Imaging prices at Johnson Regional Medical Center

Clarksville, AR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $113.64 $206.62 1.4×
Abdomen 2 views (74019) $92.06 $167.38 1.0×
Ankle 2 views (73600) $48.15 $87.55 0.6×
Arthrogram hip (73525) $353.61 $642.93 1.1×
Bone Imaging 3 Phase (78315) $460.28 $836.88 1.3×
Bone Imaging Limited Area (78300) $227.05 $412.82 0.6×
Bone Imaging Whole Body (78306) $474.44 $862.62 1.3×
Chest 1 view (71045) $48.15 $87.55 0.6×
Chest 2 views (71046) $119.47 $217.23 1.5×
Clavicle complete (73000) $48.15 $87.55 0.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $313.22 $569.49 3.3×
Contrast X-Ray Bladder (74430) $195.84 $356.07 0.6×
CT abdomen and pelvis without and with contrast (74178) $1,521.90 $2,767.10 4.8×
CT abdomen and pelvis without contrast (74176) $1,101.28 $2,002.32 5.1×
CT abdomen w contrast (74160) $926.06 $1,683.74 5.8×
CT abdomen w wo contrast (74170) $1,120.31 $2,036.93 7.0×
CT abdomen w/o contrast (74150) $730.39 $1,327.98 7.7×
CT Angio Abdomen and Pelvis (74174) $684.33 $1,244.24 2.2×
CT Angio Chest (71275) $514.89 $936.17 3.2×
CT Angio Head (70496) $502.03 $912.79 3.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $105.48 $191.79 0.7×
CT Angio Neck (70498) $859.38 $1,562.51 5.4×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,051.31 $1,911.47 6.6×
CT cervical spine w/ contrast (72126) $644.68 $1,172.14 2.0×
CT cervical spine w/o contrast (72125) $794.86 $1,445.19 8.4×
CT cervical spine w/wo cont (72127) $736.73 $1,339.52 4.6×
CT chest w contrast (71260) $1,023.27 $1,860.49 6.4×
CT chest w/wo contrast (71270) $1,072.04 $1,949.17 6.7×
CT head/brain with contrast (70460) $825.33 $1,500.61 5.2×
CT head/brain without and with contrast (70470) $869.41 $1,580.74 5.4×
CT iac w contrast (70481) $520.61 $946.57 3.3×
CT lower ext w/o (73700) $350.55 $637.36 3.7×
CT lower extremity w/contrast material (73701)
range across 3 matching MRF lines
$436.54–$872.92 $793.72–$1,587.13 varies
CT lumbar spine w contrast (72132) $867.88 $1,577.96 2.7×
CT lumbar spine w/o contrast (72131) $691.30 $1,256.91 7.3×
CT maxillofacial w contrast (70487) $721.21 $1,311.29 4.5×
CT maxillofacial wo contrast (70486) $753.11 $1,369.28 7.9×
CT neck tissue combo (70492) $859.38 $1,562.51 5.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $641.05 $1,165.55 4.0×
CT orbits w/o contrast (70480) $529.11 $962.02 5.6×
CT pelvis w&w/o contrast (72194) $804.88 $1,463.42 5.0×
CT pelvis w/o contrast (72192) $730.39 $1,327.98 7.7×
CT scan of leg combo (73702) $701.50 $1,275.45 4.4×
CT scans face/jaw combo (70488) $788.57 $1,433.76 4.9×
CT soft tissue neck w contrast (70491) $656.74 $1,194.08 4.1×
CT soft tissue neck w/o contrast (70490) $658.05 $1,196.45 6.9×
CT thoracic spine w/o contrast (72128) $691.30 $1,256.91 7.3×
CT thorax w/o contrast (71250) $603.61 $1,097.46 6.3×
CT upper ext wo (73200)
range across 4 matching MRF lines
$350.55–$700.82 $637.36–$1,274.21 varies
CT upper extremity w/o & w/contrast material (73202) $701.50 $1,275.45 4.4×
CT upper extremity with contrast (73201) $436.54 $793.72 1.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $684.33 $1,244.24 4.3×
Cta Abdomen (74175) $730.39 $1,327.98 4.6×
CTA pelvis (72191) $105.48 $191.79 0.7×
Dxa Bone Density Axial (77080) $92.06 $167.38 1.0×
Esophagram (74220) $195.84 $356.07 1.2×
Fetal Biophys Profile W/Nst (76818) $250.39 $455.26 2.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $139.87 $254.31 1.5×
Fluoroscopy up to 1 hr (76000) $247.67 $450.32 1.1×
Foot 2 views (73620) $48.15 $87.55 0.6×
Forearm 2 views (73090) $48.15 $87.55 0.6×
Gastric emptying imaging study (78264) $356.22 $647.66 1.0×
Hand 2 views (73120) $92.06 $167.38 1.0×
Hepatobil Syst Image W/Drug (78227) $634.71 $1,154.01 1.3×
Hepatobiliary System Imaging (78226) $634.71 $1,154.01 1.7×
