Imaging prices at Hancock County Hospital

Sneedville, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $67.85 $295 0.7×
Angiography internal mammary rs&i (75756) $443.90 $1,930 0.2×
Ankle 2 views (73600) $64.63 $281 0.8×
Bone age studies (77072) $67.85 $295 0.7×
Bone survey complete (77075) $71.53 $311 0.8×
Cervical spine 2 or 3 views (72040) $67.85 $295 0.9×
Chest 1 view (71045) $64.63 $281 0.8×
Chest 3 views (71047) $71.53 $311 0.9×
Clavicle complete (73000) $66.24 $288 0.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $89.47 $389 0.9×
CT abdomen and pelvis without and with contrast (74178) $576.61 $2,507 1.8×
CT abdomen and pelvis without contrast (74176) $521.87 $2,269 2.4×
CT abdomen w contrast (74160) $576.61 $2,507 3.6×
CT abdomen w wo contrast (74170) $605.36 $2,632 3.8×
CT abdomen w/o contrast (74150) $549.24 $2,388 5.8×
CT angiography upper extremity lt (73206) $549.24 $2,388 3.5×
CT c-spine w/o contrast (72125) $521.87 $2,269 5.5×
CT cervical spine w&w/o contrast (72127) $576.61 $2,507 3.6×
CT cervical spine with contrast (72126) $549.24 $2,388 1.7×
CT chest w/wo contrast (71270) $576.61 $2,507 3.6×
CT chest with contrast (71260) $549.24 $2,388 3.5×
CT head/brain with contrast (70460) $549.24 $2,388 3.5×
CT head/brain without and with contrast (70470) $576.61 $2,507 3.6×
CT iac w contrast (70481) $549.24 $2,388 3.5×
CT limited/localized follow up study (76380) $549.24 $2,388 7.0×
CT lower ext w/o (73700) $521.87 $2,269 5.5×
CT lower extremity w wo contrast (73702) $576.61 $2,507 3.6×
CT lower extremity with contrast (73701) $549.24 $2,388 3.5×
CT lumbar spine w & w/o contrast (72133) $576.61 $2,507 3.6×
CT lumbar spine w/o contrast (72131) $521.87 $2,269 5.5×
CT lumbar spine with contrast (72132) $549.24 $2,388 1.7×
CT maxillofacial w contrast (70487) $549.24 $2,388 3.5×
CT maxillofacial w/o contrast (70486) $521.87 $2,269 5.5×
CT maxillofacial w/wo contrast (70488) $576.61 $2,507 3.6×
CT neck soft tissue w contrast (70491) $549.24 $2,388 3.5×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $576.61 $2,507 3.6×
CT orbits w/o contrast (70480) $549.24 $2,388 5.8×
CT pelvis w & w/o contrast (72194) $635.95 $2,765 4.0×
CT pelvis w/o contrast (72192) $576.61 $2,507 6.1×
CT soft tissue neck w/o & w/contrast material (70492) $576.61 $2,507 3.6×
CT soft tissue neck w/o contrast (70490) $521.87 $2,269 5.5×
CT thoracic spine w/contrast (72129) $549.24 $2,388 3.5×
CT thoracic spine w/o contrast (72128) $521.87 $2,269 5.5×
CT thoracic spine w/wo contrast (72130) $576.61 $2,507 3.6×
CT thorax w/o contrast (71250) $521.87 $2,269 5.5×
CT upper extremity w/o & w/contrast material (73202) $576.61 $2,507 3.6×
CT upper extremity w/o contrast rt (73200) $521.87 $2,269 5.5×
CT upper extremity with contrast (73201) $549.24 $2,388 1.7×
CTA abdomen pelvis (74174) $614.33 $2,671 1.9×
CTA chest (71275) $576.61 $2,507 3.6×
Cta Head (70496) $549.24 $2,388 3.5×
Cta Neck (70498) $549.24 $2,388 3.5×
Dxa bone density study axial skeleton (77085) $62.79 $273 0.7×
Foot 2 views (73620) $64.63 $281 0.8×
Forearm 2 views (73090) $67.85 $295 0.9×
Hand 2 views (73120) $67.85 $295 0.7×
Hand 3 views (73130) $76.94 $334.50 1.0×
Humerus Min 2 Views Left (73060) $67.85 $295 0.9×
Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) $67.85 $295 0.7×
Knee 3 views (73562) $69.69 $303 0.9×
Manual appl stress pfrmd phys/qhp joint films (77071) $150.88 $656 1.9×
Mr safety determination physician/other qhp (76016) $39.10 $170 0.5×
Mr safety implant pos&/immoblj supvj phys/qhp (76019) $25.30 $110 0.5×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $10.81 $47 0.4×
Mr safety implt electronics prepj supvj phys/qhp (76018) $38.87 $169 0.5×
Mr safety med physics xm customization plng&mntr (76017) $102.35 $445 0.5×
MRA head w & w/o contrast (70546) $656.19 $2,853 2.1×
MRA head w/o contrast (70544) $593.63 $2,581 2.7×
MRA head with contrast (70545) $624.68 $2,716 2.0×
MRA neck w contrast (70548) $624.68 $2,716 2.0×
Mra Neck W/O &W/Contrast Material (70549) $656.19 $2,853 2.1×
MRA neck w/o contrast (70547) $593.63 $2,581 2.7×
MRI abdomen w contrast (74182) $624.68 $2,716 2.0×
MRI abdomen w/o & w/contrast material (74183) $656.19 $2,853 2.1×
