Imaging prices at Highland District Hospital

Hillsboro, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $230.40 $288 2.8×
Abdomen 2 views (74019) $287.20 $359 2.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $864.80 $1,081 2.3×
Ankle 2 views (73600) $138.40 $173 1.7×
Bone age studies (77072) $621.60 $777 6.3×
Bone Imaging 3 Phase (78315) $720 $900 1.9×
Bone Imaging Limited Area (78300) $652.80 $816 1.7×
Bone Imaging Whole Body (78306) $652.80 $816 1.7×
Bone survey infant (77076) $284.80 $356 2.9×
Chest 1 view (71045) $183.20 $229 2.2×
Chest 2 views (71046) $196 $245 2.4×
Chest 3 views (71047) $208 $260 2.5×
Chest 4 or more views (71048) $230.40 $288 2.3×
Clavicle complete (73000) $173.60 $217 2.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $266.40 $333 2.7×
Contrast X-Ray Bladder (74430) $856.80 $1,071 2.6×
CT abdomen and pelvis without and with contrast (74178) $2,615.20 $3,269 7.9×
CT abdomen and pelvis without contrast (74176) $1,968.80 $2,461 8.7×
CT abdomen w contrast (74160) $1,368.80 $1,711 8.2×
CT abdomen w wo contrast (74170) $1,704.80 $2,131 10.3×
CT abdomen w/o contrast (74150) $1,139.20 $1,424 11.5×
CT Angio Abdomen and Pelvis (74174) $2,077.60 $2,597 6.3×
CT Angio Chest (71275) $1,748.80 $2,186 10.5×
CT Angio Head (70496) $1,496.80 $1,871 9.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $236.80 $296 1.4×
CT Angio Neck (70498) $2,780.80 $3,476 16.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,090.40 $2,613 12.6×
CT cervical spine w/ contrast (72126) $1,465.60 $1,832 4.4×
CT cervical spine w/o contrast (72125) $1,139.20 $1,424 11.5×
CT cervical spine w/wo cont (72127) $1,734.40 $2,168 10.5×
CT chest w contrast (71260) $1,225.60 $1,532 7.4×
CT chest w/wo contrast (71270) $1,347.20 $1,684 8.1×
CT head/brain with contrast (70460) $1,487.20 $1,859 9.0×
CT head/brain without and with contrast (70470) $1,704.80 $2,131 10.3×
CT iac w contrast (70481) $1,225.60 $1,532 7.4×
CT l-spine w&w/o contrast (72133) $1,704.80 $2,131 10.3×
CT lower ext w/o (73700) $1,225.60 $1,532 12.4×
CT lower extremity w/contrast material (73701) $1,487.20 $1,859 9.0×
CT lumbar spine w contrast (72132) $1,487.20 $1,859 4.5×
CT lumbar spine w/o contrast (72131) $1,225.60 $1,532 12.4×
CT maxillofacial w contrast (70487) $1,465.60 $1,832 8.8×
CT maxillofacial wo contrast (70486) $1,465.60 $1,832 14.8×
CT neck tissue combo (70492) $1,704.80 $2,131 10.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,364.80 $1,706 8.2×
CT orbits w/o contrast (70480) $1,115.20 $1,394 11.3×
CT pelvis w&w/o contrast (72194) $1,225.60 $1,532 7.4×
CT pelvis w/o contrast (72192) $1,107.20 $1,384 11.2×
CT scan of leg combo (73702) $1,487.20 $1,859 9.0×
CT scans face/jaw combo (70488) $1,704.80 $2,131 10.3×
CT soft tissue neck w contrast (70491) $1,465.60 $1,832 8.8×
CT soft tissue neck w/o contrast (70490) $1,225.60 $1,532 12.4×
CT thoracic spine w contrast (72129) $1,487.20 $1,859 9.0×
CT thoracic spine w/o contrast (72128) $1,139.20 $1,424 11.5×
CT thoracic spine w/wo cont (72130) $1,734.40 $2,168 10.5×
CT thorax w/o contrast (71250) $1,139.20 $1,424 11.5×
CT upper ext wo (73200) $1,139.20 $1,424 11.5×
CT upper extremity w/o & w/contrast material (73202) $1,487.20 $1,859 9.0×
CT upper extremity with contrast (73201) $1,487.20 $1,859 4.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,280 $2,850 13.7×
Cta Abdomen (74175) $1,465.60 $1,832 8.8×
Dxa Bone Density Axial (77080) $481.60 $602 4.9×