Ht Muscle Image Spect Sing (78451) $602.81 $1,096.02 0.5×
Hysterosalpingogram (74740) $190 $345.46 0.9×
Infant hip ultrasound with hip movement (dynamic) (76885) $182.30 $331.45 2.3×
K Flow/Funct Image W/O Drug (78707) $436.88 $794.34 0.9×
Knee 3 Views (73562) $48.15 $87.55 0.6×
Lung Ventilat&Perfus Imaging (78582) $338.31 $615.12 0.7×
Magnetic Image Jaw Joint (70336)
range across 2 matching MRF lines
$757.13–$1,514.25 $1,376.60–$2,753.19 varies
MRA head w/o contrast (70544) $872.24 $1,585.89 4.0×
MRA neck w contrast (70548) $719.06 $1,307.38 2.3×
Mra Neck W/O &W/Contrast Material (70549) $926.06 $1,683.74 2.9×
MRA neck w/o contrast (70547) $556.81 $1,012.39 2.6×
MRI abdomen w/o contrast (74181) $1,289.69 $2,344.90 5.9×
MRI any jt lower extrem w/contrast material (73722) $857.06 $1,558.29 1.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,094.42 $1,989.86 3.4×
MRI any jt upper extremity w/contrast matrl (73222) $857.06 $1,558.29 1.2×
MRI Breast W/O Contrast Bilateral (77047) $160.26 $291.39 0.7×
MRI cervical spine w/o cont (72141) $1,657.58 $3,013.78 7.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$1,094.42–$2,188.84 $1,989.86–$3,979.71 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$757.13–$1,514.25 $1,376.60–$2,753.19 varies
Mri Neck Spine W/O & W/Dye (72156) $1,704.49 $3,099.06 5.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,004.86 $1,827.01 3.2×
MRI pelvis w/o & w contrast (72197) $1,263.52 $2,297.31 4.0×
MRI pelvis w/o contrast (72195) $730.39 $1,327.98 3.4×
MRI thoracic spine w/o contrast (72146) $1,515.22 $2,754.94 7.0×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 3 matching MRF lines
$757.13–$1,514.25 $1,376.60–$2,753.19 varies
Mri Uppr Extremity W/O&W/Dye (73220) $1,094.42 $1,989.86 3.4×
MRI, abdomen, combo (74183) $1,263.52 $2,297.31 4.0×
MRI, dorsal spine combo (72157) $1,591.07 $2,892.86 5.0×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$757.13–$1,514.25 $1,376.60–$2,753.19 varies
MRI, joint upper extrem combo (73223) $1,094.42 $1,989.86 3.4×
MRI, lumbar spine combo (72158) $1,490.35 $2,709.72 4.7×
Myelogram cervical (72240) $528.32 $960.58 0.7×
Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) $320.07 $581.95 0.6×
Myocardial Spect Multiple Studies (78452) $1,210.16 $2,200.29 1.0×
Neck soft tissue (70360) $48.15 $87.55 0.6×
Parathyroid Planar Imaging (78070) $217.71 $395.83 0.6×
Pelvis 1 or 2 views (72170) $92.06 $167.38 1.0×
Pulmonary Perfusion Imaging Particulate (78580) $315.77 $574.12 0.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $206.38 $375.23 2.2×
Radex Ankle Complete Minimum 3 Views (73610) $48.15 $87.55 0.6×
Radex Calcaneus Minimum 2 Views (73650) $48.15 $87.55 0.6×
Radex elbow complete minimum 3 views (73080) $48.15 $87.55 0.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $92.06 $167.38 1.0×
Radex fingr minimum 2 views (73140) $48.15 $87.55 0.6×
Radex foot complete minimum 3 views (73630) $48.15 $87.55 0.6×
Radex Hand Minimum 3 Views (73130) $48.15 $87.55 0.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $48.15 $87.55 0.6×
Radex Ribs Unilateral 2 Views (71100) $48.15 $87.55 0.6×
Radex shoulder complete minimum 2 views (73030) $48.15 $87.55 0.6×
Radex Sinuses Paransl < 3 Views (70210) $48.15 $87.55 0.6×
Radex Sternum Minimum 2 Views (71120) $48.15 $87.55 0.6×
Radex Toe Minimum 2 Views (73660) $48.15 $87.55 0.6×
Radex Wrist Complete Minimum 3 Views (73110) $48.15 $87.55 0.6×
Radiolog exam mandible compl minimum 4 views (70110) $92.06 $167.38 1.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $92.06 $167.38 1.0×
Radiologic exam colon double contrast study (74280) $195.84 $356.07 1.2×
Radiologic exam colon single contrast study (74270) $195.84 $356.07 1.2×
Radiologic exam knee complete 4/more views (73564) $92.06 $167.38 1.0×
