Imaging prices at LewisGale Hospital Alleghany
Low Moor, VA · every code in this section with a posted price and a Medicare benchmark.
215 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) | $1,383 | $1,383 | 16.3× |
| Abdomen 2 views (74019) | $1,587 | $1,587 | 15.6× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,158.84–$1,729 | $1,158.84–$1,729 | varies |
| Bone Imaging 3 Phase (78315) | $3,660 | $3,660 | 9.4× |
| Bone Imaging Limited Area (78300) | $995 | $995 | 2.6× |
| Bone Imaging Whole Body (78306) | $4,866 | $4,866 | 12.5× |
| Bone survey infant (77076) | $679 | $679 | 6.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,117 | $4,117 | 7.8× |
| Cat Scan Follow-Up Study (76380) | $2,482 | $2,482 | 29.2× |
| Chest 1 view (71045) | $1,063 | $1,063 | 12.5× |
| Chest 2 views (71046) | $1,294 | $1,294 | 15.2× |
| Chest 4 or more views (71048) | $2,136 | $2,136 | 20.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$951–$1,421 | $951–$1,421 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $545 | $545 | 5.3× |
| Contrast X-Ray Bladder (74430) | $1,703 | $1,703 | 5.0× |
| CT abdomen and pelvis without and with contrast (74178) | $12,372 | $12,372 | 36.3× |
| CT abdomen and pelvis without contrast (74176) | $10,162 | $10,162 | 43.7× |
| CT abdomen w contrast (74160) | $5,970 | $5,970 | 34.9× |
| CT abdomen w wo contrast (74170) | $6,723 | $6,723 | 39.3× |
| CT abdomen w/o contrast (74150) | $5,311 | $5,311 | 52.1× |
| CT Angio Abdomen and Pelvis (74174) | $3,000 | $3,000 | 8.8× |
| CT Angio Chest (71275) | $6,049 | $6,049 | 35.3× |
| CT Angio Head (70496) | $4,981 | $4,981 | 29.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$3,575–$3,861 | $3,575–$3,861 | varies |
| CT Angio Neck (70498) | $4,981 | $4,981 | 29.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,576 | $3,576 | 20.9× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $3,563 | $3,563 | 20.8× |
| CT cervical spine w/ contrast (72126) | $4,225 | $4,225 | 12.4× |
| CT cervical spine w/o contrast (72125) | $6,281 | $6,281 | 61.6× |
| CT chest w contrast (71260) | $6,995 | $6,995 | 40.9× |
| CT chest w/wo contrast (71270) | $7,325 | $7,325 | 42.8× |
| CT head/brain with contrast (70460) | $6,789 | $6,789 | 39.7× |
| CT head/brain without and with contrast (70470) | $7,793 | $7,793 | 45.5× |
| CT iac w contrast (70481) | $4,798 | $4,798 | 28.0× |
| CT l-spine w&w/o contrast (72133) | $8,737 | $8,737 | 51.1× |
| CT lower ext w/o (73700) | $5,921 | $5,921 | 58.0× |
| CT lower extremity w/contrast material (73701) | $6,049 | $6,049 | 35.3× |
| CT lumbar spine w contrast (72132) | $4,999 | $4,999 | 14.7× |
| CT lumbar spine w/o contrast (72131) | $7,559 | $7,559 | 74.1× |
| CT maxillofacial w contrast (70487) | $9,256 | $9,256 | 54.1× |
| CT maxillofacial wo contrast (70486) | $5,793 | $5,793 | 56.8× |
| CT neck tissue combo (70492) | $6,129 | $6,129 | 35.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,441 | $5,441 | 31.8× |
| CT orbits w/o contrast (70480) | $4,891 | $4,891 | 48.0× |
| CT pelvis w&w/o contrast (72194) | $5,654 | $5,654 | 33.0× |
| CT pelvis w/o contrast (72192) | $4,849 | $4,849 | 47.5× |
| CT scan of leg combo (73702) | $6,789 | $6,789 | 39.7× |
| CT scans face/jaw combo (70488) | $4,040.28 | $4,040.28 | 23.6× |
| CT soft tissue neck w contrast (70491) | $5,979 | $5,979 | 34.9× |
| CT soft tissue neck w/o contrast (70490) | $5,075 | $5,075 | 49.8× |
| CT thoracic spine w contrast (72129) | $7,559 | $7,559 | 44.2× |
| CT thoracic spine w/o contrast (72128) | $6,856 | $6,856 | 67.2× |
| CT thorax w/o contrast (71250) | $6,248 | $6,248 | 61.3× |
| CT upper ext wo (73200) | $5,537 | $5,537 | 54.3× |
| CT upper extremity w/o & w/contrast material (73202) | $6,330 | $6,330 | 37.0× |
| CT upper extremity with contrast (73201) | $5,670 | $5,670 | 16.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,819 | $5,819 | 34.0× |
| Cta Abdomen (74175) | $4,697 | $4,697 | 27.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $9,962 | $9,962 | 29.3× |
| Dxa Bone Density Axial (77080) | $1,918 | $1,918 | 18.8× |
| Esophagram (74220) | $1,063 | $1,063 | 6.2× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$2,289–$2,331 | $2,289–$2,331 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,229–$1,453 | $1,229–$1,453 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,509–$2,269 | $1,509–$2,269 | varies |
| Gastric emptying imaging study (78264) | $3,919 | $3,919 | 10.0× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$1,274–$1,911 | $1,274–$1,911 | varies |
| Hepatobil Syst Image W/Drug (78227) | $6,940 | $6,940 | 13.1× |
| Hepatobiliary System Imaging (78226) | $6,940 | $6,940 | 17.8× |