MRI abdomen w/o contrast (74181) $593.63 $2,581 2.7×
MRI any jnt lwr ext with con lt (73722) $624.68 $2,716 0.9×
MRI any jt upper extremity w/contrast matrl (73222) $624.68 $2,716 0.9×
MRI c-spine with contrast (72142) $624.68 $2,716 2.0×
MRI cervical spine w/o contrast (72141) $593.63 $2,581 2.7×
MRI chest w/o & w/contrast material (71552) $656.19 $2,853 2.1×
MRI chest w/o contrast (71550) $593.63 $2,581 2.7×
MRI chest with contrast (71551) $624.68 $2,716 0.9×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $624.68 $2,716 2.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $624.68 $2,716 2.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $630.32 $2,740.50 2.9×
MRI orbit face &/neck w/o contrast (70540) $593.63 $2,581 2.7×
MRI orbit/face/neck w&w/o cont (70543) $656.19 $2,853 2.1×
MRI orbit/face/neck w/contrast (70542) $624.68 $2,716 2.0×
MRI pelvis w contrast (72196) $624.68 $2,716 2.0×
MRI pelvis w/o & w/contrast material (72197) $656.19 $2,853 2.1×
MRI pelvis w/o contrast (72195) $593.63 $2,581 2.7×
MRI scan of arm joint before and after contrast (73223) $656.19 $2,853 2.1×
MRI scan of leg joint before and after contrast (73723) $656.19 $2,853 2.1×
MRI spinal canal cervical w/o & w/contr matrl (72156) $656.19 $2,853 2.1×
MRI spinal canal lumbar w/contrast material (72149) $624.68 $2,716 2.0×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $656.19 $2,853 2.1×
MRI spinal canal thoracic w/contrast matrl (72147) $624.68 $2,716 2.0×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $656.19 $2,853 2.1×
MRI thoracic spine w/o contrast (72146) $593.63 $2,581 2.7×
MRI tmj (70336) $624.68 $2,716 2.9×
MRI upper ext joint w/o contrast (73221) $593.63 $2,581 2.7×
MRI upper extrem other than jt w/o & w/contras (73220) $656.19 $2,853 2.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $593.63 $2,581 2.7×
N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) $1,346.88 $5,856 1.7×
Neck soft tissue (70360) $67.85 $295 0.9×
Nm gastroesophageal reflux study (78262) $443.90 $1,930 1.2×
Nuclear medicine study of kidney and blood flow (78701) $411.01 $1,787 1.1×
Osseous survey infant (77076) $67.85 $295 0.7×
Osseous survey limited (77074) $67.85 $295 0.7×
Pelvis 1 or 2 views (72170) $64.63 $281 0.7×
Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) $571.55 $2,485 0.5×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $645.72 $2,807.50 2.0×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $64.63 $281 0.8×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $67.85 $295 0.7×
Radex hips bilateral with pelvis 2 views (73521) $64.63 $281 0.7×
Radex mastoids compl minimum 3 views pr side (70130) $67.85 $295 0.7×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $83.72 $364 0.9×
Radiolog exam mandible compl minimum 4 views (70110) $67.85 $295 0.7×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $64.63 $281 0.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $71.53 $311 0.8×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $67.85 $295 0.9×
Radiologic Exam Esophagus Double Contrast Study (74221) $72.22 $314 0.5×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $69.69 $303 0.9×
Red Cell Volume Determination Spx Mult Samplings (78121) $217.58 $946 0.4×
Ribs bilateral 3 views (71110) $71.53 $311 0.8×
Sacroiliac Joints < 3 Views (72200) $64.63 $281 0.7×
Scapula complete (73010) $67.85 $295 0.7×
Sella turcica (70240) $67.85 $295 0.9×
Spine thoracic 3 views (72072) $67.85 $295 0.7×
Thoracolumbar 2 views (72080) $75.21 $327 1.0×
Tmj unilateral (70328) $64.63 $281 0.8×
Ultrasound, abdomen limited (76705) $94.76 $412 1.0×
Upper Extremity Infant (73092) $81.19 $353 0.9×
Ureteral Reflux Study Rp Voiding Cystogram (78740) $179.17 $779 0.5×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $117.30 $510 0.7×
Us abdl aorta screen aaa (76706) $99.82 $434 1.1×
Us breast unilateral complete (76641) $94.99 $413 1.0×
Us breast unilateral limited (76642) $90.16 $392 1.1×
Us chest (76604) $99.82 $434 1.1×
Us compl joint r-t w/image documentation (76881) $99.82 $434 1.1×
Us kidney transplant (76776) $99.82 $434 1.1×
Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) $99.82 $434 1.1×
Us ob transvaginal (76817) $99.82 $434 1.1×
