Imaging prices at Hudson Hospital & Clinic

Hudson, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $89.77 $199 1.0×
Abdomen 2 views (74019) $148.86 $330 1.4×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,028.96 $2,281 2.5×
Ankle 2 views (73600) $106.91 $237 1.2×
Bone age studies (77072) $84.36 $187 0.8×
Bone Imaging 3 Phase (78315) $994.22 $2,204 2.4×
Bone Imaging Limited Area (78300) $514.25 $1,140 1.2×
Bone Imaging Whole Body (78306) $714.99 $1,585 1.7×
Brain Imaging Pet Metabolic Evaluation (78608) $3,477.98 $7,710 2.3×
Chest 1 view (71045) $84.36 $187 0.9×
Chest 2 views (71046) $109.62 $243 1.2×
Chest 3 views (71047) $89.77 $199 1.0×
Chest 4 or more views (71048) $198.03 $439 1.8×
Clavicle complete (73000) $107.81 $239 1.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $275.17 $610 2.5×
Contrast X-Ray Bladder (74430) $225.55 $500 0.6×
Contrast Xray Throat/Cerv Esopha (74210) $275.62 $611 1.5×
CT abdomen and pelvis without and with contrast (74178) $1,332.55 $2,954 3.6×
CT abdomen and pelvis without contrast (74176) $827.32 $1,834 3.3×
CT abdomen w contrast (74160) $834.53 $1,850 4.5×
CT abdomen w wo contrast (74170) $982.95 $2,179 5.4×
CT abdomen w/o contrast (74150) $641.92 $1,423 5.9×
CT Angio Abdomen and Pelvis (74174) $1,354.20 $3,002 3.7×
CT Angio Chest (71275) $1,419.61 $3,147 7.7×
CT Angio Head (70496) $1,419.61 $3,147 7.7×
CT angio hrt w/3d image (75574) $434.41 $963 1.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,087.15 $2,410 5.9×
CT Angio Neck (70498) $1,462.47 $3,242 8.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $974.38 $2,160 5.3×
CT cervical spine w/ contrast (72126) $1,014.52 $2,249 2.8×
CT cervical spine w/o contrast (72125) $828.67 $1,837 7.6×
CT chest w contrast (71260) $825.06 $1,829 4.5×
CT chest w/wo contrast (71270) $1,020.84 $2,263 5.6×
CT colonography screening (74263) $1,389.39 $3,080 5.6×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $846.71 $1,877 4.6×
CT colonogrphy dx image postprocess w/o contrast (74261) $858.44 $1,903 7.8×
CT head/brain with contrast (70460) $803.86 $1,782 4.4×
CT head/brain without and with contrast (70470) $803.86 $1,782 4.4×
CT heart no contrast quant eval coronry calcium (75571) $44.66 $99 0.5×
CT iac w contrast (70481) $1,037.53 $2,300 5.6×
CT l-spine w&w/o contrast (72133) $1,004.15 $2,226 5.5×
CT lower ext w/o (73700) $757.85 $1,680 6.9×
CT lower extremity w/contrast material (73701) $818.30 $1,814 4.5×
CT lumbar spine w contrast (72132) $826.42 $1,832 2.3×
CT lumbar spine w/o contrast (72131) $828.67 $1,837 7.6×
CT maxillofacial w contrast (70487) $910.77 $2,019 5.0×
CT maxillofacial wo contrast (70486) $822.81 $1,824 7.5×
CT neck tissue combo (70492) $1,025.80 $2,274 5.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,195.87 $2,651 6.5×
CT orbits w/o contrast (70480) $1,001.44 $2,220 9.1×
CT pelvis w&w/o contrast (72194) $953.17 $2,113 5.2×
CT pelvis w/o contrast (72192) $803.86 $1,782 7.3×
CT scan of leg combo (73702) $1,027.15 $2,277 5.6×
CT scans face/jaw combo (70488) $1,005.50 $2,229 5.5×
CT soft tissue neck w contrast (70491) $843.11 $1,869 4.6×
CT soft tissue neck w/o contrast (70490) $828.67 $1,837 7.6×
CT thoracic spine w contrast (72129) $1,018.58 $2,258 5.5×
CT thoracic spine w/o contrast (72128) $828.67 $1,837 7.6×
CT thorax w/o contrast (71250) $828.67 $1,837 7.6×
CT unlisted procedure (76497) $291.41 $646 3.2×
