Imaging prices at Hammond Henry Hospital

Geneseo, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $324.90 $361 3.5×
Abdomen 2 views (74019) $372.60 $414 3.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,675.80 $1,862 3.9×
Ankle 2 views (73600) $224.10 $249 2.4×
Arthrogram ankle (73615) $1,161 $1,290 3.1×
Arthrogram hip (73525) $1,156.50 $1,285 3.1×
Arthrogram Wrist (73115) $1,161 $1,290 3.1×
Bone age studies (77072) $154.80 $172 1.4×
Bone Imaging 3 Phase (78315) $1,598.40 $1,776 3.7×
Bone Imaging Limited Area (78300) $1,784.70 $1,983 4.2×
Bone Imaging Whole Body (78306) $1,894.50 $2,105 4.4×
Bone survey infant (77076) $346.50 $385 3.1×
Chest 1 view (71045) $319.50 $355 3.4×
Chest 2 views (71046) $324.90 $361 3.5×
Chest 3 views (71047) $406.80 $452 4.4×
Chest 4 or more views (71048) $445.50 $495 4.0×
Clavicle complete (73000) $333.90 $371 3.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,724.40 $1,916 15.4×
Contrast X-Ray Of Elbow (73085) $1,156.50 $1,285 3.1×
Contrast X-Ray Of Knee Joint (73580) $1,161 $1,290 3.1×
CT abdomen and pelvis without and with contrast (74178) $5,416.20 $6,018 14.5×
CT abdomen and pelvis without contrast (74176) $4,213.80 $4,682 16.5×
CT abdomen w contrast (74160) $4,128.30 $4,587 22.0×
CT abdomen w wo contrast (74170) $4,326.30 $4,807 23.0×
CT abdomen w/o contrast (74150) $3,790.80 $4,212 33.8×
CT Angio Abdomen and Pelvis (74174) $5,799.60 $6,444 15.5×
CT Angio Chest (71275) $3,087 $3,430 16.4×
CT Angio Head (70496) $3,032.10 $3,369 16.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,867.40 $3,186 15.3×
CT Angio Neck (70498) $3,032.10 $3,369 16.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,867.40 $3,186 15.3×
CT cervical spine w/o contrast (72125) $2,320.20 $2,578 20.7×
CT cervical spine w/wo cont (72127) $2,469.60 $2,744 13.1×
CT chest w contrast (71260) $2,626.20 $2,918 14.0×
CT chest w/wo contrast (71270) $3,087 $3,430 16.4×
CT head/brain with contrast (70460) $2,573.10 $2,859 13.7×
CT head/brain without and with contrast (70470) $2,747.70 $3,053 14.6×
CT iac w contrast (70481) $1,861.20 $2,068 9.9×
CT l-spine w&w/o contrast (72133) $2,568.60 $2,854 13.7×
CT lower ext w/o (73700) $2,167.20 $2,408 19.3×
CT lower extremity w/contrast material (73701) $2,266.20 $2,518 12.1×
CT lumbar spine w contrast (72132) $2,469.60 $2,744 6.6×
CT lumbar spine w/o contrast (72131) $2,320.20 $2,578 20.7×
CT maxillofacial w contrast (70487) $1,916.10 $2,129 10.2×
CT maxillofacial wo contrast (70486) $1,685.70 $1,873 15.0×
CT neck tissue combo (70492) $2,205.90 $2,451 11.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,200.50 $2,445 11.7×
CT orbits w/o contrast (70480) $1,647 $1,830 14.7×
CT pelvis w&w/o contrast (72194) $2,404.80 $2,672 12.8×
CT pelvis w/o contrast (72192) $2,018.70 $2,243 18.0×
CT scan of leg combo (73702) $2,366.10 $2,629 12.6×
CT scans face/jaw combo (70488) $2,205.90 $2,451 11.7×
CT soft tissue neck w contrast (70491) $2,188.80 $2,432 11.6×
CT soft tissue neck w/o contrast (70490) $2,101.50 $2,335 18.8×
CT thoracic spine w contrast (72129) $2,469.60 $2,744 13.1×
CT thoracic spine w/o contrast (72128) $2,331 $2,590 20.8×
CT thoracic spine w/wo cont (72130) $2,568.60 $2,854 13.7×
CT thorax w/o contrast (71250) $2,161.80 $2,402 19.3×
CT upper ext wo (73200) $2,009.70 $2,233 17.9×
CT upper extremity w/o & w/contrast material (73202) $2,376 $2,640 12.6×
CT upper extremity with contrast (73201) $2,277 $2,530 6.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,501.90 $3,891 18.6×
