Imaging prices at Hocking Valley Community Hospital

Logan, OH · 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) $400 $400 4.8×
Abdomen 2 views (74019) $400 $400 4.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,620.23 $1,620.23 4.2×
Acute venous thrombosis imaging, peptide Non-Facility (78456) $895.51 $895.51 0.7×
Ankle 2 views (73600) $400 $400 4.8×
Arthrogram ankle (73615) $630.83 $630.83 1.9×
Arthrogram hip (73525) $630.83 $630.83 1.9×
Arthrogram Wrist (73115) $630.83 $630.83 1.9×
Bone age studies (77072) $400 $400 4.0×
Bone Imaging 3 Phase (78315) $1,874.41 $1,874.41 4.9×
Bone Imaging Limited Area (78300) $1,035.90 $1,035.90 2.7×
Bone Imaging Multiple Areas (78305) $1,256.47 $1,256.47 3.3×
Bone Imaging Whole Body (78306) $2,200 $2,200 5.7×
Bone marrow imaging limited area (78102) $1,296.75 $1,296.75 3.4×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,087.07 $1,087.07 2.1×
Chest 1 view (71045) $400 $400 4.8×
Chest 2 views (71046) $323.12 $323.12 3.9×
Clavicle complete (73000) $400 $400 4.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,400 $1,400 13.9×
Contrast X-Ray Bladder (74430) $1,150 $1,150 3.4×
Contrast X-Ray Of Elbow (73085) $630.83 $630.83 1.9×
Contrast X-Ray Of Knee Joint (73580) $630.83 $630.83 1.9×
CT abdomen and pelvis without and with contrast (74178) $5,387.15 $5,387.15 16.0×
CT abdomen and pelvis without contrast (74176) $2,856.20 $2,856.20 12.4×
CT abdomen w contrast (74160) $1,718.08 $1,718.08 10.2×
CT abdomen w wo contrast (74170) $2,400 $2,400 14.2×
CT abdomen w/o contrast (74150) $1,400 $1,400 13.9×
CT Angio Abdomen and Pelvis (74174) $4,260.32 $4,260.32 12.7×
CT Angio Chest (71275) $2,200 $2,200 13.0×
CT Angio Head (70496) $1,371.32 $1,371.32 8.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,331.07 $2,331.07 13.8×
CT Angio Neck (70498) $1,371.32 $1,371.32 8.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,331.07 $2,331.07 13.8×
CT cervical spine w/ contrast (72126) $2,631.30 $2,631.30 7.8×
CT cervical spine w/o contrast (72125) $1,400 $1,400 13.9×
CT cervical spine w/wo cont (72127) $2,554.65 $2,554.65 15.1×
CT chest w contrast (71260) $1,718.08 $1,718.08 10.2×
CT chest w/wo contrast (71270) $2,400 $2,400 14.2×
CT head/brain with contrast (70460) $1,700 $1,700 10.1×
CT head/brain without and with contrast (70470) $2,400 $2,400 14.2×
CT iac w contrast (70481) $1,718.08 $1,718.08 10.2×
CT l-spine w&w/o contrast (72133) $2,400 $2,400 14.2×
CT lower ext w/o (73700) $1,400 $1,400 13.9×
CT lower extremity w/contrast material (73701) $1,700 $1,700 10.1×
CT lumbar spine w contrast (72132) $1,718.08 $1,718.08 5.1×
CT lumbar spine w/o contrast (72131) $1,400 $1,400 13.9×
CT maxillofacial w contrast (70487) $1,700 $1,700 10.1×
CT maxillofacial wo contrast (70486) $1,400 $1,400 13.9×
CT neck tissue combo (70492) $2,400 $2,400 14.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,400 $2,400 14.2×
CT orbits w/o contrast (70480) $1,400 $1,400 13.9×
CT pelvis w&w/o contrast (72194) $2,567.28 $2,567.28 15.2×
CT pelvis w/o contrast (72192) $1,400 $1,400 13.9×
CT scan of leg combo (73702) $2,523.66 $2,523.66 14.9×
CT scans face/jaw combo (70488) $2,400 $2,400 14.2×
CT soft tissue neck w contrast (70491) $1,718.08 $1,718.08 10.2×
CT soft tissue neck w/o contrast (70490) $1,400 $1,400 13.9×
CT thoracic spine w contrast (72129) $1,718.08 $1,718.08 10.2×
CT thoracic spine w/o contrast (72128) $1,400 $1,400 13.9×