CT upper ext wo (73200) $756.04 $1,676 6.9×
CT upper extremity w/o & w/contrast material (73202) $1,049.26 $2,326 5.7×
CT upper extremity with contrast (73201) $803.41 $1,781 2.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,310.45 $2,905 7.1×
Cta Abdomen (74175) $1,079.93 $2,394 5.9×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $360.88 $800 1.0×
CTA pelvis (72191) $1,067.30 $2,366 5.8×
Dxa Bone Density Axial (77080) $178.64 $396 1.6×
Dxa bone density study 1/>sites appendiclr skel (77081) $101.95 $226 1.1×
Echo exam uterus (76831) $280.13 $621 1.1×
Esophagram (74220) $319.83 $709 1.7×
Fetal Biophys Profile W/Nst (76818) $335.62 $744 3.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $198.03 $439 1.8×
Fluoroscopy up to 1 hr (76000) $341.48 $757 1.4×
Foot 2 views (73620) $101.95 $226 1.1×
Forearm 2 views (73090) $102.40 $227 1.1×
Gastric emptying imaging study (78264) $824.61 $1,828 2.0×
Gated Heart Planar Single (78472) $657.25 $1,457 1.6×
Hand 2 views (73120) $101.95 $226 0.9×
Hepatobil Syst Image W/Drug (78227) $897.24 $1,989 1.6×
Hepatobiliary System Imaging (78226) $735.74 $1,631 1.8×
Ht Muscle Image Spect Sing (78451) $993.77 $2,203 0.7×
Hysterosalpingogram (74740) $221.49 $491 0.9×
Joint Survey Single View (77077) $147.06 $326 1.3×
K Flow/Funct Image W/Drug (78708) $485.83 $1,077 0.9×
K Flow/Funct Image W/O Drug (78707) $1,108.35 $2,457 1.9×
Knee 3 Views (73562) $138.49 $307 1.5×
Lung Ventilat&Perfus Imaging (78582) $1,077.68 $2,389 1.9×
Lymph System Imaging (78195) $1,018.58 $2,258 1.8×
Magnetic Image Jaw Joint (70336) $1,305.03 $2,893 5.2×
Meckels Divert Exam (78290) $988.81 $2,192 2.4×
Mra Head W/O & W/Contrast Material (70546) $1,434.05 $3,179 3.9×
MRA head w/o contrast (70544) $2,021.38 $4,481 8.1×
MRA head with contrast (70545) $1,153.46 $2,557 3.2×
Mra Neck W/O &W/Contrast Material (70549) $2,354.74 $5,220 6.4×
MRA neck w/o contrast (70547) $2,032.21 $4,505 8.1×
MRI abdomen w contrast (74182) $1,689.82 $3,746 4.6×
MRI abdomen w/o contrast (74181) $1,580.20 $3,503 6.3×
MRI any jt lower extrem w/contrast material (73722) $1,825.15 $4,046 2.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,667.27 $3,696 4.6×
MRI any jt upper extremity w/contrast matrl (73222) $1,804.85 $4,001 2.2×
MRI cervical spine w contrast (72142) $1,433.60 $3,178 3.9×
MRI cervical spine w/o cont (72141) $1,214.81 $2,693 4.9×
MRI chest w/o contrast (71550) $2,083.18 $4,618 8.3×
MRI chest wo w contrast (71552) $2,151.30 $4,769 5.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,969.50 $4,366 5.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,814.32 $4,022 5.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,807.11 $4,006 7.2×
MRI lumbar spine w contrast (72149) $1,409.24 $3,124 3.9×
Mri Neck Spine W/O & W/Dye (72156) $1,612.23 $3,574 4.4×
MRI orbit face &/neck w/o contrast (70540) $1,660.05 $3,680 6.6×
MRI orbit face neck w contrast (70542) $1,719.14 $3,811 4.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,881.09 $4,170 5.1×
MRI pelvis w/o & w contrast (72197) $1,803.05 $3,997 4.9×
MRI pelvis w/o contrast (72195) $1,837.33 $4,073 7.4×
MRI thoracic spine w/o contrast (72146) $1,217.97 $2,700 4.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,809.36 $4,011 7.2×
Mri Uppr Extremity W/O&W/Dye (73220) $1,803.05 $3,997 4.9×
MRI, abdomen, combo (74183) $1,807.56 $4,007 4.9×
