Imaging prices at Hendry Regional Medical Center

Clewiston, FL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $438.78 $438.78 4.0×
Ankle 2 views (73600) $191.58 $191.58 2.1×
Bone &/joint imaging whole body (78306) $1,474.96 $1,474.96 3.5×
Bone age studies (77072) $142.14 $142.14 1.3×
Bone Imaging 3 Phase (78315) $1,251.45 $1,251.45 3.0×
Cervical spine 2 or 3 views (72040) $366.17 $366.17 4.0×
Chest 1 view (71045) $263.68 $263.68 2.9×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $543.84 $543.84 3.0×
Clavicle complete (73000) $311.06 $311.06 3.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,300 $1,300 11.9×
CT abdomen and pelvis without and with contrast (74178) $2,271.15 $2,271.15 6.2×
CT abdomen and pelvis without contrast (74176) $2,271.15 $2,271.15 9.1×
CT abdomen w contrast (74160) $2,801.60 $2,801.60 15.3×
CT abdomen w wo contrast (74170) $3,249.65 $3,249.65 17.7×
CT abdomen w/o contrast (74150) $2,801.60 $2,801.60 25.7×
CT angio lwr extr w/o&w/dye (73706) $2,448.31 $2,448.31 13.4×
CT c-spine w/o contrast (72125) $2,575 $2,575 23.6×
CT chest w contrast (71260) $2,840.74 $2,840.74 15.5×
CT chest w/wo contrast (71270) $3,367.07 $3,367.07 18.4×
CT head/brain without and with contrast (70470) $2,924.17 $2,924.17 16.0×
CT lower ext w/o (73700) $2,195.96 $2,195.96 20.1×
CT lower extremity w/contrast material (73701) $2,275.27 $2,275.27 12.4×
CT lumbar spine w/o contrast (72131) $2,493.63 $2,493.63 22.8×
CT maxillofacial w contrast (70487) $2,538.95 $2,538.95 13.9×
CT maxillofacial w/wo contrast (70488) $2,931.38 $2,931.38 16.0×
CT maxillofacial wo contrast (70486) $2,439.04 $2,439.04 22.3×
CT orbits w/o contrast (70480) $1,909.62 $1,909.62 17.5×
CT pelvis w/o contrast (72192) $1,804.56 $1,804.56 16.5×
CT pelvis w/wo contrast (72194) $2,453.46 $2,453.46 13.4×
CT soft tissue neck w contrast (70491) $2,625.47 $2,625.47 14.3×
CT soft tissue neck w/o & w/contrast material (70492) $2,981.85 $2,981.85 16.3×
CT soft tissue neck w/o contrast (70490) $2,390.63 $2,390.63 21.9×
CT thoracic spine w/contrast (72129) $1,645 $1,645 9.0×
CT thoracic spine w/o contrast (72128) $1,970.39 $1,970.39 18.0×
CT thorax w/o contrast (71250) $2,679.03 $2,679.03 24.5×
CT upper ext wo (73200) $2,195.96 $2,195.96 20.1×
CT upper extremity with contrast (73201) $2,275.27 $2,275.27 6.2×
Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) $1,022 $1,022 5.6×
Cta Abdomen (74175) $2,953.01 $2,953.01 16.1×
CTA chest (71275) $3,249.65 $3,249.65 17.7×
Cta Head (70496) $2,460.67 $2,460.67 13.4×
Cta Neck (70498) $2,381.36 $2,381.36 13.0×
Cta Pelvis (72191) $2,500.84 $2,500.84 13.7×
Dxa bone density study 1/> sites axial skel (77080) $318.27 $318.27 2.9×
Esophagus (74220) $532.51 $532.51 2.9×
Facial bones min 3 views (70150) $449.08 $449.08 4.1×
Fluoroscopy up to 1 hr (76000) $511.91 $511.91 2.1×
Foot 2 views (73620) $217.33 $217.33 2.4×
Forearm 2 views (73090) $325.48 $325.48 3.6×
Hand 2 views (73120) $294.58 $294.58 2.7×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,472.90 $1,472.90 2.6×
Hepatobiliary syst imaging including gallbladder (78226) $1,172.90 $1,172.90 2.8×
Knee 3 views (73562) $395.52 $395.52 4.4×
MRA head w/o contrast (70544) $2,568.82 $2,568.82 10.3×
MRI abdomen w/o & w/contrast material (74183) $3,491.70 $3,491.70 9.6×
MRI abdomen w/o contrast (74181) $2,646.07 $2,646.07 10.6×
MRI cervical spine w/o contrast (72141) $3,574.10 $3,574.10 14.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,388.70 $3,388.70 9.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,630.11 $2,630.11 10.6×
MRI orbit/face/neck w&w/o cont (70543) $3,491.70 $3,491.70 9.6×
MRI pelvis w/o & w/contrast material (72197) $3,491.70 $3,491.70 9.6×
MRI pelvis w/o contrast (72195) $3,151.80 $3,151.80 12.6×
MRI spinal canal cervical w/o & w/contr matrl (72156) $4,004.64 $4,004.64 11.0×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $4,004.64 $4,004.64 11.0×