Us pelvic non ob complete (76856) $99.82 $434 1.1×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $99.82 $434 1.1×
Us pregnancy ltd (76815) $99.82 $434 1.1×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $99.82 $434 1.1×
Us retroperitoneal complete (76770) $99.82 $434 1.1×
Us retroperitoneal limited (76775) $94.76 $412 1.0×
Us scrotum and contents (76870) $99.82 $434 1.1×
Us soft tissue head/neck (76536) $99.82 $434 1.1×
Us spinal canal and contents (76800) $99.82 $434 1.1×
Us xtr non-vasc lmtd (76882) $97.29 $423 1.0×
Vertebral fracture assessment via dxa (77086) $62.79 $273 0.8×
Wrist 2 views (73100) $64.63 $281 0.8×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $67.85 $295 0.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $67.85 $295 0.9×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $73.37 $319 0.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $66.24 $288 0.8×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $73.37 $319 0.9×
X-ray exam entire spi 4/5 vw (72083) $71.53 $311 0.8×
X-ray exam hip uni 1 view (73501) $64.63 $281 0.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $67.85 $295 0.9×
X-ray exam hip uni 4/> views (73503) $71.53 $311 0.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $67.85 $295 0.7×
X-Ray Exam Hips Bi 5/> Views (73523) $71.53 $311 0.8×
X-ray exam of femur 1 (73551) $64.63 $281 0.8×
X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) $245.87 $1,069 1.5×
X-ray eye for foreign body (70030) $67.85 $295 0.9×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $67.85 $295 0.7×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $64.63 $281 0.8×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $73.37 $319 0.9×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $69.69 $303 0.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $64.63 $281 0.8×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $76.94 $334.50 0.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $67.85 $295 0.9×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $66.24 $288 0.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $64.63 $281 0.7×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $71.53 $311 0.8×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $61.41 $267 0.6×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $67.85 $295 0.9×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $67.85 $295 0.9×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $67.85 $295 0.7×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $67.85 $295 0.7×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $64.63 $281 0.8×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $67.85 $295 0.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $75.21 $327 0.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $67.85 $295 0.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $67.85 $295 0.9×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $73.37 $319 0.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $67.85 $295 0.9×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $34.04 $148 0.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $67.85 $295 0.7×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $64.63 $281 0.7×
X-Ray Spine One View - Xr Spine (72020) $64.63 $281 0.8×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $67.85 $295 0.9×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $64.63 $281 0.8×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $64.63 $281 0.7×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $71.53 $311 0.8×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $69.69 $303 0.9×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $73.37 $319 0.9×
Xr c-spine 6 or more views (72052) $75.21 $327 0.8×
Xr chest 4+ views (71048) $75.21 $327 0.8×
Xr finger(s) 2+ views (73140) $69.69 $303 0.9×
Xr internal auditory meati complete (70134) $70.15 $305 0.1×
XR Mastoids < 3 Views Bilateral (70120) $64.63 $281 0.7×
Xr optic foramina (70190) $67.85 $295 0.9×
Xr shoulder 1 view (73020) $66.24 $288 0.8×
Xr spine cervical 4 or 5 views (72050) $71.53 $311 0.8×
Xr tibia/fibula 2 views (73590) $67.85 $295 0.9×
Xr tmj bilateral (70330) $67.85 $295 0.9×
Xray knee 1 or 2 views rt (73560) $63.02 $274 0.8×