MRI, dorsal spine combo (72157) $1,617.19 $3,585 4.4×
MRI, dorsal spine contrast (72147) $1,420.06 $3,148 3.9×
MRI, joint upper extrem (73221) $1,368.19 $3,033 5.5×
MRI, joint upper extrem combo (73223) $1,674.48 $3,712 4.6×
MRI, lumbar spine combo (72158) $1,601.40 $3,550 4.4×
Myocardial Spect Multiple Studies (78452) $1,382.62 $3,065 1.0×
Neck soft tissue (70360) $102.40 $227 1.1×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512)
range across 2 matching MRF lines
$83.90–$213.82 $186–$474 varies
Parathyroid imaging w/tomographic spect & CT (78072) $949.57 $2,105 1.7×
Parathyroid Planar Imaging (78070) $1,056.48 $2,342 2.5×
Parathyroid planar imaging w/wo subtraction (78071) $1,236.01 $2,740 3.0×
Pelvis 1 or 2 views (72170) $106.91 $237 1.0×
PET image w/CT, full body (78816) $2,349.78 $5,209 1.6×
PET imaging CT attenuation skull base mid-thigh (78815) $3,207.77 $7,111 2.1×
Pulmonary Perfusion Imaging Particulate (78580) $676.20 $1,499 1.6×
Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) $549.44 $1,218 0.6×
Radex abscess/fistula/sinus tract rs&i (76080) $339.68 $753 0.6×
Radex Ankle Complete Minimum 3 Views (73610) $123.60 $274 1.4×
Radex Calcaneus Minimum 2 Views (73650) $104.66 $232 1.1×
Radex elbow complete minimum 3 views (73080) $123.60 $274 1.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $156.53 $347 1.4×
Radex fingr minimum 2 views (73140) $124.50 $276 1.4×
Radex foot complete minimum 3 views (73630) $114.58 $254 1.3×
Radex Hand Minimum 3 Views (73130) $119.99 $266 1.3×
Radex lower extremity infant minimum 2 views (73592) $102.40 $227 1.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $123.60 $274 1.4×
Radex Ribs Unilateral 2 Views (71100) $119.99 $266 1.3×
Radex shoulder complete minimum 2 views (73030) $113.23 $251 1.2×
Radex Sinuses Paransl < 3 Views (70210) $113.23 $251 1.2×
Radex Spine 1 View Specify Level (72020) $85.71 $190 0.9×
Radex Sternum Minimum 2 Views (71120) $114.58 $254 1.3×
Radex Toe Minimum 2 Views (73660) $111.87 $248 1.2×
Radex upper extremity infant minimum 2 views (73092) $119.99 $266 1.1×
Radex Wrist Complete Minimum 3 Views (73110) $138.49 $307 1.5×
Radiolog exam mandible compl minimum 4 views (70110) $253.07 $561 2.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $176.83 $392 1.6×
Radiologic exam colon double contrast study (74280) $805.21 $1,785 4.4×
Radiologic exam colon single contrast study (74270) $532.30 $1,180 2.9×
Radiologic exam knee complete 4/more views (73564) $161.04 $357 1.5×
Radiologic exam pelvis compl minimum 3 views (72190) $159.24 $353 1.5×
Radiologic Exam Small Int Single Contrast Study (74250) $373.51 $828 2.0×
Radiologic exam swallow function contrast study (74230) $298.18 $661 1.6×
Radiologic examination femur 1 view (73551) $89.77 $199 1.0×
Radiologic examination femur minimum 2 views (73552) $104.66 $232 1.1×
Radiologic examination knee 1/2 views (73560) $113.68 $252 1.2×
Radiologic examination tibia & fibula 2 views (73590) $101.95 $226 1.1×
Ribs bilateral 3 views (71110) $140.29 $311 1.3×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,175.57 $2,606 2.1×
Scapula (73010) $118.19 $262 1.1×
Screening Digital Breast Tomosynthesis Bi (77063) $100.60 $223 4.3×
Shoulder 1 view (73020) $87.06 $193 1.0×
Skull less than 4 views (70250) $136.68 $303 1.2×
Sternoclavicular joints (71130) $129.47 $287 1.4×