CT thoracic spine w/wo cont (72130) $2,400 $2,400 14.2×
CT thorax w/o contrast (71250) $1,400 $1,400 13.9×
CT upper ext wo (73200) $1,400 $1,400 13.9×
CT upper extremity w/o & w/contrast material (73202) $2,506.80 $2,506.80 14.8×
CT upper extremity with contrast (73201) $1,700 $1,700 5.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,427.05 $2,427.05 14.4×
Cta Abdomen (74175) $2,193.92 $2,193.92 13.0×
CTA pelvis (72191) $2,193.92 $2,193.92 13.0×
Discography Cerv/Thor Spine (72285) $4,397.30 $4,397.30 2.3×
Diskography lumbar (72295) $4,397.30 $4,397.30 2.3×
Doppler Fetal Mid Cerebral Artery (76821) $835.87 $835.87 8.3×
Dxa Bone Density Axial (77080) $600 $600 6.0×
Esophagram (74220) $331.92 $331.92 2.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $860.97 $860.97 8.5×
Fluoroscopy up to 1 hr (76000) $650 $650 2.8×
Foot 2 views (73620) $400 $400 4.8×
Forearm 2 views (73090) $400 $400 4.8×
Gastric emptying imaging study (78264) $1,037.32 $1,037.32 2.7×
Gated Heart Planar Single (78472) $1,455.40 $1,455.40 3.8×
Hand 2 views (73120) $400 $400 4.0×
Hepatobil Syst Image W/Drug (78227) $2,700 $2,700 5.2×
Hepatobiliary System Imaging (78226) $1,668.85 $1,668.85 4.3×
Ht Muscle Image Spect Sing (78451) $1,476.33 $1,476.33 1.2×
Hysterosalpingogram (74740) $489.54 $489.54 2.1×
K Flow/Funct Image W/Drug (78708) $2,006.84 $2,006.84 3.8×
K Flow/Funct Image W/O Drug (78707) $1,618.43 $1,618.43 3.1×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $1,116.01 $1,116.01 2.9×
Knee 3 Views (73562) $400 $400 4.8×
Liver & Spleen Imaging Static Only (78215) $887.24 $887.24 2.3×
Lung Ventilat&Perfus Imaging (78582) $1,746 $1,746 3.3×
Lung Ventilation Imaging (78579) $839.08 $839.08 2.2×
Lymph System Imaging (78195) $1,258.94 $1,258.94 2.4×
Magnetic Image Jaw Joint (70336) $2,488.80 $2,488.80 10.8×
Meckels Divert Exam (78290) $829.95 $829.95 2.2×
MRA head w/o contrast (70544) $2,500 $2,500 10.9×
Mra Neck W/O &W/Contrast Material (70549) $3,422.42 $3,422.42 10.2×
MRA neck w/o contrast (70547) $2,500 $2,500 10.9×
MRI abdomen w contrast (74182) $2,748.81 $2,748.81 8.2×
MRI abdomen w/o contrast (74181) $2,000 $2,000 8.7×
MRI any jt lower extrem w/contrast material (73722) $2,500 $2,500 3.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,000 $3,000 8.9×
MRI any jt upper extremity w/contrast matrl (73222) $2,758.60 $2,758.60 3.6×
MRI cervical spine w contrast (72142) $2,842.94 $2,842.94 8.5×
MRI cervical spine w/o cont (72141) $2,000 $2,000 8.7×
MRI chest w/o contrast (71550) $2,488.80 $2,488.80 10.8×
MRI chest with contrast (71551) $2,748.81 $2,748.81 3.6×
MRI chest wo w contrast (71552) $3,039.53 $3,039.53 9.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,867.16 $2,867.16 8.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,000 $3,000 8.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,000 $2,000 8.7×
MRI lumbar spine w contrast (72149) $2,842.94 $2,842.94 8.5×
Mri Neck Spine W/O & W/Dye (72156) $3,000 $3,000 8.9×
MRI orbit face &/neck w/o contrast (70540) $2,583.69 $2,583.69 11.2×
MRI orbit face neck w contrast (70542) $2,758.86 $2,758.86 8.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,000 $3,000 8.9×
MRI pelvis w contrast (72196) $2,488.80 $2,488.80 7.4×
MRI pelvis w/o & w contrast (72197) $3,135.36 $3,135.36 9.3×
MRI pelvis w/o contrast (72195) $2,000 $2,000 8.7×
MRI thoracic spine w/o contrast (72146) $2,000 $2,000 8.7×
