Imaging prices at HSHS Holy Family Hospital
Greenville, IL · every code in this section with a posted price and a Medicare benchmark.
246 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $403.92 | $561 | 4.3× |
| Abdomen 2 views (74019) | $460.08 | $639 | 4.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,355.04 | $1,882 | 3.2× |
| Angiography extremity unilateral rs&i (75710) | $8,398.08 | $11,664 | 2.5× |
| Ankle 2 views (73600) | $385.92 | $536 | 4.1× |
| Arthrogram hip (73525) | $1,192.32 | $1,656 | 3.2× |
| Arthrogram Wrist (73115) | $1,136.16 | $1,578 | 3.0× |
| Bone age studies (77072) | $343.44 | $477 | 3.1× |
| Bone Imaging 3 Phase (78315) | $1,573.20 | $2,185 | 3.7× |
| Bone Imaging Limited Area (78300) | $1,380.24 | $1,917 | 3.2× |
| Bone Imaging Multiple Areas (78305) | $1,380.24 | $1,917 | 3.2× |
| Bone Imaging Whole Body (78306) | $1,573.20 | $2,185 | 3.7× |
| Bone survey infant (77076) | $229.68 | $319 | 2.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $882.72 | $1,226 | 2.4× |
| Cat Scan Follow-Up Study (76380) | $180.72 | $251 | 1.9× |
| Chest 1 view (71045) | $337.68 | $469 | 3.6× |
| Chest 2 views (71046) | $388.80 | $540 | 4.2× |
| Chest 3 views (71047) | $334.80 | $465 | 3.6× |
| Chest 4 or more views (71048) | $413.28 | $574 | 3.7× |
| Clavicle complete (73000) | $360.72 | $501 | 3.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $221.76 | $308 | 2.0× |
| Contrast Exam Abdominl Aorta (75625) | $7,365.60 | $10,230 | 2.2× |
| Contrast X-Ray Bladder (74430) | $1,406.88 | $1,954 | 3.8× |
| Contrast X-Ray Of Knee Joint (73580) | $1,136.16 | $1,578 | 3.0× |
| CT abdomen and pelvis without and with contrast (74178) | $5,347.44 | $7,427 | 14.3× |
| CT abdomen and pelvis without contrast (74176) | $3,777.84 | $5,247 | 14.8× |
| CT abdomen w contrast (74160) | $2,531.52 | $3,516 | 13.5× |
| CT abdomen w wo contrast (74170) | $2,843.28 | $3,949 | 15.1× |
| CT abdomen w/o contrast (74150) | $1,997.28 | $2,774 | 17.8× |
| CT Angio Abdomen and Pelvis (74174) | $3,664.80 | $5,090 | 9.8× |
| CT Angio Chest (71275) | $2,772 | $3,850 | 14.7× |
| CT Angio Head (70496) | $2,860.56 | $3,973 | 15.2× |
| CT angio hrt w/3d image (75574) | $398.88 | $554 | 1.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,547.36 | $3,538 | 13.6× |
| CT Angio Neck (70498) | $2,838.24 | $3,942 | 15.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,547.36 | $3,538 | 13.6× |
| CT bone density (77078) | $313.20 | $435 | 3.4× |
| CT cervical spine w/o contrast (72125) | $2,411.28 | $3,349 | 21.5× |
| CT cervical spine w/wo cont (72127) | $2,931.84 | $4,072 | 15.6× |
| CT chest w contrast (71260) | $2,487.60 | $3,455 | 13.2× |
| CT chest w/wo contrast (71270) | $2,843.28 | $3,949 | 15.1× |
| CT head/brain with contrast (70460) | $2,325.60 | $3,230 | 12.4× |
| CT head/brain without and with contrast (70470) | $2,754.72 | $3,826 | 14.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $398.88 | $554 | 1.1× |
| CT iac w contrast (70481) | $2,325.60 | $3,230 | 12.4× |
| CT l-spine w&w/o contrast (72133) | $2,742.48 | $3,809 | 14.6× |
| CT lower ext w/o (73700) | $1,826.64 | $2,537 | 16.3× |
| CT lower extremity w/contrast material (73701) | $2,220.48 | $3,084 | 11.8× |
| CT lumbar spine w contrast (72132) | $2,626.56 | $3,648 | 7.0× |
| CT lumbar spine w/o contrast (72131) | $2,355.84 | $3,272 | 21.0× |
| CT maxillofacial w contrast (70487) | $2,059.20 | $2,860 | 11.0× |
| CT maxillofacial wo contrast (70486) | $1,965.60 | $2,730 | 17.5× |
| CT neck tissue combo (70492) | $2,612.88 | $3,629 | 13.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,612.88 | $3,629 | 13.9× |
| CT orbits w/o contrast (70480) | $1,761.84 | $2,447 | 15.7× |
| CT pelvis w&w/o contrast (72194) | $2,382.48 | $3,309 | 12.7× |
| CT pelvis w/o contrast (72192) | $1,906.56 | $2,648 | 17.0× |
| CT scan of leg combo (73702) | $2,494.08 | $3,464 | 13.3× |
| CT scans face/jaw combo (70488) | $2,269.44 | $3,152 | 12.1× |
| CT soft tissue neck w contrast (70491) | $2,553.12 | $3,546 | 13.6× |
| CT soft tissue neck w/o contrast (70490) | $1,917.36 | $2,663 | 17.1× |
| CT thoracic spine w contrast (72129) | $2,787.84 | $3,872 | 14.8× |
