Imaging prices at Hoopeston Community Memorial Hospital

Hoopeston, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $641 $641 6.9×
Abdomen 2 views (74019) $756 $756 6.7×
Acute Gastrointestinal Blood Loss Imaging (78278) $2,058 $2,058 4.8×
Ankle 2 views (73600) $378 $378 4.1×
Bone age studies (77072) $273 $273 2.4×
Bone Imaging 3 Phase (78315) $2,069 $2,069 4.8×
Bone Imaging Limited Area (78300) $1,229 $1,229 2.9×
Bone Imaging Multiple Areas (78305) $1,271 $1,271 3.0×
Bone Imaging Whole Body (78306) $1,271 $1,271 3.0×
Bone survey infant (77076) $1,365 $1,365 12.2×
Cerebrospinal Fluid Scan (78630) $2,783 $2,783 4.8×
Chest 1 view (71045) $504 $504 5.4×
Chest 2 views (71046) $672 $672 7.2×
Chest 3 views (71047) $851 $851 9.1×
Chest 4 or more views (71048) $998 $998 8.9×
Clavicle complete (73000) $420 $420 4.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $609 $609 5.4×
Contrast X-Ray Bladder (74430) $840 $840 2.2×
CT abdomen and pelvis without and with contrast (74178) $7,928 $7,928 21.2×
CT abdomen and pelvis without contrast (74176) $6,048 $6,048 23.7×
CT abdomen w contrast (74160) $4,379 $4,379 23.3×
CT abdomen w wo contrast (74170) $4,883 $4,883 26.0×
CT abdomen w/o contrast (74150) $3,980 $3,980 35.5×
CT Angio Abdomen and Pelvis (74174) $6,143 $6,143 16.4×
CT Angio Chest (71275) $4,946 $4,946 26.3×
CT Angio Head (70496) $6,878 $6,878 36.6×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,730 $2,730 14.5×
CT Angio Neck (70498) $4,883 $4,883 26.0×
CT cervical spine w/ contrast (72126) $3,969 $3,969 10.6×
CT cervical spine w/o contrast (72125) $3,161 $3,161 28.2×
CT cervical spine w/wo cont (72127) $3,371 $3,371 17.9×
CT chest w contrast (71260) $3,329 $3,329 17.7×
CT chest w/wo contrast (71270) $4,431 $4,431 23.6×
CT head/brain with contrast (70460) $2,856 $2,856 15.2×
CT head/brain without and with contrast (70470) $4,242 $4,242 22.6×
CT iac w contrast (70481) $2,615 $2,615 13.9×
CT l-spine w&w/o contrast (72133) $3,318 $3,318 17.7×
CT lower ext w/o (73700)
range across 2 matching MRF lines		 $1,250–$2,237 $1,250–$2,237 varies
CT lower extremity w/contrast material (73701) $2,709 $2,709 14.4×
CT lumbar spine w contrast (72132) $3,486 $3,486 9.3×
CT lumbar spine w/o contrast (72131) $2,919 $2,919 26.1×
CT maxillofacial w contrast (70487) $2,478 $2,478 13.2×
CT maxillofacial wo contrast (70486) $3,077 $3,077 27.5×
CT neck tissue combo (70492) $3,119 $3,119 16.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $3,276 $3,276 17.4×
CT orbits w/o contrast (70480) $2,951 $2,951 26.3×
CT pelvis w&w/o contrast (72194) $3,854 $3,854 20.5×
CT pelvis w/o contrast (72192) $2,804 $2,804 25.0×
CT scan of leg combo (73702) $2,730 $2,730 14.5×
CT scans face/jaw combo (70488) $2,940 $2,940 15.6×
CT soft tissue neck w contrast (70491) $3,318 $3,318 17.7×
CT soft tissue neck w/o contrast (70490) $2,447 $2,447 21.8×
CT thoracic spine w contrast (72129) $3,119 $3,119 16.6×
CT thoracic spine w/o contrast (72128) $2,709 $2,709 24.2×
CT thoracic spine w/wo cont (72130) $3,602 $3,602 19.2×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines		 $2,814–$3,350 $2,814–$3,350 varies
CT upper ext wo (73200)
range across 2 matching MRF lines		 $2,258–$2,667 $2,258–$2,667 varies
CT upper extremity with contrast (73201) $452 $452 1.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $6,143 $6,143 32.7×
Cta Abdomen (74175) $4,568 $4,568 24.3×
CTA pelvis (72191) $4,337 $4,337 23.1×
Doppler Fetal Mid Cerebral Artery (76821) $1,103 $1,103 9.8×
Dxa Bone Density Axial (77080) $903 $903 8.1×
Dxa bone density study 1/>sites appendiclr skel (77081) $509 $509 5.5×
Echo exam of fetal heart (76825) $914 $914 1.6×
Esophageal Motility Study (78258) $1,659 $1,659 3.9×
Fetal Biophys Profile W/Nst (76818)
range across 2 matching MRF lines		 $1,008–$1,019 $1,008–$1,019 varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $924 $924 8.2×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $5,817 $5,817 22.8×