Esophagram (74220) $277.60 $347 1.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $427.20 $534 4.3×
Fluoroscopy up to 1 hr (76000) $472 $590 2.1×
Foot 2 views (73620) $176 $220 2.1×
Forearm 2 views (73090) $183.20 $229 2.2×
Gastric emptying imaging study (78264) $854.40 $1,068 2.3×
Gated Heart Planar Single (78472) $781.60 $977 2.1×
Hand 2 views (73120) $208 $260 2.1×
Hepatobil Syst Image W/Drug (78227) $977.60 $1,222 1.9×
Hepatobiliary System Imaging (78226) $977.60 $1,222 2.6×
Ht Muscle Image Spect Sing (78451) $1,892 $2,365 1.5×
Hysterosalpingogram (74740) $360.80 $451 1.6×
K Flow/Funct Image W/Drug (78708) $980.80 $1,226 1.9×
K Flow/Funct Image W/O Drug (78707) $977.60 $1,222 1.9×
Knee 3 Views (73562) $261.60 $327 3.2×
Liver & Spleen Imaging Static Only (78215) $854.40 $1,068 2.3×
Lung Ventilat&Perfus Imaging (78582) $1,731.20 $2,164 3.4×
Lung Ventilation Imaging (78579) $708.80 $886 1.9×
Lymph System Imaging (78195) $1,125.60 $1,407 2.2×
Magnetic Image Jaw Joint (70336) $1,794.40 $2,243 7.9×
Mra Head W/O & W/Contrast Material (70546) $2,216.80 $2,771 6.7×
MRA head w/o contrast (70544) $2,216.80 $2,771 9.8×
MRA head with contrast (70545) $2,216.80 $2,771 6.7×
MRA neck w contrast (70548) $2,216.80 $2,771 6.7×
Mra Neck W/O &W/Contrast Material (70549) $2,216.80 $2,771 6.7×
MRA neck w/o contrast (70547) $2,216.80 $2,771 9.8×
MRI abdomen w contrast (74182) $2,216.80 $2,771 6.7×
MRI abdomen w/o contrast (74181) $2,216.80 $2,771 9.8×
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$2,571.20–$3,856.80 $3,214–$4,821 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines
$2,216.80–$3,324.80 $2,771–$4,156 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines
$2,571.20–$3,856.80 $3,214–$4,821 varies
MRI cervical spine w contrast (72142) $2,216.80 $2,771 6.7×
MRI cervical spine w/o cont (72141) $2,216.80 $2,771 9.8×
MRI chest w/o contrast (71550) $2,216.80 $2,771 9.8×
MRI chest with contrast (71551) $2,216.80 $2,771 3.0×
MRI chest wo w contrast (71552) $2,216.80 $2,771 6.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 2 matching MRF lines
$2,216.80–$3,324.80 $2,771–$4,156 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$2,216.80–$3,325.60 $2,771–$4,157 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$2,216.80–$3,324.80 $2,771–$4,156 varies
MRI lumbar spine w contrast (72149) $2,216.80 $2,771 6.7×
Mri Neck Spine W/O & W/Dye (72156) $2,514.40 $3,143 7.6×
MRI orbit face &/neck w/o contrast (70540) $2,216.80 $2,771 9.8×
MRI orbit face neck w contrast (70542) $2,216.80 $2,771 6.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,216.80 $2,771 6.7×
MRI pelvis w contrast (72196) $2,392.80 $2,991 7.2×
MRI pelvis w/o & w contrast (72197) $2,514.40 $3,143 7.6×
MRI pelvis w/o contrast (72195) $2,216.80 $2,771 9.8×
MRI thoracic spine w/o contrast (72146) $2,216.80 $2,771 9.8×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 2 matching MRF lines
$1,794.40–$2,692 $2,243–$3,365 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 3 matching MRF lines
$1,794.40–$2,692 $2,243–$3,365 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$2,216.80–$3,325.60 $2,771–$4,157 varies
MRI, abdomen, combo (74183) $2,216.80 $2,771 6.7×
MRI, dorsal spine combo (72157) $2,514.40 $3,143 7.6×
MRI, dorsal spine contrast (72147) $2,216.80 $2,771 6.7×
MRI, joint upper extrem (73221)
range across 2 matching MRF lines
$1,794.40–$2,692 $2,243–$3,365 varies
