Imaging prices at Hamilton Memorial Hospital
Mcleansboro, IL · 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) | $205.07 | $227.85 | 2.2× |
| Abdomen 2 views (74019) | $262.71 | $291.90 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $982.80 | $1,092 | 2.3× |
| Ankle 2 views (73600) | $171 | $190 | 1.8× |
| Bone age studies (77072) | $70.88 | $78.75 | 0.6× |
| Bone Imaging 3 Phase (78315) | $1,077.30 | $1,197 | 2.5× |
| Bone Imaging Limited Area (78300) | $832.55 | $925.05 | 1.9× |
| Bone Imaging Whole Body (78306) | $1,013.04 | $1,125.60 | 2.4× |
| Bone survey infant (77076) | $373.28 | $414.75 | 3.3× |
| Chest 1 view (71045) | $184.28 | $204.75 | 2.0× |
| Chest 2 views (71046) | $232.47 | $258.30 | 2.5× |
| Chest 3 views (71047) | $270 | $300 | 2.9× |
| Chest 4 or more views (71048) | $262.71 | $291.90 | 2.3× |
| Cholecystography Oral Contrast (74290) | $318.47 | $353.85 | 1.7× |
| Clavicle complete (73000) | $177.66 | $197.40 | 1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $157.50 | $175 | 1.4× |
| Contrast X-Ray Bladder (74430) | $445.10 | $494.55 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $3,661.88 | $4,068.75 | 9.8× |
| CT abdomen and pelvis without contrast (74176) | $2,584.58 | $2,871.75 | 10.1× |
| CT abdomen w contrast (74160) | $2,174.45 | $2,416.05 | 11.6× |
| CT abdomen w wo contrast (74170) | $2,403.14 | $2,670.15 | 12.8× |
| CT abdomen w/o contrast (74150) | $1,730.30 | $1,922.55 | 15.4× |
| CT Angio Abdomen and Pelvis (74174) | $1,435.05 | $1,594.49 | 3.8× |
| CT Angio Chest (71275) | $1,345.50 | $1,495 | 7.2× |
| CT Angio Head (70496) | $1,172.34 | $1,302.60 | 6.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $918.08 | $1,020.08 | 4.9× |
| CT Angio Neck (70498) | $1,708.61 | $1,898.45 | 9.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,133 | $2,370 | 11.3× |
| CT cervical spine w/ contrast (72126) | $2,090.70 | $2,323 | 5.6× |
| CT cervical spine w/o contrast (72125) | $1,666.98 | $1,852.20 | 14.9× |
| CT cervical spine w/wo cont (72127) | $2,428.20 | $2,698 | 12.9× |
| CT chest w contrast (71260) | $1,935.36 | $2,150.40 | 10.3× |
| CT chest w/wo contrast (71270) | $2,165.94 | $2,406.60 | 11.5× |
| CT head/brain with contrast (70460) | $1,935.36 | $2,150.40 | 10.3× |
| CT head/brain without and with contrast (70470) | $2,165.94 | $2,406.60 | 11.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $58.50 | $65 | 0.6× |
| CT iac w contrast (70481) | $1,778.49 | $1,976.10 | 9.5× |
| CT l-spine w&w/o contrast (72133) | $2,403.14 | $2,670.15 | 12.8× |
| CT lower ext w/o (73700) | $857.97 | $953.30 | 7.7× |
| CT lower extremity w/contrast material (73701) | $972.78 | $1,080.86 | 5.2× |
| CT lumbar spine w contrast (72132) | $2,020.41 | $2,244.90 | 5.4× |
| CT lumbar spine w/o contrast (72131) | $1,778.49 | $1,976.10 | 15.9× |
| CT maxillofacial w contrast (70487) | $1,371.20 | $1,523.55 | 7.3× |
| CT maxillofacial wo contrast (70486) | $1,494.05 | $1,660.05 | 13.3× |
| CT neck tissue combo (70492) | $1,935.36 | $2,150.40 | 10.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,778.49 | $1,976.10 | 9.5× |
| CT orbits w/o contrast (70480) | $1,666.98 | $1,852.20 | 14.9× |
| CT pelvis w&w/o contrast (72194) | $2,174.45 | $2,416.05 | 11.6× |
| CT pelvis w/o contrast (72192) | $1,499.72 | $1,666.35 | 13.4× |
| CT scan of leg combo (73702) | $1,255.64 | $1,395.15 | 6.7× |
| CT scans face/jaw combo (70488) | $2,165.94 | $2,406.60 | 11.5× |
| CT soft tissue neck w contrast (70491) | $1,706.67 | $1,896.30 | 9.1× |
| CT soft tissue neck w/o contrast (70490) | $1,262.52 | $1,402.80 | 11.3× |
| CT thoracic spine w contrast (72129) | $2,250 | $2,500 | 12.0× |
| CT thoracic spine w/o contrast (72128) | $1,723.68 | $1,915.20 | 15.4× |