Fluoroscopy up to 1 hr (76000) $714 $714 2.8×
Foot 2 views (73620) $404 $404 4.3×
Forearm 2 views (73090) $425 $425 4.6×
Gastric emptying imaging study (78264) $2,037 $2,037 4.8×
Gastroesophageal Reflux Exam (78262) $1,827 $1,827 4.3×
Gated Heart Planar Single (78472) $1,764 $1,764 4.1×
Hand 2 views (73120) $446 $446 4.0×
Hepatobil Syst Image W/Drug (78227) $2,615 $2,615 4.5×
Hepatobiliary System Imaging (78226) $1,019 $1,019 2.4×
Ht Muscle Image Spect Sing (78451) $2,342 $2,342 1.7×
Joint Survey Single View (77077)
range across 3 matching MRF lines		 $357–$1,334 $357–$1,334 varies
K Flow/Funct Image W/Drug (78708) $1,029 $1,029 1.8×
K Flow/Funct Image W/O Drug (78707) $1,596 $1,596 2.7×
Knee 3 Views (73562) $488 $488 5.2×
Liver & Spleen Imaging Static Only (78215) $1,460 $1,460 3.4×
Liver & Spleen Imaging W/Vascular Flow (78216) $914 $914 2.1×
Liver imaging static only (78201) $1,407 $1,407 2.4×
Liver imaging w/vascular flow (78202) $1,764 $1,764 3.0×
Lung perfusion differential (78597) $1,533 $1,533 3.6×
Lung Ventilat&Perfus Imaging (78582) $2,552 $2,552 4.4×
Lung Ventilation Imaging (78579) $1,607 $1,607 3.8×
Magnetic Image Jaw Joint (70336) $3,077 $3,077 12.0×
Magnetic Resonance Elastography (76391) $5,712 $5,712 22.3×
Meckels Divert Exam (78290) $2,058 $2,058 4.8×
Medical physics dose eval radiation expos w/rprt (76145) $935 $935 2.3×
Mr safety determination physician/other qhp (76016) $294 $294 3.2×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $81 $81 2.6×
Mr safety implt electronics prepj supvj phys/qhp (76018) $305 $305 3.0×
Mr safety implt pos&/immoblj (76019) $200 $200 3.2×
Mr safety med physics xm customization plng&mntr (76017) $798 $798 3.1×
Mra Head W/O & W/Contrast Material (70546) $5,912 $5,912 15.8×
MRA head w/o contrast (70544) $3,045 $3,045 11.9×
MRA head with contrast (70545) $3,612 $3,612 9.7×
MRA neck w contrast (70548) $3,329 $3,329 8.9×
Mra Neck W/O &W/Contrast Material (70549) $6,794 $6,794 18.2×
MRA neck w/o contrast (70547) $3,161 $3,161 12.4×
MRI abdomen w contrast (74182) $3,738 $3,738 10.0×
MRI abdomen w/o contrast (74181) $3,056 $3,056 12.0×
MRI any jt lower extrem w/contrast material (73722) $8,222 $8,222 9.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $9,597 $9,597 25.7×
MRI bone marrow blood supply (77084) $3,077 $3,077 12.0×
MRI Breast W/O Contrast Bilateral (77047) $1,775 $1,775 6.9×
MRI Breast Without Contrast Material Unilateral (77046) $1,418 $1,418 5.5×
MRI cardiac w/o contrast (75557) $3,077 $3,077 12.0×
MRI cervical spine w contrast (72142) $3,665 $3,665 9.8×
MRI cervical spine w/o cont (72141) $4,158 $4,158 16.3×
MRI chest w/o contrast (71550) $3,045 $3,045 11.9×
MRI chest with contrast (71551) $3,612 $3,612 4.3×
MRI chest wo w contrast (71552) $6,248 $6,248 16.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $4,085 $4,085 10.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,098 $3,098 8.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,896 $3,896 15.2×
MRI lumbar spine w contrast (72149) $3,507 $3,507 9.4×
Mri Neck Spine W/O & W/Dye (72156) $8,033 $8,033 21.5×
MRI orbit face &/neck w/o contrast (70540) $3,465 $3,465 13.6×
MRI orbit face neck w contrast (70542) $3,602 $3,602 9.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $6,479 $6,479 17.3×
MRI pelvis w contrast (72196) $3,612 $3,612 9.7×
MRI pelvis w/o & w contrast (72197) $6,500 $6,500 17.4×
MRI pelvis w/o contrast (72195) $3,234 $3,234 12.6×
MRI thoracic spine w/o contrast (72146) $4,106 $4,106 16.1×
MRI upper extremity oth than jt w/contr matrl (73219) $4,106 $4,106 11.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,864 $3,864 15.1×
Mri Uppr Extremity W/O&W/Dye (73220) $4,085 $4,085 10.9×
MRI, abdomen, combo (74183) $7,854 $7,854 21.0×
MRI, dorsal spine combo (72157) $6,647 $6,647 17.8×
MRI, dorsal spine contrast (72147) $3,854 $3,854 10.3×
MRI, joint upper extrem (73221) $3,581 $3,581 14.0×
