Imaging prices at Hampshire Memorial Hospital

Romney, WV · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $121.80 $174 1.4×
Abdomen 2 views (74019) $143.50 $205 1.4×
Ankle 2 views (73600) $113.40 $162 1.3×
Bone age studies (77072) $171.50 $245 1.7×
Bone survey infant (77076) $238.70 $341 2.4×
Chest 1 view (71045) $107.10 $153 1.3×
Chest 2 views (71046) $159.60 $228 1.9×
Chest 3 views (71047) $183.40 $262 2.2×
Chest 4 or more views (71048) $209.30 $299 2.1×
Cholecystography Oral Contrast (74290) $485.80 $694 2.9×
Cineradiograpy/vidradiograpy xcpt where spec (76120) $244.30 $349 2.4×
Clavicle complete (73000) $121.80 $174 1.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $674.80 $964 6.7×
Contrast X-Ray Bladder (74430) $429.10 $613 1.3×
CT abdomen and pelvis without and with contrast (74178) $3,401.30 $4,859 10.1×
CT abdomen and pelvis without contrast (74176) $2,527 $3,610 10.9×
CT abdomen w contrast (74160) $1,360.10 $1,943 8.0×
CT abdomen w wo contrast (74170) $1,688.40 $2,412 9.9×
CT abdomen w/o contrast (74150) $1,254.40 $1,792 12.4×
CT Angio Abdomen and Pelvis (74174) $2,867.20 $4,096 8.5×
CT Angio Chest (71275) $1,971.90 $2,817 11.6×
CT Angio Head (70496)
range across 2 matching MRF lines		 $1,809.50–$2,589.30 $2,585–$3,699 varies
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,722.70 $2,461 10.1×
CT Angio Neck (70498)
range across 2 matching MRF lines		 $1,809.50–$2,589.30 $2,585–$3,699 varies
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,722.70 $2,461 10.1×
CT cervical spine w/ contrast (72126) $1,360.10 $1,943 4.0×
CT cervical spine w/o contrast (72125) $1,254.40 $1,792 12.4×
CT cervical spine w/wo cont (72127) $1,688.40 $2,412 9.9×
CT chest w contrast (71260) $1,360.10 $1,943 8.0×
CT chest w/wo contrast (71270) $1,688.40 $2,412 9.9×
CT head/brain with contrast (70460) $1,118.60 $1,598 6.6×
CT head/brain without and with contrast (70470) $1,397.20 $1,996 8.2×
CT iac w contrast (70481) $1,118.60 $1,598 6.6×
CT l-spine w&w/o contrast (72133) $1,688.40 $2,412 9.9×
CT lower ext w/o (73700) $911.40 $1,302 9.0×
CT lower extremity w/contrast material (73701) $1,090.60 $1,558 6.4×
CT lumbar spine w contrast (72132) $1,360.10 $1,943 4.0×
CT lumbar spine w/o contrast (72131) $1,254.40 $1,792 12.4×
CT maxillofacial w contrast (70487) $1,118.60 $1,598 6.6×
CT maxillofacial wo contrast (70486) $938 $1,340 9.2×
CT neck tissue combo (70492) $1,397.20 $1,996 8.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,397.20 $1,996 8.2×
CT orbits w/o contrast (70480) $938 $1,340 9.2×
CT pelvis w&w/o contrast (72194) $1,688.40 $2,412 9.9×
CT pelvis w/o contrast (72192) $1,254.40 $1,792 12.4×
CT scan of leg combo (73702) $1,362.20 $1,946 8.0×
CT scans face/jaw combo (70488) $1,397.20 $1,996 8.2×
CT soft tissue neck w contrast (70491) $1,118.60 $1,598 6.6×
CT soft tissue neck w/o contrast (70490) $938 $1,340 9.2×
CT thoracic spine w contrast (72129) $1,360.10 $1,943 8.0×
CT thoracic spine w/o contrast (72128) $1,254.40 $1,792 12.4×
CT thoracic spine w/wo cont (72130) $1,688.40 $2,412 9.9×
CT thorax w/o contrast (71250) $1,254.40 $1,792 12.4×
CT upper ext wo (73200) $911.40 $1,302 9.0×
CT upper extremity w/o & w/contrast material (73202) $1,362.20 $1,946 8.0×
CT upper extremity with contrast (73201) $1,253.70 $1,791 3.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,908.90 $2,727 11.2×