| CT thoracic spine w/wo cont (72130) | $2,428.20 | $2,698 | 12.9× |
| CT thorax w/o contrast (71250) | $1,494.05 | $1,660.05 | 13.3× |
| CT upper ext wo (73200) | $846.40 | $940.44 | 7.6× |
| CT upper extremity w/o & w/contrast material (73202) | $917.55 | $1,019.50 | 4.9× |
| CT upper extremity with contrast (73201) | $1,706.67 | $1,896.30 | 4.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,133.81 | $2,370.90 | 11.4× |
| Cta Abdomen (74175) | $1,431 | $1,590 | 7.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,880.95 | $3,201.05 | 7.7× |
| Dxa Bone Density Axial (77080) | $422.42 | $469.35 | 3.8× |
| Esophagram (74220) | $357.21 | $396.90 | 1.9× |
| Fluoroscopy up to 1 hr (76000) | $158.76 | $176.40 | 0.6× |
| Foot 2 views (73620) | $171 | $190 | 1.8× |
| Forearm 2 views (73090) | $177.66 | $197.40 | 1.9× |
| Gastric emptying imaging study (78264) | $946.89 | $1,052.10 | 2.2× |
| Hand 2 views (73120) | $171 | $190 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,108.49 | $1,231.65 | 1.9× |
| Hepatobiliary System Imaging (78226) | $982.80 | $1,092 | 2.3× |
| Ht Muscle Image Spect Sing (78451) | $1,900.40 | $2,111.55 | 1.4× |
| K Flow/Funct Image Multiple (78709) | $3,209.50 | $3,566.11 | 5.5× |
| K Flow/Funct Image W/Drug (78708) | $1,077.30 | $1,197 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,013.04 | $1,125.60 | 1.7× |
| Knee 3 Views (73562) | $261 | $290 | 2.8× |
| Lung Ventilat&Perfus Imaging (78582) | $596.78 | $663.08 | 1.0× |
| Lung Ventilation Imaging (78579) | $1,085.81 | $1,206.45 | 2.5× |
| Magnetic Image Jaw Joint (70336) | $2,374.79 | $2,638.65 | 9.3× |
| Meckels Divert Exam (78290) | $987.53 | $1,097.25 | 2.3× |
| Mra Head W/O & W/Contrast Material (70546) | $3,556.04 | $3,951.15 | 9.5× |
| MRA head w/o contrast (70544) | $2,374.79 | $2,638.65 | 9.3× |
| MRA neck w/o contrast (70547) | $2,374.79 | $2,638.65 | 9.3× |
| MRI abdomen w contrast (74182) | $2,374.79 | $2,638.65 | 6.4× |
| MRI abdomen w/o contrast (74181) | $2,374.79 | $2,638.65 | 9.3× |
| MRI any jt lower extrem w/contrast material (73722) | $2,374.79 | $2,638.65 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,767.83 | $1,964.25 | 4.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,710 | $1,900 | 2.0× |
| MRI cervical spine w contrast (72142) | $1,710 | $1,900 | 4.6× |
| MRI cervical spine w/o cont (72141) | $2,374.79 | $2,638.65 | 9.3× |
| MRI chest w/o contrast (71550) | $2,374.79 | $2,638.65 | 9.3× |
| MRI chest wo w contrast (71552) | $2,704.50 | $3,005 | 7.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,710 | $1,900 | 4.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,374.79 | $2,638.65 | 6.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,374.79 | $2,638.65 | 9.3× |
| MRI lumbar spine w contrast (72149) | $2,374.79 | $2,638.65 | 6.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,546.12 | $2,829.02 | 6.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,374.79 | $2,638.65 | 9.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,546.13 | $2,829.03 | 6.8× |
| MRI pelvis w contrast (72196) | $2,374.79 | $2,638.65 | 6.4× |
| MRI pelvis w/o & w contrast (72197) | $3,200.44 | $3,556.04 | 8.6× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,744.20–$2,374.79 | $1,938–$2,638.65 | varies |
| MRI thoracic spine w/o contrast (72146) | $2,374.79 | $2,638.65 | 9.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $644.58 | $716.20 | 1.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,374.79 | $2,638.65 | 9.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,374.79 | $2,638.65 | 6.4× |
| MRI, abdomen, combo (74183) | $2,374.79 | $2,638.65 | 6.4× |
| MRI, dorsal spine combo (72157) | $2,719.53 | $3,021.70 | 7.3× |