MRI, joint upper extrem combo (73223) $7,277 $7,277 19.5×
MRI, lumbar spine combo (72158) $8,033 $8,033 21.5×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $2,184 $2,184 1.6×
Myocardial Spect Multiple Studies (78452) $3,329 $3,329 2.4×
Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) $5,586 $5,586 3.6×
Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) $5,586 $5,586 3.6×
Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) $8,705 $8,705 3.7×
Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) $10,616 $10,616 4.5×
Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) $10,616 $10,616 6.5×
Neck soft tissue (70360) $362 $362 3.9×
Optic foramina (70190) $326 $326 3.5×
Parathyroid Planar Imaging (78070) $1,124 $1,124 2.6×
Parathyroid planar imaging w/wo subtraction (78071) $1,596 $1,596 3.7×
Pelvis 1 or 2 views (72170) $462 $462 4.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $1,113 $1,113 9.9×
Radex Ankle Complete Minimum 3 Views (73610) $630 $630 6.8×
Radex Calcaneus Minimum 2 Views (73650) $420 $420 4.5×
Radex elbow complete minimum 3 views (73080) $452 $452 4.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $467 $467 4.2×
Radex fingr minimum 2 views (73140) $378 $378 4.1×
Radex foot complete minimum 3 views (73630) $630 $630 6.8×
Radex Hand Minimum 3 Views (73130) $641 $641 6.9×
Radex lower extremity infant minimum 2 views (73592) $404 $404 4.3×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $488 $488 4.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $431 $431 4.6×
Radex Ribs Unilateral 2 Views (71100) $488 $488 5.2×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines		 $431–$557 $431–$557 varies
Radex Sinuses Paransl < 3 Views (70210) $383 $383 4.1×
Radex Spine 1 View Specify Level (72020) $200 $200 2.1×
Radex Sternum Minimum 2 Views (71120) $341 $341 3.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $599 $599 6.4×
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines		 $257–$378 $257–$378 varies
Radex upper extremity infant minimum 2 views (73092) $389 $389 3.5×
Radex Wrist Complete Minimum 3 Views (73110) $630 $630 6.8×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $945 $945 8.4×
Radiolog exam mandible compl minimum 4 views (70110) $525 $525 4.7×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $1,019 $1,019 9.1×
Radiologic exam colon single contrast study (74270) $1,008 $1,008 5.4×
Radiologic Exam Esophagus Double Contrast Study (74221) $1,260 $1,260 6.7×
Radiologic exam knee complete 4/more views (73564) $819 $819 7.3×
Radiologic exam pelvis compl minimum 3 views (72190) $404 $404 3.6×
Radiologic Exam Small Int Single Contrast Study (74250) $714 $714 3.8×
Radiologic examination femur 1 view (73551) $368 $368 3.9×
Radiologic examination femur minimum 2 views (73552) $425 $425 4.6×
Radiologic examination knee 1/2 views (73560) $431 $431 4.6×
Radiologic Examination Osseous Survey Limited (77074)
range across 3 matching MRF lines		 $1,082–$1,334 $1,082–$1,334 varies
Radiologic examination tibia & fibula 2 views (73590) $509 $509 5.5×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $457 $457 0.8×
Ribs bilateral 3 views (71110) $77 $77 0.7×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,187 $1,187 2.0×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $2,919 $2,919 2.1×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $3,087 $3,087 2.0×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $2,426 $2,426 1.7×
Salivary Gland Imaging Serial Images (78231) $914 $914 2.1×
Scapula (73010) $368 $368 3.3×
Screening Digital Breast Tomosynthesis Bi (77063) $735 $735 31.4×
Shoulder 1 view (73020) $488 $488 5.2×
Skull less than 4 views (70250) $368 $368 3.3×
Spleen Imaging (78185) $1,565 $1,565 3.7×
Sternoclavicular joints (71130) $341 $341 3.7×
Tbs techl prep&transmis data alys pfrmd elsewhr (77090) $473 $473 5.1×
Tbs technical calculation only (77091) $305 $305 3.3×
Testicular Imaging W/Flow (78761) $1,544 $1,544 3.6×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $641 $641 3.4×