Thoracic spine 2 views (72070) $123.60 $274 1.1×
Thoracic spine 3 views (72072) $136.68 $303 1.2×
Thoracolumbar 2 views (72080) $133.07 $295 1.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $671.69 $1,489 1.6×
Ultrasound Breast Limited (76642) $140.74 $312 1.5×
Ultrasound Exam Aaa Screen (76706) $259.83 $576 2.4×
Ultrasound, abdomen limited (76705)
range across 3 matching MRF lines
$127.21–$240.89 $282–$534 varies
Umbilical-artery Doppler (OB) (76820) $173.67 $385 1.6×
Upper gi w/o kub (74240) $378.47 $839 2.1×
Urethrocystogram voiding (74455) $256.68 $569 1.0×
Us chest (76604)
range across 3 matching MRF lines
$114.58–$195.33 $254–$433 varies
Us complete joint (76881) $167.36 $371 1.5×
Us exam, pelvic, limited (76857)
range across 3 matching MRF lines
$82.55–$212.02 $183–$470 varies
Us kidney transplant (76776) $281.49 $624 2.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$76.69–$122.70 $170–$272 varies
Us ob limited 1 or more fetuses (76815)
range across 4 matching MRF lines
$127.21–$199.84 $282–$443 varies
Us ob transvaginal (76817) $214.27 $475 2.0×
Us pelvic non ob complete (76856) $276.98 $614 2.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $281.49 $624 2.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $261.64 $580 2.4×
Us retroperitoneal complete (76770) $294.12 $652 2.7×
Us retroperitoneal limited (76775)
range across 4 matching MRF lines
$100.60–$241.34 $223–$535 varies
Us scrotum and contents (76870) $275.62 $611 2.5×
Us thyroid (76536)
range across 3 matching MRF lines
$200.29–$271.56 $444–$602 varies
Wrist 2 views (73100) $118.19 $262 1.3×
X-Ray Bend Only L-S Spine (72120) $156.53 $347 1.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $104.66 $232 1.1×
X-Ray Exam Entire Spi 1 Vw (72081) $98.34 $218 1.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $239.08 $530 2.2×
X-Ray Exam Hip Uni 1 View (73501) $101.95 $226 1.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $143 $317 1.6×
X-Ray Exam Hip Uni 4/> Views (73503) $110.52 $245 1.0×
X-Ray Exam Hips Bi 2 Views (73521) $164.20 $364 1.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $156.08 $346 1.4×
X-Ray Exam Hips Bi 5/> Views (73523) $197.58 $438 1.8×
X-Ray Exam L-S Spine Bending (72114) $235.02 $521 2.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $157.88 $350 1.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $256.68 $569 2.3×
X-Ray Exam Unilat Ribs/Chest (71101) $144.35 $320 1.3×
X-ray eye for foreign body (70030) $56.84 $126 0.6×
X-ray humerus (73060)
range across 2 matching MRF lines
$107.81–$134.88 $239–$299 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $126.76 $281 1.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $130.82 $290 1.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $131.72 $292 1.2×
X-ray nose-rectum child f.b. (76010) $208.41 $462 2.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $195.33 $433 1.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $126.76 $281 1.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $106.91 $237 1.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $142.55 $316 1.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $209.76 $465 1.9×
X-Rays Bone Survey Complete (77075) $384.34 $852 3.5×
Xr c-spine 4 or 5 views (72050) $199.84 $443 1.8×
Xr orbits complete 4 views (70200) $160.14 $355 1.5×

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.