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$2,216.80–$3,324.80 $2,771–$4,156 varies
MRI, lumbar spine combo (72158) $2,514.40 $3,143 7.6×
Myocardial Spect Multiple Studies (78452) $2,840 $3,550 2.3×
Neck soft tissue (70360) $188 $235 2.3×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $312.80 $391 3.2×
Optic foramina (70190) $173.60 $217 2.1×
Parathyroid Planar Imaging (78070) $403.20 $504 1.1×
Parathyroid planar imaging w/wo subtraction (78071) $424.80 $531 1.1×
Pelvis 1 or 2 views (72170) $169.60 $212 1.7×
PET image w/CT, full body (78816) $3,590.40 $4,488 2.7×
PET imaging CT attenuation skull base mid-thigh (78815) $3,590.40 $4,488 2.7×
Pulmonary Perfusion Imaging Particulate (78580) $708.80 $886 1.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $324 $405 3.3×
Radex abscess/fistula/sinus tract rs&i (76080) $1,316 $1,645 2.5×
Radex Ankle Complete Minimum 3 Views (73610) $188 $235 2.3×
Radex Calcaneus Minimum 2 Views (73650) $173.60 $217 2.1×
Radex elbow complete minimum 3 views (73080) $173.60 $217 2.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $230.40 $288 2.3×
Radex fingr minimum 2 views (73140) $208 $260 2.5×
Radex foot complete minimum 3 views (73630) $264 $330 3.2×
Radex Hand Minimum 3 Views (73130) $264 $330 3.2×
Radex lower extremity infant minimum 2 views (73592) $198.40 $248 2.4×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $224.80 $281 2.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $149.60 $187 1.8×
Radex Ribs Unilateral 2 Views (71100) $230.40 $288 2.8×
Radex shoulder complete minimum 2 views (73030) $234.40 $293 2.8×
Radex Sinuses Paransl < 3 Views (70210) $223.20 $279 2.7×
Radex Spine 1 View Specify Level (72020) $249.60 $312 3.0×
Radex Sternum Minimum 2 Views (71120) $230.40 $288 2.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $495.20 $619 6.0×
Radex Toe Minimum 2 Views (73660) $208 $260 2.5×
Radex upper extremity infant minimum 2 views (73092) $198.40 $248 2.0×
Radex Wrist Complete Minimum 3 Views (73110) $230.40 $288 2.8×
Radiolog exam mandible compl minimum 4 views (70110) $253.60 $317 2.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $409.60 $512 4.1×
Radiologic exam colon double contrast study (74280) $445.60 $557 2.7×
Radiologic exam colon single contrast study (74270)
range across 2 matching MRF lines
$430.40–$445.60 $538–$557 varies
Radiologic Exam Esophagus Double Contrast Study (74221) $424 $530 2.6×
Radiologic exam knee complete 4/more views (73564) $356.80 $446 3.6×
Radiologic exam pelvis compl minimum 3 views (72190) $253.60 $317 2.6×
Radiologic Exam Small Int Single Contrast Study (74250) $555.20 $694 3.3×
Radiologic exam swallow function contrast study (74230) $277.60 $347 1.7×
Radiologic exam upr gi trc double contrast study (74246) $360.80 $451 2.2×
Radiologic examination femur 1 view (73551) $124.80 $156 1.5×
Radiologic examination femur minimum 2 views (73552) $261.60 $327 3.2×
Radiologic examination knee 1/2 views (73560) $230.40 $288 2.8×
Radiologic examination tibia & fibula 2 views (73590) $196 $245 2.4×
Ribs bilateral 3 views (71110) $267.20 $334 2.7×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $655.20 $819 1.3×
Scapula (73010) $183.20 $229 1.9×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 3 matching MRF lines
$71.20–$106.40 $89–$133 varies
Shoulder 1 view (73020) $183.20 $229 2.2×
Skull less than 4 views (70250) $169.60 $212 1.7×