| CT thoracic spine w/o contrast (72128) | $2,348.64 | $3,262 | 21.0× |
| CT thoracic spine w/wo cont (72130) | $2,987.28 | $4,149 | 15.9× |
| CT thorax w/o contrast (71250) | $1,982.88 | $2,754 | 17.7× |
| CT upper ext wo (73200) | $1,829.52 | $2,541 | 16.3× |
| CT upper extremity w/o & w/contrast material (73202) | $2,494.08 | $3,464 | 13.3× |
| CT upper extremity with contrast (73201) | $2,220.48 | $3,084 | 5.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,778.48 | $3,859 | 14.8× |
| Cta Abdomen (74175) | $2,196.72 | $3,051 | 11.7× |
| CTA pelvis (72191) | $2,196.72 | $3,051 | 11.7× |
| Dxa Bone Density Axial (77080) | $586.08 | $814 | 5.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $639.36 | $888 | 6.9× |
| Echo Guide For Artery Repair (76936) | $680.40 | $945 | 2.9× |
| Esophagram (74220) | $718.56 | $998 | 3.8× |
| Fetal Biophys Profile W/Nst (76818) | $683.28 | $949 | 6.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $826.56 | $1,148 | 7.4× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $551.52 | $766 | 2.2× |
| Fluoroscopy up to 1 hr (76000) | $591.84 | $822 | 2.3× |
| Foot 2 views (73620) | $379.44 | $527 | 4.1× |
| Forearm 2 views (73090) | $379.44 | $527 | 4.1× |
| Gastric emptying imaging study (78264) | $1,544.40 | $2,145 | 3.6× |
| Gated Heart Planar Single (78472) | $1,594.08 | $2,214 | 3.7× |
| Hand 2 views (73120) | $379.44 | $527 | 3.4× |
| Hepatobil Syst Image W/Drug (78227) | $1,892.16 | $2,628 | 3.3× |
| Hepatobiliary System Imaging (78226) | $1,659.60 | $2,305 | 3.9× |
| Ht Muscle Image Spect Sing (78451) | $2,038.32 | $2,831 | 1.5× |
| Hysterosalpingogram (74740) | $969.12 | $1,346 | 3.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $208.08 | $289 | 2.2× |
| Infant hip ultrasound, limited static exam (76886) | $208.08 | $289 | 2.2× |
| Joint Survey Single View (77077) | $280.08 | $389 | 2.5× |
| K Flow/Funct Image Multiple (78709) | $1,694.16 | $2,353 | 2.9× |
| K Flow/Funct Image W/Drug (78708) | $1,694.16 | $2,353 | 2.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,694.16 | $2,353 | 2.9× |
| Knee 3 Views (73562) | $440.64 | $612 | 4.7× |
| Liver & Spleen Imaging Static Only (78215) | $1,659.60 | $2,305 | 3.9× |
| Lymph System Imaging (78195) | $2,404.80 | $3,340 | 4.1× |
| Meckels Divert Exam (78290) | $1,355.04 | $1,882 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $3,718.08 | $5,164 | 9.9× |
| MRA head w/o contrast (70544) | $2,815.92 | $3,911 | 11.0× |
| MRA head with contrast (70545) | $3,034.08 | $4,214 | 8.1× |
| MRA neck w contrast (70548) | $3,034.08 | $4,214 | 8.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,718.08 | $5,164 | 9.9× |
| MRA neck w/o contrast (70547) | $2,548.08 | $3,539 | 10.0× |
| MRI abdomen w/o contrast (74181) | $2,988 | $4,150 | 11.7× |
| MRI any jt lower extrem w/contrast material (73722) | $2,949.12 | $4,096 | 3.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,722.40 | $5,170 | 10.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,949.12 | $4,096 | 3.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $551.52 | $766 | 2.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,868.40 | $2,595 | 7.3× |
| MRI cervical spine w contrast (72142) | $3,340.08 | $4,639 | 8.9× |
| MRI cervical spine w/o cont (72141) | $3,143.52 | $4,366 | 12.3× |
| MRI chest w/o contrast (71550) | $2,514.24 | $3,492 | 9.8× |
| MRI chest with contrast (71551) | $2,905.92 | $4,036 | 3.5× |
| MRI chest wo w contrast (71552) | $3,667.68 | $5,094 | 9.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,037.68 | $4,219 | 8.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,722.40 | $5,170 | 10.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,934 | $4,075 | 11.5× |
| MRI lumbar spine w contrast (72149) | $2,974.32 | $4,131 | 8.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,682.08 | $5,114 | 9.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,624.40 | $3,645 | 10.3× |
| MRI orbit face neck w contrast (70542) | $3,034.08 | $4,214 | 8.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,718.08 | $5,164 | 9.9× |