| Ht Muscle Image Spect Sing (78451) | $5,141 | $5,141 | 4.1× |
| K Flow/Funct Image Multiple (78709) | $5,284 | $5,284 | 10.0× |
| K Flow/Funct Image W/O Drug (78707) | $6,250 | $6,250 | 11.8× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,746–$2,058 | $1,746–$2,058 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $13,284 | $13,284 | 25.1× |
| Lung Ventilat&Perfus Imaging (78582) | $4,113 | $4,113 | 7.8× |
| Lymph System Imaging (78195) | $4,866 | $4,866 | 9.2× |
| Magnetic Image Jaw Joint (70336) | $8,001 | $8,001 | 34.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $67 | $67 | 2.4× |
| Mra Head W/O & W/Contrast Material (70546) | $15,247 | $15,247 | 44.8× |
| MRA head w/o contrast (70544) | $7,791 | $7,791 | 33.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $15,247 | $15,247 | 44.8× |
| MRA neck w/o contrast (70547) | $7,791 | $7,791 | 33.5× |
| MRI abdomen w contrast (74182) | $12,825 | $12,825 | 37.7× |
| MRI abdomen w/o contrast (74181) | $11,289 | $11,289 | 48.5× |
| MRI any jt lower extrem w/contrast material (73722) | $2,134 | $2,134 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $17,024 | $17,024 | 50.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $10,848 | $10,848 | 14.2× |
| MRI cervical spine w contrast (72142) | $12,034 | $12,034 | 35.4× |
| MRI cervical spine w/o cont (72141) | $11,241 | $11,241 | 48.3× |
| MRI chest w/o contrast (71550) | $8,001 | $8,001 | 34.4× |
| MRI chest wo w contrast (71552) | $16,929 | $16,929 | 49.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $11,491 | $11,491 | 33.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $10,363 | $10,363 | 44.5× |
| MRI lumbar spine w contrast (72149) | $12,309 | $12,309 | 36.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $17,753 | $17,753 | 52.2× |
| MRI orbit face &/neck w/o contrast (70540) | $11,182 | $11,182 | 48.0× |
| MRI orbit face neck w contrast (70542) | $9,198 | $9,198 | 27.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $17,024 | $17,024 | 50.0× |
| MRI pelvis w/o & w contrast (72197) | $17,073 | $17,073 | 50.2× |
| MRI pelvis w/o contrast (72195) | $7,710 | $7,710 | 33.1× |
| MRI spectroscopy (76390) | $4,004 | $4,004 | 47.2× |
| MRI thoracic spine w/o contrast (72146) | $11,850 | $11,850 | 50.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $10,363 | $10,363 | 44.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $11,491 | $11,491 | 33.8× |
| MRI, abdomen, combo (74183) | $17,073 | $17,073 | 50.2× |
| MRI, dorsal spine combo (72157) | $17,753 | $17,753 | 52.2× |
| MRI, joint upper extrem (73221) | $10,363 | $10,363 | 44.5× |
| MRI, joint upper extrem combo (73223) | $17,024 | $17,024 | 50.0× |
| MRI, lumbar spine combo (72158) | $17,753 | $17,753 | 52.2× |
| Myelogram Lumbar (72265) | $1,911 | $1,911 | 2.5× |
| Myocardial Spect Multiple Studies (78452) | $12,867 | $12,867 | 10.2× |
| Neck soft tissue (70360) | $903 | $903 | 10.6× |
| Nuclear Rx Oral Admin (79005) | $1,751 | $1,751 | 7.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $4,949 | $4,949 | 9.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,085 | $1,085 | 2.8× |
| Pelvis 1 or 2 views (72170) | $984 | $984 | 9.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,902 | $2,902 | 7.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $297 | $297 | 2.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,304–$1,950 | $1,304–$1,950 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$637–$951 | $637–$951 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$865–$1,288 | $865–$1,288 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,132 | $1,132 | 11.1× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$645–$969 | $645–$969 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,419–$2,127 | $1,419–$2,127 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$680–$1,021 | $680–$1,021 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $640 | $640 | 7.5× |
| Radex Ribs Unilateral 2 Views (71100) | $951 | $951 | 11.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$829–$1,175 | $829–$1,175 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $759 | $759 | 8.9× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$426–$1,078 | $426–$1,078 | varies |
| Radex Sternum Minimum 2 Views (71120) | $1,063 | $1,063 | 12.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,271 | $1,271 | 15.0× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$637–$951 | $637–$951 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,419–$2,127 | $1,419–$2,127 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $2,783 | $2,783 | 27.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $903 | $903 | 8.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,984 | $1,984 | 19.5× |