Cta Abdomen (74175) $2,101.40 $3,002 12.4×
CTA pelvis (72191) $2,101.40 $3,002 12.4×
Dxa Bone Density Axial (77080) $744.80 $1,064 7.3×
Esophagram (74220) $272.30 $389 1.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $359.80 $514 3.5×
Fluoroscopy up to 1 hr (76000) $465.50 $665 2.0×
Foot 2 views (73620) $112.70 $161 1.3×
Forearm 2 views (73090) $121.80 $174 1.4×
Hand 2 views (73120) $113.40 $162 1.1×
Ht Muscle Image Spect Sing (78451) $2,151.80 $3,074 1.7×
Hysterosalpingogram (74740) $568.40 $812 2.5×
Knee 3 Views (73562) $132.30 $189 1.6×
Magnetic Image Jaw Joint (70336) $2,046.80 $2,924 8.8×
Magnetic Resonance Elastography (76391) $738.50 $1,055 3.2×
Mra Head W/O & W/Contrast Material (70546) $3,920 $5,600 11.6×
MRA head w/o contrast (70544) $2,012.50 $2,875 8.7×
MRA head with contrast (70545) $2,209.20 $3,156 6.5×
MRA neck w contrast (70548) $2,209.20 $3,156 6.5×
Mra Neck W/O &W/Contrast Material (70549) $3,920 $5,600 11.6×
MRA neck w/o contrast (70547) $2,012.50 $2,875 8.7×
MRI abdomen w contrast (74182) $2,380 $3,400 7.0×
MRI abdomen w/o contrast (74181) $2,046.80 $2,924 8.8×
MRI any jt lower extrem w/contrast material (73722) $2,729.30 $3,899 3.6×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,392.50 $6,275 13.0×
MRI any jt upper extremity w/contrast matrl (73222) $2,729.30 $3,899 3.6×
MRI Breast W/O Contrast Bilateral (77047) $4,329.50 $6,185 18.7×
MRI Breast Without Contrast Material Unilateral (77046) $3,239.60 $4,628 14.0×
MRI cervical spine w contrast (72142) $2,475.90 $3,537 7.3×
MRI cervical spine w/o cont (72141) $2,046.80 $2,924 8.8×
MRI chest w/o contrast (71550) $2,046.80 $2,924 8.8×
MRI chest with contrast (71551) $2,650.20 $3,786 3.5×
MRI chest wo w contrast (71552) $4,368 $6,240 12.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,351.30 $3,359 6.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,227.70 $4,611 9.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,036.30 $2,909 8.8×
MRI lumbar spine w contrast (72149) $2,475.90 $3,537 7.3×
Mri Neck Spine W/O & W/Dye (72156) $4,581.50 $6,545 13.5×
MRI orbit face &/neck w/o contrast (70540) $2,046.80 $2,924 8.8×
MRI orbit face neck w contrast (70542) $2,407.30 $3,439 7.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,379.90 $6,257 12.9×
MRI pelvis w contrast (72196) $2,305.10 $3,293 6.8×
MRI pelvis w/o & w contrast (72197) $4,393.20 $6,276 13.0×
MRI pelvis w/o contrast (72195) $2,036.30 $2,909 8.8×
MRI thoracic spine w/o contrast (72146) $2,289 $3,270 9.9×
MRI upper extremity oth than jt w/contr matrl (73219) $2,364.60 $3,378 7.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,036.30 $2,909 8.8×
Mri Uppr Extremity W/O&W/Dye (73220) $3,227.70 $4,611 9.5×
MRI, abdomen, combo (74183) $4,404.40 $6,292 13.0×
MRI, dorsal spine combo (72157) $4,581.50 $6,545 13.5×
MRI, dorsal spine contrast (72147) $2,473.80 $3,534 7.3×
MRI, joint upper extrem (73221) $2,046.80 $2,924 8.8×
MRI, joint upper extrem combo (73223) $4,392.50 $6,275 13.0×
MRI, lumbar spine combo (72158) $4,581.50 $6,545 13.5×
Myelogram Lumbar (72265) $738.50 $1,055 1.0×
Myocardial Spect Multiple Studies (78452) $4,267.90 $6,097 3.4×
Neck soft tissue (70360) $96.60 $138 1.1×
Pelvis 1 or 2 views (72170) $121.80 $174 1.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $171.50 $245 1.7×