MRI upper extremity oth than jt w/contr matrl (73219) $2,628.28 $2,628.28 7.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,000 $2,000 8.7×
Mri Uppr Extremity W/O&W/Dye (73220) $3,000 $3,000 8.9×
MRI, abdomen, combo (74183) $3,000 $3,000 8.9×
MRI, dorsal spine combo (72157) $3,000 $3,000 8.9×
MRI, dorsal spine contrast (72147) $2,500 $2,500 7.4×
MRI, joint upper extrem (73221) $2,000 $2,000 8.7×
MRI, joint upper extrem combo (73223) $2,950.31 $2,950.31 8.8×
MRI, lumbar spine combo (72158) $3,000 $3,000 8.9×
Myocardial Spect Multiple Studies (78452) $5,000 $5,000 4.0×
Neck soft tissue (70360) $400 $400 4.8×
Ob us nuchal meas 1 gest (76813) $835.87 $835.87 8.3×
Oph bmtry us echograpy a-scan io lens pwr cal (76519) $256.50 $256.50 2.5×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $258.92 $258.92 2.6×
Ophthalmic us dx quantitative a-scan only (76511) $283.24 $283.24 2.8×
Parathyroid Planar Imaging (78070) $1,119.10 $1,119.10 2.9×
Pelvis 1 or 2 views (72170) $400 $400 4.0×
Pulmonary Perfusion Imaging Particulate (78580) $1,400 $1,400 3.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $500 $500 5.0×
Radex abscess/fistula/sinus tract rs&i (76080) $709.34 $709.34 1.3×
Radex Ankle Complete Minimum 3 Views (73610) $400 $400 4.8×
Radex Calcaneus Minimum 2 Views (73650) $400 $400 4.8×
Radex elbow complete minimum 3 views (73080) $400 $400 4.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $400 $400 4.0×
Radex fingr minimum 2 views (73140) $400 $400 4.8×
Radex foot complete minimum 3 views (73630) $400 $400 4.8×
Radex Hand Minimum 3 Views (73130) $400 $400 4.8×
Radex lower extremity infant minimum 2 views (73592) $400 $400 4.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $400 $400 4.8×
Radex Ribs Unilateral 2 Views (71100) $400 $400 4.8×
Radex shoulder complete minimum 2 views (73030) $450 $450 5.4×
Radex Spine 1 View Specify Level (72020) $276.57 $276.57 3.3×
Radex Sternum Minimum 2 Views (71120) $400 $400 4.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $324.16 $324.16 3.9×
Radex Toe Minimum 2 Views (73660) $400 $400 4.8×
Radex upper extremity infant minimum 2 views (73092) $400 $400 4.0×
Radex Wrist Complete Minimum 3 Views (73110) $400 $400 4.8×
Radiolog exam mandible compl minimum 4 views (70110) $400 $400 4.0×
Radiologic exam colon double contrast study (74280) $847.58 $847.58 5.0×
Radiologic exam colon single contrast study (74270) $629.08 $629.08 3.7×
Radiologic exam pelvis compl minimum 3 views (72190) $450 $450 4.5×
Radiologic Exam Small Int Single Contrast Study (74250) $378.36 $378.36 2.2×
Radiologic exam swallow function contrast study (74230) $419.55 $419.55 2.5×
Radiologic exam upr gi trc double contrast study (74246) $654.49 $654.49 3.9×
Radiologic examination femur minimum 2 views (73552) $450 $450 5.4×
Radiologic examination knee 1/2 views (73560) $400 $400 4.8×
Radiologic examination tibia & fibula 2 views (73590) $400 $400 4.8×
Ribs bilateral 3 views (71110) $400 $400 4.0×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,144.65 $1,144.65 3.0×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,144.65 $1,144.65 3.0×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,078.90 $1,078.90 2.1×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,462.62 $1,462.62 2.8×
Scapula (73010) $400 $400 4.0×
Screening Digital Breast Tomosynthesis Bi (77063) $128.75 $128.75 5.5×
Shoulder 1 view (73020) $450 $450 5.4×