| MRI pelvis w contrast (72196) | $2,905.92 | $4,036 | 7.8× |
| MRI pelvis w/o & w contrast (72197) | $3,561.12 | $4,946 | 9.5× |
| MRI pelvis w/o contrast (72195) | $2,687.04 | $3,732 | 10.5× |
| MRI thoracic spine w/o contrast (72146) | $3,178.08 | $4,414 | 12.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,037.68 | $4,219 | 8.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,808 | $3,900 | 11.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,834.72 | $5,326 | 10.3× |
| MRI, abdomen, combo (74183) | $3,885.12 | $5,396 | 10.4× |
| MRI, dorsal spine combo (72157) | $3,722.40 | $5,170 | 10.0× |
| MRI, dorsal spine contrast (72147) | $3,244.32 | $4,506 | 8.7× |
| MRI, joint upper extrem (73221) | $2,943.36 | $4,088 | 11.5× |
| MRI, joint upper extrem combo (73223) | $3,722.40 | $5,170 | 10.0× |
| MRI, lumbar spine combo (72158) | $4,202.64 | $5,837 | 11.2× |
| Myocardial Spect Multiple Studies (78452) | $4,075.92 | $5,661 | 2.9× |
| Neck soft tissue (70360) | $403.92 | $561 | 4.3× |
| Ob us nuchal meas 1 gest (76813) | $280.08 | $389 | 2.5× |
| Optic foramina (70190) | $208.08 | $289 | 2.2× |
| Parathyroid Planar Imaging (78070) | $1,229.04 | $1,707 | 2.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,313.28 | $1,824 | 3.1× |
| Pelvis 1 or 2 views (72170) | $379.44 | $527 | 3.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,075.68 | $1,494 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $678.96 | $943 | 6.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $414 | $575 | 4.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $352.08 | $489 | 3.8× |
| Radex elbow complete minimum 3 views (73080) | $390.24 | $542 | 4.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $485.28 | $674 | 4.3× |
| Radex fingr minimum 2 views (73140) | $352.08 | $489 | 3.8× |
| Radex foot complete minimum 3 views (73630) | $440.64 | $612 | 4.7× |
| Radex Hand Minimum 3 Views (73130) | $430.56 | $598 | 4.6× |
| Radex lower extremity infant minimum 2 views (73592) | $208.08 | $289 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $385.92 | $536 | 4.1× |
| Radex Ribs Unilateral 2 Views (71100) | $415.44 | $577 | 4.5× |
| Radex shoulder complete minimum 2 views (73030) | $425.52 | $591 | 4.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $208.08 | $289 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $208.08 | $289 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $385.92 | $536 | 4.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $208.08 | $289 | 2.2× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$352.08–$489 | $489 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $280.08 | $389 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $440.64 | $612 | 4.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $385.92 | $536 | 3.4× |
| Radiologic exam colon double contrast study (74280) | $1,274.40 | $1,770 | 6.8× |
| Radiologic exam colon single contrast study (74270) | $1,018.08 | $1,414 | 5.4× |
| Radiologic exam knee complete 4/more views (73564) | $541.44 | $752 | 4.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $414 | $575 | 3.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $788.40 | $1,095 | 4.2× |
| Radiologic exam swallow function contrast study (74230) | $718.56 | $998 | 3.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,109.52 | $1,541 | 5.9× |
| Radiologic examination femur 1 view (73551) | $190.08 | $264 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) | $385.92 | $536 | 4.1× |
| Radiologic examination knee 1/2 views (73560) | $432 | $600 | 4.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $280.08 | $389 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $385.92 | $536 | 4.1× |
| Ribs bilateral 3 views (71110) | $519.84 | $722 | 4.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,777.04 | $3,857 | 4.8× |
| Scapula (73010) | $385.92 | $536 | 3.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $102.24 | $142 | 4.4× |
| Shoulder 1 view (73020) | $352.08 | $489 | 3.8× |
| Shoulder Arthrography (73040) | $1,136.16 | $1,578 | 3.0× |
| Skull less than 4 views (70250) | $415.44 | $577 | 3.7× |
| Sternoclavicular joints (71130) | $208.08 | $289 | 2.2× |