Cta Abdomen (74175) $3,120.30 $3,467 16.6×
CTA pelvis (72191) $3,283.20 $3,648 17.5×
Dxa Bone Density Axial (77080) $706.50 $785 6.3×
Dxa bone density study 1/>sites appendiclr skel (77081) $165.60 $184 1.8×
Esophagram (74220) $477 $530 2.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $691.20 $768 6.2×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$173.70–$559.80 $193–$622 varies
Foot 2 views (73620) $280.80 $312 3.0×
Forearm 2 views (73090) $333.90 $371 3.6×
Gastric emptying imaging study (78264) $1,971 $2,190 4.6×
Gated Heart Planar Single (78472) $1,670.40 $1,856 3.9×
Hand 2 views (73120) $280.80 $312 2.5×
Hepatobil Syst Image W/Drug (78227) $2,092.50 $2,325 3.6×
Hepatobiliary System Imaging (78226) $1,894.50 $2,105 4.4×
Ht Muscle Image Spect Sing (78451) $2,763.90 $3,071 2.0×
Hysterosalpingogram (74740) $931.50 $1,035 3.6×
Infant hip ultrasound with hip movement (dynamic) (76885) $548.10 $609 5.9×
Infant hip ultrasound, limited static exam (76886) $548.10 $609 5.9×
Joint Survey Single View (77077) $342 $380 3.1×
K Flow/Funct Image W/Drug (78708) $2,451.60 $2,724 4.2×
K Flow/Funct Image W/O Drug (78707) $1,558.80 $1,732 2.7×
Kidney Imaging Morphol (78700) $1,559.70 $1,733 3.6×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $1,558.80 $1,732 3.6×
Knee 3 Views (73562) $307.80 $342 3.3×
Lung Ventilat&Perfus Imaging (78582) $2,430 $2,700 4.2×
Lung Ventilation Imaging (78579) $1,450.80 $1,612 3.4×
Lymph System Imaging (78195) $1,959.30 $2,177 3.4×
Mammary ductogram or galactogram multiple (77054) $592.20 $658 2.3×
Mammary ductogram or galactogram single (77053) $444.60 $494 1.7×
Meckels Divert Exam (78290) $1,675.80 $1,862 3.9×
Mra Head W/O & W/Contrast Material (70546) $5,843.70 $6,493 15.6×
MRA head w/o contrast (70544) $3,206.70 $3,563 12.5×
Mra Neck W/O &W/Contrast Material (70549) $4,049.10 $4,499 10.8×
MRA neck w/o contrast (70547) $3,426.30 $3,807 13.4×
MRI abdomen w/o contrast (74181) $2,982.60 $3,314 11.7×
MRI any jt lower extrem w/contrast material (73722) $3,317.40 $3,686 3.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $5,832 $6,480 15.6×
MRI any jt upper extremity w/contrast matrl (73222) $3,283.20 $3,648 3.9×
MRI cervical spine w contrast (72142) $3,776.40 $4,196 10.1×
MRI cervical spine w/o cont (72141) $3,146.40 $3,496 12.3×
MRI chest w/o contrast (71550) $3,020.40 $3,356 11.8×
MRI chest wo w contrast (71552) $5,722.20 $6,358 15.3×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $3,567.60 $3,964 9.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $5,553 $6,170 14.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,452.40 $3,836 13.5×
MRI lumbar spine w contrast (72149) $3,754.80 $4,172 10.0×
Mri Neck Spine W/O & W/Dye (72156) $5,082.30 $5,647 13.6×
MRI orbit face &/neck w/o contrast (70540) $3,010.50 $3,345 11.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $6,345.90 $7,051 17.0×
MRI pelvis w contrast (72196) $3,557.70 $3,953 9.5×
MRI pelvis w/o & w contrast (72197) $5,853.60 $6,504 15.7×
MRI pelvis w/o contrast (72195) $3,064.50 $3,405 12.0×
MRI thoracic spine w/o contrast (72146) $3,457.80 $3,842 13.5×
MRI upper extremity oth than jt w/contr matrl (73219) $3,622.50 $4,025 9.7×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,020.40 $3,356 11.8×
Mri Uppr Extremity W/O&W/Dye (73220) $5,843.70 $6,493 15.6×
MRI, abdomen, combo (74183) $3,082.50 $3,425 8.2×
MRI, dorsal spine combo (72157) $5,466.60 $6,074 14.6×