| MRI, dorsal spine contrast (72147) | $1,710 | $1,900 | 4.6× |
| MRI, joint upper extrem (73221) | $2,374.79 | $2,638.65 | 9.3× |
| MRI, joint upper extrem combo (73223) | $2,374.79 | $2,638.65 | 6.4× |
| MRI, lumbar spine combo (72158) | $1,866.92 | $2,074.35 | 5.0× |
| Myocardial Spect Multiple Studies (78452) | $4,306.37 | $4,784.85 | 3.1× |
| Neck soft tissue (70360) | $203.18 | $225.75 | 2.2× |
| Parathyroid Planar Imaging (78070) | $630 | $700 | 1.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,439.24 | $1,599.15 | 3.4× |
| Pelvis 1 or 2 views (72170) | $182.39 | $202.65 | 1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $612.90 | $681 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $357.21 | $396.90 | 3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $472.50 | $525 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $177.66 | $197.40 | 1.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $177.66 | $197.40 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $195.62 | $217.35 | 2.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $254.21 | $282.45 | 2.3× |
| Radex fingr minimum 2 views (73140) | $177.66 | $197.40 | 1.9× |
| Radex foot complete minimum 3 views (73630) | $177.66 | $197.40 | 1.9× |
| Radex Hand Minimum 3 Views (73130) | $177.66 | $197.40 | 1.9× |
| Radex lower extremity infant minimum 2 views (73592) | $171 | $190 | 1.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $288.23 | $320.25 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $233.42 | $259.35 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $216.41 | $240.45 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) | $339.26 | $376.95 | 3.6× |
| Radex Spine 1 View Specify Level (72020) | $130.41 | $144.90 | 1.4× |
| Radex Sternum Minimum 2 Views (71120) | $195.62 | $217.35 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $318.47 | $353.85 | 3.4× |
| Radex Toe Minimum 2 Views (73660) | $177.66 | $197.40 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $290.12 | $322.35 | 3.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $262.71 | $291.90 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $315 | $350 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $687.96 | $764.40 | 3.7× |
| Radiologic exam colon single contrast study (74270) | $642.60 | $714 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) | $388.40 | $431.55 | 3.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $347.76 | $386.40 | 3.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $370.44 | $411.60 | 2.0× |
| Radiologic examination femur 1 view (73551) | $99 | $110 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $195.62 | $217.35 | 2.1× |
| Radiologic examination knee 1/2 views (73560) | $233.42 | $259.35 | 2.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $563.22 | $625.80 | 5.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $177.66 | $197.40 | 1.9× |
| Ribs bilateral 3 views (71110) | $320.94 | $356.60 | 2.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,202.40 | $1,336 | 2.1× |
| Scapula (73010) | $177.66 | $197.40 | 1.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$52.27–$93.93 | $58.07–$104.36 | varies |
| Sella turcica (70240) | $262.71 | $291.90 | 2.8× |
| Shoulder 1 view (73020) | $171 | $190 | 1.8× |
| Skull less than 4 views (70250) | $233.42 | $259.35 | 2.1× |
| Sternoclavicular joints (71130) | $233.42 | $259.35 | 2.5× |
| Thoracic spine 2 views (72070) | $233.42 | $259.35 | 2.1× |
| Thoracic spine 3 views (72072) | $262.71 | $291.90 | 2.3× |
| Thyroid Imaging With Vascular Flow (78013) | $375.30 | $417 | 0.9× |
| Thyroid Uptake Measurement (78012) | $697.50 | $775 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,002.65 | $1,114.05 | 2.3× |