Radex Ankle Complete Minimum 3 Views (73610) $123.20 $176 1.5×
Radex Calcaneus Minimum 2 Views (73650) $111.30 $159 1.3×
Radex elbow complete minimum 3 views (73080) $132.30 $189 1.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $183.40 $262 1.8×
Radex fingr minimum 2 views (73140) $96.60 $138 1.1×
Radex foot complete minimum 3 views (73630) $123.20 $176 1.5×
Radex Hand Minimum 3 Views (73130) $123.20 $176 1.5×
Radex lower extremity infant minimum 2 views (73592) $171.50 $245 2.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $121.80 $174 1.4×
Radex Ribs Unilateral 2 Views (71100) $132.30 $189 1.6×
Radex shoulder complete minimum 2 views (73030) $132.30 $189 1.6×
Radex Sinuses Paransl < 3 Views (70210) $143.50 $205 1.7×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $331.80 $474 2.0×
Radex Spine 1 View Specify Level (72020) $96.60 $138 1.1×
Radex Sternum Minimum 2 Views (71120) $149.80 $214 1.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $194.60 $278 2.3×
Radex Toe Minimum 2 Views (73660) $96.60 $138 1.1×
Radex upper extremity infant minimum 2 views (73092) $113.40 $162 1.1×
Radex Wrist Complete Minimum 3 Views (73110) $123.20 $176 1.5×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $290.50 $415 2.9×
Radiolog exam mandible compl minimum 4 views (70110) $143.50 $205 1.4×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $171.50 $245 1.7×
Radiologic exam colon double contrast study (74280) $519.40 $742 3.1×
Radiologic exam colon single contrast study (74270) $391.30 $559 2.3×
Radiologic Exam Esophagus Double Contrast Study (74221) $345.10 $493 2.0×
Radiologic exam knee complete 4/more views (73564) $143.50 $205 1.4×
Radiologic exam pelvis compl minimum 3 views (72190) $157.50 $225 1.6×
Radiologic Exam Small Int Single Contrast Study (74250) $337.40 $482 2.0×
Radiologic exam swallow function contrast study (74230) $303.10 $433 1.8×
Radiologic exam teeth complete full mouth (70320) $172.20 $246 0.7×
Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) $121.10 $173 0.5×
Radiologic exam upr gi trc double contrast study (74246) $381.50 $545 2.2×
Radiologic examination femur 1 view (73551) $111.30 $159 1.3×
Radiologic examination femur minimum 2 views (73552) $137.20 $196 1.6×
Radiologic examination knee 1/2 views (73560) $121.80 $174 1.4×
Radiologic Examination Osseous Survey Limited (77074) $255.50 $365 2.5×
Radiologic examination tibia & fibula 2 views (73590) $121.80 $174 1.4×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $169.40 $242 0.3×
Ribs bilateral 3 views (71110) $183.40 $262 1.8×
Scapula (73010) $121.80 $174 1.2×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines		 $78.40–$98.70 $112–$141 varies
Shoulder 1 view (73020) $111.30 $159 1.3×
Shoulder Arthrography (73040) $550.20 $786 1.6×
Skull less than 4 views (70250) $143.50 $205 1.4×
Sternoclavicular joints (71130) $163.10 $233 1.9×
Thoracic spine 2 views (72070) $149.80 $214 1.5×
Thoracic spine 3 views (72072) $171.50 $245 1.7×
Thoracolumbar 2 views (72080) $157.50 $225 1.9×
Ultrasound Breast Limited (76642) $275.80 $394 3.3×
Ultrasound elastography first target lesion (76982) $345.10 $493 3.4×
Ultrasound Elastography Parenchyma (76981) $367.50 $525 3.6×
Ultrasound Exam Aaa Screen (76706) $399 $570 3.9×
Ultrasound trgt dynamic microbubble 1st lesion (76978) $238 $340 0.7×