MRI, dorsal spine contrast (72147) $3,720.60 $4,134 10.0×
MRI, joint upper extrem (73221) $3,124.80 $3,472 12.2×
MRI, joint upper extrem combo (73223) $5,843.70 $6,493 15.6×
MRI, lumbar spine combo (72158) $6,018.30 $6,687 16.1×
Myocardial Spect Multiple Studies (78452) $5,301.90 $5,891 3.8×
Neck soft tissue (70360) $220.50 $245 2.4×
Parathyroid Planar Imaging (78070) $1,238.40 $1,376 2.9×
Parathyroid planar imaging w/wo subtraction (78071) $1,238.40 $1,376 2.9×
Pelvis 1 or 2 views (72170) $312.30 $347 2.8×
Pulmonary Perfusion Imaging Particulate (78580) $1,449 $1,610 3.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $389.70 $433 3.5×
Radex Ankle Complete Minimum 3 Views (73610) $302.40 $336 3.2×
Radex Calcaneus Minimum 2 Views (73650) $258.30 $287 2.8×
Radex elbow complete minimum 3 views (73080) $290.70 $323 3.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $280.80 $312 2.5×
Radex fingr minimum 2 views (73140) $224.10 $249 2.4×
Radex foot complete minimum 3 views (73630) $307.80 $342 3.3×
Radex Hand Minimum 3 Views (73130) $290.70 $323 3.1×
Radex lower extremity infant minimum 2 views (73592) $224.10 $249 2.4×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $280.80 $312 2.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $297 $330 3.2×
Radex Ribs Unilateral 2 Views (71100) $673.20 $748 7.2×
Radex shoulder complete minimum 2 views (73030) $312.30 $347 3.3×
Radex Spine 1 View Specify Level (72020) $178.20 $198 1.9×
Radex Sternum Minimum 2 Views (71120) $290.70 $323 3.1×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $224.10 $249 2.4×
Radex Toe Minimum 2 Views (73660) $224.10 $249 2.4×
Radex upper extremity infant minimum 2 views (73092) $224.10 $249 2.0×
Radex Wrist Complete Minimum 3 Views (73110) $290.70 $323 3.1×
Radiolog exam mandible compl minimum 4 views (70110) $385.20 $428 3.4×
Radiologic exam colon double contrast study (74280) $669.60 $744 3.6×
Radiologic exam colon single contrast study (74270) $466.20 $518 2.5×
Radiologic Exam Esophagus Double Contrast Study (74221) $532.80 $592 2.8×
Radiologic exam knee complete 4/more views (73564) $477 $530 4.3×
Radiologic Exam Small Int Single Contrast Study (74250) $669.60 $744 3.6×
Radiologic exam swallow function contrast study (74230) $553.50 $615 2.9×
Radiologic exam upr gi trc double contrast study (74246) $559.80 $622 3.0×
Radiologic examination femur minimum 2 views (73552) $342 $380 3.7×
Radiologic examination knee 1/2 views (73560) $224.10 $249 2.4×
Radiologic Examination Osseous Survey Limited (77074) $263.70 $293 2.4×
Radiologic examination tibia & fibula 2 views (73590) $242.10 $269 2.6×
Ribs bilateral 3 views (71110) $673.20 $748 6.0×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,806.30 $2,007 4.2×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,806.30 $2,007 3.1×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 2 matching MRF lines
$1,779.30–$1,997.10 $1,977–$2,219 varies
Scapula (73010) $226.80 $252 2.0×
Screening Digital Breast Tomosynthesis Bi (77063) $37.80 $42 1.6×
Shoulder 1 view (73020) $224.10 $249 2.4×
Shoulder Arthrography (73040) $1,156.50 $1,285 3.1×
Sialogram (70390) $526.50 $585 2.1×
Skull less than 4 views (70250) $245.70 $273 2.2×
Sternoclavicular joints (71130) $224.10 $249 2.4×
Thoracic spine 2 views (72070) $368.10 $409 3.3×
Thoracic spine 3 views (72072) $487.80 $542 4.4×
Thoracolumbar 2 views (72080) $245.70 $273 2.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,238.40 $1,376 2.9×