| Ultrasound Breast Limited (76642) | $443.21 | $492.45 | 4.8× |
| Ultrasound Exam Aaa Screen (76706) | $283.50 | $315 | 2.5× |
| Ultrasound, abdomen limited (76705) | $388.40 | $431.55 | 3.5× |
| Unlisted us procedure (76999) | $443.21 | $492.45 | 4.8× |
| Upper gi w/o kub (74240) | $612.36 | $680.40 | 3.3× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $88.74 | $98.60 | 8.0× |
| Urethrocystogram voiding (74455) | $527.31 | $585.90 | 2.1× |
| Us breast unilateral complete (76641) | $443.21 | $492.45 | 4.0× |
| Us chest (76604) | $472.50 | $525 | 4.2× |
| Us complete joint (76881) | $443.21 | $492.45 | 4.0× |
| Us exam, pelvic, limited (76857) | $261 | $290 | 2.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $443.21 | $492.45 | 4.0× |
| Us ob limited 1 or more fetuses (76815) | $573.62 | $637.35 | 5.1× |
| Us ob transvaginal (76817) | $501.13 | $556.81 | 4.5× |
| Us pelvic non ob complete (76856) | $443.21 | $492.45 | 4.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $261 | $290 | 2.3× |
| Us retroperitoneal complete (76770) | $443.21 | $492.45 | 4.0× |
| Us retroperitoneal limited (76775) | $675 | $750 | 6.0× |
| Us scrotum and contents (76870) | $443.21 | $492.45 | 4.0× |
| Us spinal canal and contents (76800) | $360.99 | $401.10 | 3.2× |
| Us thyroid (76536) | $443.21 | $492.45 | 4.0× |
| Venography extremity unilateral rs&i (75820) | $476.28 | $529.20 | 0.3× |
| Wrist 2 views (73100) | $177.66 | $197.40 | 1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $195.62 | $217.35 | 2.1× |
| X-Ray Bend Only L-S Spine (72120) | $261 | $290 | 2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $177.66 | $197.40 | 1.9× |
| X-Ray Exam Breast Specimen (76098) | $230.58 | $256.20 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $130.41 | $144.90 | 1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $114.78 | $127.53 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $180 | $200 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $200.34 | $222.60 | 2.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $399.60 | $444 | 3.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $261 | $290 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $225 | $250 | 2.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $436.73 | $485.25 | 3.9× |
| X-Ray Exam L-S Spine Bending (72114) | $393.12 | $436.80 | 3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $254.21 | $282.45 | 2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $309.02 | $343.35 | 2.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $342.09 | $380.10 | 3.1× |
| X-ray eye for foreign body (70030) | $130.41 | $144.90 | 1.4× |
| X-ray humerus (73060) | $177.66 | $197.40 | 1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $297.45 | $330.50 | 3.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $372.33 | $413.70 | 4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $275.94 | $306.60 | 2.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $275.94 | $306.60 | 2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $255.15 | $283.50 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $233.42 | $259.35 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $254.21 | $282.45 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $257.04 | $285.60 | 2.3× |
| X-ray thoracic spine 4 vw (72074) | $279.72 | $310.80 | 2.5× |
| X-Ray Tmj Unilat (70328) | $262.71 | $291.90 | 2.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $283.50 | $315 | 0.8× |
| X-Rays Bone Survey Complete (77075) | $881.69 | $979.65 | 7.9× |
| Xr c-spine 4 or 5 views (72050) | $270 | $300 | 2.4× |
| Xr orbits complete 4 views (70200) | $241.92 | $268.80 | 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.