Ultrasound, abdomen limited (76705) $435.40 $622 4.3×
Unlisted us procedure (76999) $349.30 $499 4.1×
Upper gi w/o kub (74240) $337.40 $482 2.0×
Urethrocystogram voiding (74455) $429.10 $613 1.9×
Us breast unilateral complete (76641) $357.70 $511 3.5×
Us chest (76604) $282.80 $404 2.8×
Us complete joint (76881) $482.30 $689 4.8×
Us exam, pelvic, limited (76857) $260.40 $372 2.6×
Us head (76506) $306.60 $438 3.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $380.80 $544 3.8×
Us ob limited 1 or more fetuses (76815) $306.60 $438 3.0×
Us ob transvaginal (76817) $408.10 $583 4.0×
Us pelvic non ob complete (76856) $408.10 $583 4.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $258.30 $369 2.5×
Us retroperitoneal complete (76770) $607.60 $868 6.0×
Us retroperitoneal limited (76775) $424.90 $607 4.2×
Us scrotum and contents (76870) $367.50 $525 3.6×
Us spinal canal and contents (76800) $306.60 $438 3.0×
Us thyroid (76536) $306.60 $438 3.0×
Wrist 2 views (73100) $113.40 $162 1.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $157.50 $225 1.9×
X-Ray Bend Only L-S Spine (72120) $206.50 $295 2.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $121.80 $174 1.4×
X-Ray Exam Breast Specimen (76098) $130.20 $186 0.2×
X-Ray Exam Entire Spi 1 Vw (72081) $126 $180 1.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $227.50 $325 2.2×
X-Ray Exam Entire Spi 4/5 Vw (72083) $250.60 $358 2.5×
X-Ray Exam Hip Uni 1 View (73501) $111.30 $159 1.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $149.10 $213 1.8×
X-Ray Exam Hip Uni 4/> Views (73503) $185.50 $265 1.8×
X-Ray Exam Hips Bi 2 Views (73521) $157.50 $225 1.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $190.40 $272 1.9×
X-Ray Exam Hips Bi 5/> Views (73523) $224 $320 2.2×
X-Ray Exam L-S Spine Bending (72114) $272.30 $389 2.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $140.70 $201 1.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $261.80 $374 2.6×
X-Ray Exam Unilat Ribs/Chest (71101) $157.50 $225 1.6×
X-ray eye for foreign body (70030) $177.80 $254 2.1×
X-ray humerus (73060) $132.30 $189 1.6×
X-ray IV pyelogram (ivp) (74400) $429.10 $613 2.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $121.80 $174 1.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $113.40 $162 1.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $157.50 $225 1.6×
X-ray nose-rectum child f.b. (76010) $189.70 $271 2.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $206.50 $295 2.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $143.50 $205 1.4×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $121.80 $174 1.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $132.30 $189 1.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $183.40 $262 2.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $206.50 $295 2.0×
X-ray thoracic spine 4 vw (72074) $210.70 $301 2.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $605.50 $865 1.8×
X-Rays Bone Survey Complete (77075) $364 $520 3.6×
Xr c-spine 4 or 5 views (72050) $206.50 $295 2.0×
Xr facial bones less than 3 views (70140) $143.50 $205 1.7×
Xr myelogram posterior fossa (70010) $869.40 $1,242 2.6×
Xr orbits complete 4 views (70200) $183.40 $262 1.8×
Xr Tomogram Single Plane (76100) $251.30 $359 2.5×

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.