Thoracic spine 2 views (72070) $515 $515 4.6×
Thoracic spine 3 views (72072) $509 $509 4.5×
Thoracolumbar 2 views (72080) $415 $415 4.4×
Thyroid Imaging With Vascular Flow (78013) $1,365 $1,365 3.2×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,596 $1,596 3.7×
Ultrasound Breast Limited (76642) $662 $662 7.1×
Ultrasound elastography first target lesion (76982) $425 $425 3.8×
Ultrasound Elastography Parenchyma (76981) $425 $425 3.8×
Ultrasound Exam Aaa Screen (76706) $62 $62 0.6×
Ultrasound trgt dynamic microbubble 1st lesion (76978) $1,281 $1,281 3.4×
Ultrasound, abdomen limited (76705) $935 $935 8.3×
Umbilical-artery Doppler (OB) (76820) $420 $420 3.7×
Unlisted us procedure (76999) $809 $809 8.7×
Upper gi w/o kub (74240) $693 $693 3.7×
Ureteral Reflux Study (78740) $1,680 $1,680 3.9×
Us breast unilateral complete (76641) $893 $893 8.0×
Us chest (76604) $830 $830 7.4×
Us exam, pelvic, limited (76857) $641 $641 5.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $861 $861 7.7×
Us ob detailed single fetus (76811)
range across 2 matching MRF lines		 $683–$1,208 $683–$1,208 varies
Us ob limited 1 or more fetuses (76815) $630 $630 5.6×
Us ob transvaginal (76817) $735 $735 6.6×
Us pelvic non ob complete (76856) $1,407 $1,407 12.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $830 $830 7.4×
Us preg uterus real time f/u trnsabdl per fetus (76816) $914 $914 8.2×
Us retroperitoneal complete (76770) $1,565 $1,565 14.0×
Us retroperitoneal limited (76775)
range across 5 matching MRF lines		 $704–$1,008 $704–$1,008 varies
Us scrotum and contents (76870) $998 $998 8.9×
Us thyroid (76536) $977 $977 8.7×
Wrist 2 views (73100) $378 $378 4.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $509 $509 5.5×
X-Ray Bend Only L-S Spine (72120) $609 $609 5.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $383 $383 4.1×
X-Ray Exam Breast Specimen (76098) $331 $331 0.6×
X-Ray Exam Entire Spi 1 Vw (72081) $415 $415 4.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $735 $735 6.6×
X-Ray Exam Entire Spi 4/5 Vw (72083) $819 $819 7.3×
X-Ray Exam Hip Uni 1 View (73501) $389 $389 4.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $567 $567 6.1×
X-Ray Exam Hip Uni 4/> Views (73503) $704 $704 6.3×
X-Ray Exam Hips Bi 2 Views (73521) $520 $520 4.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $641 $641 5.7×
X-Ray Exam Hips Bi 5/> Views (73523) $767 $767 6.8×
X-Ray Exam L-S Spine Bending (72114) $735 $735 6.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $520 $520 5.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $1,103 $1,103 9.8×
X-Ray Exam Unilat Ribs/Chest (71101) $509 $509 4.5×
X-ray eye for foreign body (70030) $520 $520 5.6×
X-ray humerus (73060) $425 $425 4.6×
X-ray IV pyelogram (ivp) (74400) $1,302 $1,302 6.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $473 $473 5.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $347 $347 3.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $567 $567 5.1×
X-ray nose-rectum child f.b. (76010) $362 $362 3.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $672 $672 6.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $389 $389 3.5×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $431 $431 3.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $473 $473 5.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $467 $467 5.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $567 $567 5.1×
X-ray thoracic spine 4 vw (72074) $641 $641 5.7×
X-Ray Tmj Unilat (70328) $368 $368 3.9×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,050 $1,050 2.8×
X-Rays Bone Length Studies (77073) $520 $520 4.6×
X-Rays Bone Survey Complete (77075) $630 $630 5.6×
Xr c-spine 4 or 5 views (72050) $830 $830 7.4×
Xr facial bones less than 3 views (70140) $788 $788 8.4×
Xr orbits complete 4 views (70200) $488 $488 4.4×

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.