| Thoracic spine 2 views (72070) | $385.92 | $536 | 3.4× |
| Thoracic spine 3 views (72072) | $473.76 | $658 | 4.2× |
| Thoracolumbar 2 views (72080) | $321.12 | $446 | 3.4× |
| Thyroid Imaging With Vascular Flow (78013) | $792 | $1,100 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,229.04 | $1,707 | 2.9× |
| Ultrasound Breast Limited (76642) | $245.52 | $341 | 2.6× |
| Ultrasound Exam Aaa Screen (76706) | $826.56 | $1,148 | 7.4× |
| Ultrasound, abdomen limited (76705) | $1,056.24 | $1,467 | 9.4× |
| Upper gi w/o kub (74240) | $458.64 | $637 | 2.4× |
| Urethrocystography retrograde (74450) | $1,406.88 | $1,954 | 5.5× |
| Us breast unilateral complete (76641) | $807.84 | $1,122 | 7.2× |
| Us chest (76604) | $280.08 | $389 | 2.5× |
| Us complete joint (76881) | $601.20 | $835 | 5.4× |
| Us exam, pelvic, limited (76857) | $1,056.24 | $1,467 | 9.4× |
| Us kidney transplant (76776) | $280.08 | $389 | 2.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $826.56 | $1,148 | 7.4× |
| Us ob detailed single fetus (76811) | $591.84 | $822 | 2.3× |
| Us ob limited 1 or more fetuses (76815) | $697.68 | $969 | 6.2× |
| Us ob transvaginal (76817) | $794.88 | $1,104 | 7.1× |
| Us pelvic non ob complete (76856) | $1,164.24 | $1,617 | 10.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $975.60 | $1,355 | 8.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $822.96 | $1,143 | 7.3× |
| Us retroperitoneal complete (76770) | $1,056.24 | $1,467 | 9.4× |
| Us retroperitoneal limited (76775) | $318.96 | $443 | 2.8× |
| Us scrotum and contents (76870) | $907.20 | $1,260 | 8.1× |
| Us spinal canal and contents (76800) | $465.84 | $647 | 4.2× |
| Us thyroid (76536) | $981.36 | $1,363 | 8.8× |
| Wrist 2 views (73100) | $379.44 | $527 | 4.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $352.08 | $489 | 3.8× |
| X-ray antegrade pyelogram tube (74425) | $1,406.88 | $1,954 | 3.8× |
| X-Ray Bend Only L-S Spine (72120) | $409.68 | $569 | 3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $252.72 | $351 | 2.7× |
| X-Ray Exam Breast Specimen (76098) | $591.84 | $822 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $256.32 | $356 | 2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $589.68 | $819 | 5.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $208.08 | $289 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $414 | $575 | 4.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $406.80 | $565 | 3.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $496.08 | $689 | 4.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $496.80 | $690 | 4.4× |
| X-Ray Exam L-S Spine Bending (72114) | $909.36 | $1,263 | 8.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $439.92 | $611 | 4.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $648 | $900 | 5.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $498.96 | $693 | 4.5× |
| X-ray eye for foreign body (70030) | $403.92 | $561 | 4.3× |
| X-ray humerus (73060) | $385.92 | $536 | 4.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $208.08 | $289 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $208.08 | $289 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $496.80 | $690 | 4.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $633.60 | $880 | 5.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $419.76 | $583 | 3.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $352.08 | $489 | 3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $431.28 | $599 | 4.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $485.28 | $674 | 5.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $648 | $900 | 5.8× |
| X-ray thoracic spine 4 vw (72074) | $465.12 | $646 | 4.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $946.08 | $1,314 | 2.5× |
| X-Rays Bone Length Studies (77073) | $485.28 | $674 | 4.3× |
| X-Rays Bone Survey Complete (77075) | $280.08 | $389 | 2.5× |
| Xr c-spine 4 or 5 views (72050) | $648 | $900 | 5.8× |
| Xr facial bones less than 3 views (70140) | $208.08 | $289 | 2.2× |
| Xr orbits complete 4 views (70200) | $280.08 | $389 | 2.5× |
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.