Ultrasound Breast Limited (76642) $570.60 $634 6.1×
Ultrasound Exam Aaa Screen (76706) $702 $780 6.3×
Ultrasound, abdomen limited (76705) $723.60 $804 6.5×
Unlisted fluoroscopic procedure (76496) $394.20 $438 4.2×
Upper gi w/o kub (74240) $542.70 $603 2.9×
Urethrocystogram voiding (74455) $766.80 $852 3.0×
Us breast unilateral complete (76641) $444.60 $494 4.0×
Us chest (76604)
range across 2 matching MRF lines
$509.40–$1,323 $566–$1,470 varies
Us exam, pelvic, limited (76857) $779.40 $866 7.0×
Us head (76506) $494.10 $549 4.4×
Us kidney transplant (76776) $647.10 $719 5.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $712.80 $792 6.4×
Us ob detailed single fetus (76811) $1,413 $1,570 5.5×
Us ob limited 1 or more fetuses (76815) $526.50 $585 4.7×
Us ob transvaginal (76817) $635.40 $706 5.7×
Us pelvic non ob complete (76856) $1,012.50 $1,125 9.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $757.80 $842 6.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $499.50 $555 4.5×
Us retroperitoneal complete (76770) $766.80 $852 6.8×
Us retroperitoneal limited (76775) $779.40 $866 7.0×
Us scrotum and contents (76870) $779.40 $866 7.0×
Us spinal canal and contents (76800) $757.80 $842 6.8×
Us thyroid (76536) $691.20 $768 6.2×
Us transrectal (76872) $712.80 $792 6.4×
Wrist 2 views (73100) $224.10 $249 2.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $224.10 $249 2.4×
X-Ray Bend Only L-S Spine (72120) $385.20 $428 3.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $242.10 $269 2.6×
X-Ray Exam Breast Specimen (76098) $312.30 $347 0.5×
X-Ray Exam Entire Spi 1 Vw (72081) $224.10 $249 2.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $224.10 $249 2.0×
X-Ray Exam Hip Uni 1 View (73501) $306.90 $341 3.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $385.20 $428 4.1×
X-Ray Exam Hip Uni 4/> Views (73503) $485.10 $539 4.3×
X-Ray Exam Hips Bi 2 Views (73521) $504.90 $561 4.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $538.20 $598 4.8×
X-Ray Exam L-S Spine Bending (72114) $706.50 $785 6.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $368.10 $409 3.9×
X-Ray Exam Neck Spine 6/>Vws (72052) $647.10 $719 5.8×
X-Ray Exam Unilat Ribs/Chest (71101) $673.20 $748 6.0×
X-ray eye for foreign body (70030) $531.90 $591 5.7×
X-ray humerus (73060) $307.80 $342 3.3×
X-ray IV pyelogram (ivp) (74400) $766.80 $852 4.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $224.10 $249 2.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $280.80 $312 3.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $461.70 $513 4.1×
X-ray nose-rectum child f.b. (76010) $224.10 $249 2.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $673.20 $748 6.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $401.40 $446 3.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $368.10 $409 3.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $480.60 $534 5.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $385.20 $428 3.4×
X-Ray Stress View (77071) $132.30 $147 1.4×
X-Ray Urinary Tract Exam With Contrast Material (74420) $613.80 $682 1.6×
X-Rays Bone Survey Complete (77075) $757.80 $842 6.8×
Xr c-spine 4 or 5 views (72050) $565.20 $628 5.0×
Xr facial bones less than 3 views (70140) $224.10 $249 2.4×
XR Mastoids < 3 Views Bilateral (70120) $224.10 $249 2.0×
Xr orbits complete 4 views (70200) $224.10 $249 2.0×

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.