 | 6.3× |
| CT abdomen w contrast (74160) | $1,099.09 | $1,638 | 6.7× |
| CT abdomen w wo contrast (74170) | $1,264.83 | $1,885 | 7.7× |
| CT abdomen w/o contrast (74150) | $1,076.95 | $1,605 | 11.1× |
| CT Angio Abdomen and Pelvis (74174) | $1,684.21 | $2,510 | 5.2× |
| CT Angio Chest (71275) | $1,299.05 | $1,936 | 8.0× |
| CT Angio Head (70496) | $1,257.45 | $1,874 | 7.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $980.33 | $1,461 | 6.0× |
| CT Angio Neck (70498) | $1,046.76 | $1,560 | 6.4× |
| CT cervical spine w/ contrast (72126) | $1,511.09 | $2,252 | 4.7× |
| CT cervical spine w/o contrast (72125) | $987.71 | $1,472 | 10.1× |
| CT cervical spine w/wo cont (72127) | $1,744.60 | $2,600 | 10.7× |
| CT chest w contrast (71260) | $1,252.08 | $1,866 | 7.7× |
| CT chest w/wo contrast (71270) | $1,175.59 | $1,752 | 7.2× |
| CT head/brain with contrast (70460) | $1,011.19 | $1,507 | 6.2× |
| CT head/brain without and with contrast (70470) | $1,299.05 | $1,936 | 8.0× |
| CT iac w contrast (70481) | $693.81 | $1,034 | 4.2× |
| CT l-spine w&w/o contrast (72133) | $1,174.25 | $1,750 | 7.2× |
| CT lower ext w/o (73700) | $743.46 | $1,108 | 7.6× |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$673.01–$693.81 | $1,003–$1,034 | varies |
| CT lumbar spine w contrast (72132) | $1,174.92 | $1,751 | 3.6× |
| CT lumbar spine w/o contrast (72131) | $1,182.97 | $1,763 | 12.2× |
| CT maxillofacial w contrast (70487) | $874.98 | $1,304 | 5.4× |
| CT maxillofacial wo contrast (70486) | $966.24 | $1,440 | 9.9× |
| CT neck tissue combo (70492) | $939.40 | $1,400 | 5.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $957.51 | $1,427 | 5.9× |
| CT orbits w/o contrast (70480) | $860.22 | $1,282 | 8.8× |
| CT pelvis w&w/o contrast (72194) | $1,280.93 | $1,909 | 7.8× |
| CT pelvis w/o contrast (72192) | $904.50 | $1,348 | 9.3× |
| CT scan of leg combo (73702) | $831.36 | $1,239 | 5.1× |
| CT scans face/jaw combo (70488) | $1,017.23 | $1,516 | 6.2× |
| CT soft tissue neck w contrast (70491) | $1,028.64 | $1,533 | 6.3× |
| CT soft tissue neck w/o contrast (70490) | $911.21 | $1,358 | 9.4× |
| CT thoracic spine w contrast (72129) | $718.64 | $1,071 | 4.4× |
| CT thoracic spine w/o contrast (72128) | $947.45 | $1,412 | 9.7× |
| CT thoracic spine w/wo cont (72130) | $772.32 | $1,151 | 4.7× |
| CT thorax w/o contrast (71250) | $1,048.77 | $1,563 | 10.8× |
| CT upper ext wo (73200) | $945.43 | $1,409 | 9.7× |
| CT upper extremity w/o & w/contrast material (73202) | $818.62 | $1,220 | 5.0× |
| CT upper extremity with contrast (73201) | $693.81 | $1,034 | 2.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $854.18 | $1,273 | 5.2× |
| Cta Abdomen (74175) | $999.11 | $1,489 | 6.1× |
| CTA pelvis (72191) | $854.18 | $1,273 | 5.2× |
| Discography Cerv/Thor Spine (72285) | $2,885.30 | $4,300 | 1.6× |
| Diskography lumbar (72295) | $2,885.30 | $4,300 | 1.6× |
| Dxa Bone Density Axial (77080) | $208.68 | $311 | 2.1× |
| Esophagram (74220) | $269.21 | $401.22 | 1.6× |
| Fetal Biophys Profile W/Nst (76818) | $366.36 | $546 | 3.8× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$211.59–$557.60 | $315.35–$831 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$83.87–$128.16 | $125–$191 | varies |
| Forearm 2 views (73090) | $127.49 | $190 | 1.6× |
| Gastric emptying imaging study (78264) | $609.26 | $908 | 1.6× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$109.37–$163.72 | $163–$244 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,212.49 | $1,807 | 2.4× |
| Hepatobiliary System Imaging (78226) range across 4 matching MRF lines |
$688.44–$1,130.63 | $1,026–$1,685 | varies |
| Ht Muscle Image Spect Sing (78451) | $1,677.50 | $2,500 | 1.4× |
| Hysterosalpingogram (74740) | $573.70 | $855 | 2.6× |
| K Flow/Funct Image W/O Drug (78707) | $834.05 | $1,243 | 1.6× |
| Kidney Imaging Morphol (78700) | $622.01 | $927 | 1.7× |
| Knee 3 Views (73562) | $185.86 | $277 | 2.3× |
| Liver & Spleen Imaging Static Only (78215) | $607.92 | $906 | 1.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $607.92 | $906 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,163.51 | $1,734 | 2.3× |
| Lymph System Imaging (78195) | $539.48 | $804 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,282.95 | $1,912 | 3.9× |
| MRA head w/o contrast (70544) | $1,209.81 | $1,803 | 5.4× |
| MRA head with contrast (70545) | $879.01 | $1,310 | 2.7× |
| MRA neck w contrast (70548) | $795.13 | $1,185 | 2.4× |
| MRA neck w/o contrast (70547) | $930 | $1,386 | 4.2× |
| MRI abdomen w contrast (74182) | $997.10 | $1,486 | 3.1× |
| MRI abdomen w/o contrast (74181) | $805.20 | $1,200 | 3.6× |