Shoulder Arthrography (73040) $630.83 $630.83 1.9×
Skull less than 4 views (70250) $400 $400 4.0×
Sternoclavicular joints (71130) $400 $400 4.8×
Thoracic spine 2 views (72070) $400 $400 4.0×
Thoracic spine 3 views (72072) $400 $400 4.0×
Thyroid Imaging With Vascular Flow (78013) $939.30 $939.30 2.4×
Thyroid Uptake Measurement (78012) $629.39 $629.39 1.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,600 $1,600 4.2×
Ultrasound Breast Limited (76642) $650 $650 7.7×
Ultrasound Exam Aaa Screen (76706) $437.50 $437.50 4.3×
Ultrasound, abdomen limited (76705) $650 $650 6.4×
Umbilical-artery Doppler (OB) (76820) $835.87 $835.87 8.3×
Upper gi w/o kub (74240) $629.08 $629.08 3.7×
Ureteral Reflux Study (78740) $1,116.06 $1,116.06 2.9×
Urethrocystogram voiding (74455) $268.91 $268.91 1.2×
Urethrocystography retrograde (74450) $323.78 $323.78 1.4×
Us breast unilateral complete (76641) $1,546.95 $1,546.95 15.3×
Us chest (76604) $600 $600 6.0×
Us complete joint (76881) $537.76 $537.76 5.3×
Us exam, pelvic, limited (76857) $489.49 $489.49 4.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $423.98 $423.98 4.2×
Us ob detailed single fetus (76811) $835.87 $835.87 3.6×
Us ob limited 1 or more fetuses (76815) $535.80 $535.80 5.3×
Us ob transvaginal (76817) $650 $650 6.4×
Us pelvic non ob complete (76856) $650 $650 6.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $650 $650 6.4×
Us retroperitoneal complete (76770) $650 $650 6.4×
Us retroperitoneal limited (76775) $600 $600 6.0×
Us scrotum and contents (76870) $650 $650 6.4×
Us thyroid (76536) $789.42 $789.42 7.8×
Us transrectal (76872) $650 $650 6.4×
Vascular Flow Imaging (78445) $887.24 $887.24 2.3×
Venous thrombosis imaging (78457) $944.42 $944.42 1.8×
Venous Thrombosis Imaging Venogram Bilateral (78458) $1,877.79 $1,877.79 4.9×
Wrist 2 views (73100) $400 $400 4.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $400 $400 4.8×
X-ray antegrade pyelogram tube (74425) $1,047.06 $1,047.06 3.1×
X-Ray Bend Only L-S Spine (72120) $436.76 $436.76 4.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $400 $400 4.8×
X-Ray Exam Breast Specimen (76098) $128.72 $128.72 0.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $500 $500 5.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $400 $400 4.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $600 $600 6.0×
X-Ray Exam L-S Spine Bending (72114) $600 $600 6.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $400 $400 4.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $500 $500 5.0×
X-ray eye for foreign body (70030) $400 $400 4.8×
X-ray humerus (73060) $400 $400 4.8×
X-ray IV pyelogram (ivp) (74400) $1,078.47 $1,078.47 6.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $400 $400 4.0×
X-ray nose-rectum child f.b. (76010) $244.49 $244.49 2.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $400 $400 4.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $400 $400 4.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $400 $400 4.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $400 $400 4.0×
X-Ray Tmj Unilat (70328) $400 $400 4.8×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,150 $1,150 3.4×
X-Rays Bone Length Studies (77073) $400 $400 4.0×
X-Rays Bone Survey Complete (77075) $600 $600 6.0×
Xr c-spine 4 or 5 views (72050) $500 $500 5.0×
Xr facial bones less than 3 views (70140) $400 $400 4.8×
Xr orbits complete 4 views (70200) $400 $400 4.0×