Sternoclavicular joints (71130) $223.20 $279 2.7×
Thoracic spine 2 views (72070) $188 $235 1.9×
Thoracic spine 3 views (72072) $228 $285 2.3×
Thoracolumbar 2 views (72080) $210.40 $263 2.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $403.20 $504 1.1×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$189.60–$291.20 $237–$364 varies
Ultrasound Elastography Parenchyma (76981) $443.20 $554 4.5×
Ultrasound Exam Aaa Screen (76706) $436.80 $546 4.4×
Ultrasound, abdomen limited (76705) $436.80 $546 4.4×
Umbilical-artery Doppler (OB) (76820) $286.40 $358 2.9×
Upper gi w/o kub (74240) $362.40 $453 2.2×
Urethrocystogram voiding (74455) $580 $725 2.6×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$288–$527.20 $360–$659 varies
Us chest (76604) $252 $315 2.5×
Us complete joint (76881) $240 $300 2.4×
Us exam, pelvic, limited (76857) $168.80 $211 1.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines
$266.40–$400 $333–$500 varies
Us ob limited 1 or more fetuses (76815) $330.40 $413 3.3×
Us ob transvaginal (76817) $572 $715 5.8×
Us pelvic non ob complete (76856) $544.80 $681 5.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $572 $715 5.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $311.20 $389 3.1×
Us retroperitoneal complete (76770) $450.40 $563 4.6×
Us retroperitoneal limited (76775) $436.80 $546 4.4×
Us scrotum and contents (76870) $539.20 $674 5.5×
Us thyroid (76536) $539.20 $674 5.5×
Wrist 2 views (73100) $208 $260 2.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $223.20 $279 2.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $133.60 $167 1.6×
X-Ray Exam Breast Specimen (76098) $110.40 $138 0.2×
X-Ray Exam Entire Spi 1 Vw (72081) $339.20 $424 4.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $409.60 $512 4.1×
X-Ray Exam Entire Spi 4/5 Vw (72083) $396 $495 4.0×
X-Ray Exam Hip Uni 1 View (73501) $240 $300 2.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $240 $300 2.9×
X-Ray Exam Hips Bi 2 Views (73521) $246.40 $308 2.5×
X-Ray Exam L-S Spine Bending (72114) $348.80 $436 3.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $230.40 $288 2.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $470.40 $588 4.8×
X-Ray Exam Unilat Ribs/Chest (71101) $287.20 $359 2.9×
X-ray eye for foreign body (70030) $227.20 $284 2.8×
X-ray humerus (73060) $206.40 $258 2.5×
X-ray IV pyelogram (ivp) (74400) $445.60 $557 2.7×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $197.60 $247 2.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $249.60 $312 3.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $324 $405 3.3×
X-ray nose-rectum child f.b. (76010) $413.60 $517 5.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $253.60 $317 2.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $246.40 $308 2.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $314.40 $393 3.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $230.40 $288 2.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $240.80 $301 2.4×
X-ray thoracic spine 4 vw (72074) $236 $295 2.4×
X-Ray Urinary Tract Exam With Contrast Material (74420) $308 $385 0.9×
X-Rays Bone Length Studies (77073) $269.60 $337 2.7×
X-Rays Bone Survey Complete (77075) $601.60 $752 6.1×
Xr c-spine 4 or 5 views (72050) $438.40 $548 4.4×
Xr facial bones less than 3 views (70140) $216 $270 2.6×
Xr orbits complete 4 views (70200) $198.40 $248 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.