| MRI any jt lower extrem w/contrast material (73722) | $894.44 | $1,333 | 1.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$997.10–$1,516.46 | $1,486–$2,260 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$894.44–$1,046.76 | $1,333–$1,560 | varies |
| MRI cervical spine w contrast (72142) | $1,231.28 | $1,835 | 3.8× |
| MRI cervical spine w/o cont (72141) | $1,360.78 | $2,028 | 6.1× |
| MRI chest w/o contrast (71550) | $838.75 | $1,250 | 3.8× |
| MRI chest with contrast (71551) | $939.40 | $1,400 | 1.3× |
| MRI chest wo w contrast (71552) | $972.95 | $1,450 | 3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $958.85 | $1,429 | 3.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$894.44–$1,360.78 | $1,333–$2,028 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$1,237.32–$1,516.46 | $1,844–$2,260 | varies |
| MRI lumbar spine w contrast (72149) | $1,231.28 | $1,835 | 3.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,411.57 | $3,594 | 7.4× |
| MRI orbit face &/neck w/o contrast (70540) | $868.94 | $1,295 | 3.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,501.02 | $2,237 | 4.6× |
| MRI pelvis w contrast (72196) | $1,038.70 | $1,548 | 3.2× |
| MRI pelvis w/o & w contrast (72197) | $1,244.70 | $1,855 | 3.8× |
| MRI pelvis w/o contrast (72195) | $1,516.46 | $2,260 | 6.8× |
| MRI thoracic spine w/o contrast (72146) | $1,360.78 | $2,028 | 6.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $868.94 | $1,295 | 2.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$1,034.01–$1,399.03 | $1,541–$2,085 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$894.44–$1,162.84 | $1,333–$1,733 | varies |
| MRI, abdomen, combo (74183) | $1,282.95 | $1,912 | 3.9× |
| MRI, dorsal spine combo (72157) | $1,855.31 | $2,765 | 5.7× |
| MRI, dorsal spine contrast (72147) | $1,194.38 | $1,780 | 3.7× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$894.44–$1,499.68 | $1,333–$2,235 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$997.10–$1,516.46 | $1,486–$2,260 | varies |
| MRI, lumbar spine combo (72158) | $1,873.43 | $2,792 | 5.8× |
| Myelogram Lumbar (72265) | $469.70 | $700 | 0.6× |
| Myelography thoracic (72255) | $469.70 | $700 | 0.6× |
| Myocardial Spect Multiple Studies (78452) | $2,551.81 | $3,803 | 2.1× |
| Neck soft tissue (70360) | $136.88 | $204 | 1.7× |
| Nuclear Rx Oral Admin (79005) | $452.92 | $675 | 2.1× |
| Parathyroid Planar Imaging (78070) | $449.57 | $670 | 1.2× |
| Pelvis 1 or 2 views (72170) | $163.72 | $244 | 1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $583.09 | $869 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $250.95 | $374 | 2.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $162.38 | $242 | 2.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $121.45 | $181 | 1.5× |
| Radex elbow complete minimum 3 views (73080) | $154.33 | $230 | 1.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $163.72 | $244 | 1.7× |
| Radex fingr minimum 2 views (73140) range across 7 matching MRF lines |
$109.37–$128.16 | $163–$191 | varies |
| Radex foot complete minimum 3 views (73630) | $163.05 | $243 | 2.0× |
| Radex Hand Minimum 3 Views (73130) | $163.05 | $243 | 2.0× |
| Radex lower extremity infant minimum 2 views (73592) | $122.12 | $182 | 1.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $122.12 | $182 | 1.5× |
| Radex Ribs Unilateral 2 Views (71100) | $139.56 | $208 | 1.7× |
| Radex shoulder complete minimum 2 views (73030) | $173.78 | $259 | 2.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $128.16 | $191 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $156.34 | $233 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $144.93 | $216 | 1.8× |
| Radex Toe Minimum 2 Views (73660) | $122.12 | $182 | 1.5× |
| Radex upper extremity infant minimum 2 views (73092) | $163.72 | $244 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $163.05 | $243 | 2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $226.79 | $338 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $299.93 | $447 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $328.11 | $489 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) | $163.72 | $244 | 1.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $163.72 | $244 | 1.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $244.91 | $365 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $269.74 | $402 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) range across 5 matching MRF lines |
$401.92–$611.28 | $599–$911 | varies |
| Radiologic examination femur minimum 2 views (73552) | $122.12 | $182 | 1.5× |
| Radiologic examination knee 1/2 views (73560) | $122.12 | $182 | 1.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $169.76 | $253 | 2.1× |