MRI thoracic spine w/o contrast (72146) $3,390.76 $3,390.76 13.6×
MRI up ext w/o contrast (73218) $2,761.43 $2,761.43 11.1×
MRI upper ext joint w/o contrast (73221) $2,761.43 $2,761.43 11.1×
Myocardial Spect Multiple Studies (78452) $1,730.40 $1,730.40 1.3×
Neck soft tissue (70360) $292.52 $292.52 3.2×
Nm gastric emptying study (78264) $1,368.87 $1,368.87 3.3×
Pelvis 1 or 2 views (72170) $279.13 $279.13 2.6×
Pulmonary Ventilation & Perfusion Imaging (78582) $927 $927 1.6×
Radex Ankle Compl Minimum 3 Views (73610) $351.23 $351.23 3.9×
Radex Calcaneus Minimum 2 Views (73650) $294.58 $294.58 3.2×
Radex Elbw Compl Minimum 3 Views (73080) $340.93 $340.93 3.8×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $175.10 $175.10 1.9×
Radex fingr minimum 2 views (73140) $109.18 $109.18 1.2×
Radex Foot Compl Minimum 3 Views (73630) $353.29 $353.29 3.9×
Radex Hand Minimum 3 Views (73130) $342.99 $342.99 3.8×
Radex Hips Bilateral With Pelvis 2 Views (73521) $174.07 $174.07 1.6×
Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) $357.41 $357.41 3.3×
Radex Humerus Minimum 2 Views (73060) $170.98 $170.98 1.9×
Radex Kne 1/2 Views (73560) $314.15 $314.15 3.5×
Radex Kne Compl 4/More Views (73564) $418.18 $418.18 3.8×
Radex Sho Compl Minimum 2 Views (73030) $370.80 $370.80 4.1×
Radex Sinuses Paransl < 3 Views (70210) $103 $103 1.1×
Radex Toe Minimum 2 Views (73660) $109.18 $109.18 1.2×
Radex Wrst Compl Minimum 3 Views (73110) $314.15 $314.15 3.5×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $340.93 $340.93 3.8×
Radiologic exam chest 2 views (71046) $360.50 $360.50 4.0×
Radiologic exam upr gi trc single contrast study (74240) $611.82 $611.82 3.3×
Radiologic examination tibia & fibula 2 views (73590) $321.36 $321.36 3.5×
Scapula (73010) $260.59 $260.59 2.4×
Screening Digital Breast Tomosynthesis Bi (77063) $60 $60 2.6×
Shoulder 1 view (73020) $103 $103 1.1×
Spine thoracic 3 views (72072) $413.03 $413.03 3.8×
Ultrasound breast complete (76641) $375 $375 3.4×
Ultrasound, abdomen limited (76705) $643.75 $643.75 5.9×
Us chest (76604) $314.15 $314.15 2.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $405.82 $405.82 3.7×
Us ob limited (76815) $432.60 $432.60 4.0×
Us ob transvaginal (76817) $143.17 $143.17 1.3×
Us pelvic non ob complete (76856) $542.81 $542.81 5.0×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $491.31 $491.31 4.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $340.93 $340.93 3.1×
Us retroperitoneal complete (76770) $587.10 $587.10 5.4×
Us retroperitoneal limited (76775) $509.85 $509.85 4.7×
Us scrotum and contents (76870) $664.35 $664.35 6.1×
Us soft tissue head/neck (76536) $209.09 $209.09 1.9×
Wrist 2 views (73100) $265.74 $265.74 2.9×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $626.24 $626.24 5.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $312.09 $312.09 3.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $174.07 $174.07 1.9×
X-ray exam of femur 2/> (73552) $368.74 $368.74 4.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $135 $135 1.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $392.43 $392.43 3.6×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $569.59 $569.59 5.2×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $452.17 $452.17 4.1×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $395.52 $395.52 3.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $488.22 $488.22 4.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $355.35 $355.35 3.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $349.17 $349.17 3.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $390.37 $390.37 4.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $624.18 $624.18 5.7×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $290.46 $290.46 3.2×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $350.20 $350.20 3.2×
Xr c-spine 4 or 5 views (72050) $524.27 $524.27 4.8×
Xr c-spine 6 or more views (72052) $591.22 $591.22 5.4×