Radiologic exam pelvis compl minimum 3 views (72190) $92.06 $167.38 1.0×
Radiologic Exam Small Int Single Contrast Study (74250) $92.06 $167.38 0.6×
Radiologic exam swallow function contrast study (74230) $107.24 $194.98 0.7×
Radiologic exam upr gi trc double contrast study (74246) $97.66 $177.57 0.6×
Radiologic examination femur minimum 2 views (73552) $48.15 $87.55 0.6×
Radiologic examination knee 1/2 views (73560) $48.15 $87.55 0.6×
Radiologic examination tibia & fibula 2 views (73590) $48.15 $87.55 0.6×
Ribs bilateral 3 views (71110) $92.06 $167.38 1.0×
Scapula (73010) $92.06 $167.38 1.0×
Shoulder 1 view (73020) $48.15 $87.55 0.6×
Shoulder Arthrography (73040)
range across 2 matching MRF lines
$85.82–$353.61 $156.04–$642.93 varies
Skull less than 4 views (70250) $92.06 $167.38 1.0×
Thoracic spine 2 views (72070) $92.06 $167.38 1.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $375.93 $683.51 1.0×
Ultrasound Breast Limited (76642) $166.72 $303.13 2.1×
Ultrasound Exam Aaa Screen (76706) $236.23 $429.51 2.5×
Ultrasound, abdomen limited (76705) $220.09 $400.16 2.3×
Umbilical-artery Doppler (OB) (76820) $84.98 $154.50 0.9×
Upper gi w/o kub (74240) $84.86 $154.29 0.5×
Urethrocystogram voiding (74455) $190 $345.46 0.9×
Us breast unilateral complete (76641) $166.72 $303.13 1.8×
Us chest (76604) $104.12 $189.31 1.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$149.90–$299.74 $272.54–$544.97 varies
Us ob detailed single fetus (76811) $269.43 $489.87 1.2×
Us ob limited 1 or more fetuses (76815) $156.92 $285.31 1.6×
Us ob transvaginal (76817) $263.14 $478.44 2.8×
Us pelvic non ob complete (76856) $423.23 $769.51 4.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $263.14 $478.44 2.8×
Us retroperitoneal complete (76770) $236.23 $429.51 2.5×
Us retroperitoneal limited (76775) $52.12 $94.76 0.5×
Us scrotum and contents (76870) $270.33 $491.52 2.8×
Us thyroid (76536) $228.36 $415.19 2.4×
Wrist 2 views (73100) $48.15 $87.55 0.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $48.15 $87.55 0.6×
X-Ray Exam Breast Specimen (76098) $377.12 $685.67 0.8×
X-Ray Exam Entire Spi 1 Vw (72081) $48.15 $87.55 0.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $92.06 $167.38 1.0×
X-Ray Exam Entire Spi 4/5 Vw (72083) $92.06 $167.38 1.0×
X-Ray Exam Hip Uni 1 View (73501) $48.15 $87.55 0.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $48.15 $87.55 0.6×
X-Ray Exam Hips Bi 2 Views (73521) $92.06 $167.38 1.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $92.06 $167.38 1.0×
X-Ray Exam L-S Spine Bending (72114) $92.06 $167.38 1.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $48.15 $87.55 0.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $92.06 $167.38 1.0×
X-Ray Exam Unilat Ribs/Chest (71101) $92.06 $167.38 1.0×
X-ray humerus (73060) $48.15 $87.55 0.6×
X-ray IV pyelogram (ivp) (74400) $195.84 $356.07 1.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $48.15 $87.55 0.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $48.15 $87.55 0.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $92.06 $167.38 1.0×
X-ray nose-rectum child f.b. (76010) $48.15 $87.55 0.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $92.06 $167.38 1.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $92.06 $167.38 1.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $48.15 $87.55 0.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $48.15 $87.55 0.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $92.06 $167.38 1.0×
X-Rays Bone Survey Complete (77075) $92.06 $167.38 1.0×
Xr c-spine 4 or 5 views (72050) $92.06 $167.38 1.0×
Xr facial bones less than 3 views (70140) $48.15 $87.55 0.6×
Xr orbits complete 4 views (70200) $92.06 $167.38 1.0×

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.