| Ribs bilateral 3 views (71110) | $187.88 | $280 | 1.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 4 matching MRF lines |
$411.32–$660.26 | $613–$984 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,180.96 | $1,760 | 3.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,771.44 | $2,640 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,180.96 | $1,760 | 2.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,968.04 | $2,933 | 3.9× |
| Scapula (73010) | $163.72 | $244 | 1.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $33.55 | $50 | 1.4× |
| Shoulder 1 view (73020) | $173.78 | $259 | 2.1× |
| Shoulder Arthrography (73040) | $554.91 | $827 | 1.7× |
| Skull less than 4 views (70250) | $163.72 | $244 | 1.7× |
| Sternoclavicular joints (71130) | $83.87 | $125 | 1.0× |
| Thoracic spine 2 views (72070) | $163.72 | $244 | 1.7× |
| Thoracic spine 3 views (72072) | $163.72 | $244 | 1.7× |
| Thoracolumbar 2 views (72080) | $122.12 | $182 | 1.5× |
| Thyroid Imaging With Vascular Flow (78013) | $363.68 | $542 | 1.0× |
| Thyroid Uptake Measurement (78012) | $305.30 | $455 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $683.74 | $1,019 | 1.8× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$189.22–$322.08 | $282–$480 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$144.26–$319.39 | $215–$476 | varies |
| Ultrasound, abdomen limited (76705) | $319.39 | $476 | 3.3× |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$370.39–$377.10 | $552–$562 | varies |
| Urethrocystogram voiding (74455) | $355.63 | $530 | 1.6× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$110.71–$328.79 | $165–$490 | varies |
| Us chest (76604) | $165.73 | $247 | 1.7× |
| Us exam, pelvic, limited (76857) | $110.71 | $165 | 1.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$134.20–$171.54 | $200–$255.65 | varies |
| Us ob limited 1 or more fetuses (76815) | $199.95 | $298 | 2.1× |
| Us ob transvaginal (76817) | $153.65 | $229 | 1.6× |
| Us pelvic non ob complete (76856) | $442.86 | $660 | 4.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $319.39 | $476 | 3.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $204.65 | $305 | 2.1× |
| Us retroperitoneal complete (76770) | $319.39 | $476 | 3.3× |
| Us scrotum and contents (76870) | $319.39 | $476 | 3.3× |
| Us thyroid (76536) | $381.79 | $569 | 3.9× |
| Us transrectal (76872) | $271.75 | $405 | 2.8× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$109.37–$128.16 | $163–$191 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $215.39 | $321 | 2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $155.67 | $232 | 1.9× |
| X-Ray Exam Breast Specimen (76098) | $727.36 | $1,084 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $122.12 | $182 | 1.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $163.72 | $244 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $180.49 | $269 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 7 matching MRF lines |
$106.01–$180.49 | $158–$269 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $180.49 | $269 | 1.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $180.49 | $269 | 1.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $180.49 | $269 | 1.9× |
| X-Ray Exam L-S Spine Bending (72114) | $163.72 | $244 | 1.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $122.12 | $182 | 1.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $163.72 | $244 | 1.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $226.79 | $338 | 2.3× |
| X-ray humerus (73060) | $164.39 | $245 | 2.0× |
| X-ray IV pyelogram (ivp) (74400) | $540.82 | $806 | 3.3× |
| X-ray IV pyelogram+tomography (74415) | $355.63 | $530 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $122.12 | $182 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $163.72 | $244 | 1.7× |
| X-ray nose-rectum child f.b. (76010) | $163.05 | $243 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $290.54 | $433 | 3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $163.72 | $244 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $185.86 | $277 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $212.03 | $316 | 2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $211.36 | $315 | 2.2× |
| X-ray thoracic spine 4 vw (72074) | $163.72 | $244 | 1.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $462.31 | $689 | 1.4× |
| X-Rays Bone Length Studies (77073) | $218.07 | $325 | 2.2× |
| Xr c-spine 4 or 5 views (72050) | $163.72 | $244 | 1.7× |
| Xr facial bones less than 3 views (70140) | $135.54 | $202 | 1.7× |
| Xr orbits complete 4 views (70200) | $209.35 | $312 | 2.2× |
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.