| Radiologic exam colon double contrast study (74280) | $3,964 | $3,964 | 23.2× |
| Radiologic exam colon single contrast study (74270) | $1,245 | $1,245 | 7.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,911–$2,385 | $1,911–$2,385 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,928 | $2,928 | 17.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,754 | $3,754 | 21.9× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$732–$1,095 | $732–$1,095 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$1,466–$2,191 | $1,466–$2,191 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,421–$2,138 | $1,421–$2,138 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,419–$2,127 | $1,419–$2,127 | varies |
| Ribs bilateral 3 views (71110) | $1,112 | $1,112 | 10.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,743 | $4,743 | 9.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,035 | $4,035 | 7.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $5,532 | $5,532 | 10.4× |
| Rp Therapy Intravenous Administration (79101) | $1,362 | $1,362 | 6.0× |
| Scapula (73010) range across 3 matching MRF lines |
$592–$824 | $592–$824 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $82 | $82 | 3.5× |
| Shoulder 1 view (73020) | $475 | $475 | 5.6× |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$932–$2,728 | $932–$2,728 | varies |
| Skull less than 4 views (70250) | $1,089 | $1,089 | 10.7× |
| Sternoclavicular joints (71130) | $701 | $701 | 8.3× |
| Thoracic spine 2 views (72070) | $1,069 | $1,069 | 10.5× |
| Thoracic spine 3 views (72072) | $1,257 | $1,257 | 12.3× |
| Thoracolumbar 2 views (72080) | $747 | $747 | 8.8× |
| Thyroid Uptake Measurement (78012) | $5,184 | $5,184 | 13.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,081 | $4,081 | 10.5× |
| Ultrasound Breast Limited (76642) | $692 | $692 | 8.1× |
| Ultrasound Elastography Parenchyma (76981) | $600 | $600 | 5.9× |
| Ultrasound Exam Aaa Screen (76706) | $576 | $576 | 5.6× |
| Ultrasound, abdomen limited (76705) | $1,545.08 | $1,545.08 | 15.1× |
| Upper gi w/o kub (74240) | $3,632 | $3,632 | 21.2× |
| Urethrocystogram voiding (74455) | $1,170 | $1,170 | 5.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,382–$2,336 | $1,382–$2,336 | varies |
| Us chest (76604) | $1,737.68 | $1,737.68 | 17.0× |
| Us complete joint (76881) | $1,573 | $1,573 | 15.4× |
| Us exam, pelvic, limited (76857) | $1,545 | $1,545 | 15.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $256 | $256 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $1,545 | $1,545 | 15.1× |
| Us pelvic non ob complete (76856) | $2,501 | $2,501 | 24.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,483 | $1,483 | 14.5× |
| Us retroperitoneal complete (76770) | $2,561 | $2,561 | 25.1× |
| Us retroperitoneal limited (76775) | $1,944 | $1,944 | 19.1× |
| Us scrotum and contents (76870) | $1,997 | $1,997 | 19.6× |
| Us thyroid (76536) | $1,812 | $1,812 | 17.8× |
| Venography caval inferior serialography rs&i (75825) | $9,077 | $9,077 | 2.9× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,740–$2,959 | $2,740–$2,959 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$1,274–$1,911 | $1,274–$1,911 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $985 | $985 | 11.6× |
| X-ray antegrade pyelogram tube (74425) | $1,170 | $1,170 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$660–$985 | $660–$985 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,598 | $1,598 | 3.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,493 | $1,493 | 17.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,112 | $2,112 | 20.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $2,783 | $2,783 | 27.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $475 | $475 | 5.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $943 | $943 | 11.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $728 | $728 | 7.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $728 | $728 | 7.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $728 | $728 | 7.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $728 | $728 | 7.1× |
| X-Ray Exam L-S Spine Bending (72114) | $1,634 | $1,634 | 16.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,078 | $1,078 | 12.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,803 | $1,803 | 17.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,319 | $1,319 | 12.9× |
| X-ray eye for foreign body (70030) | $442 | $442 | 5.2× |
| X-ray humerus (73060) | $940 | $940 | 11.1× |
| X-ray IV pyelogram (ivp) (74400) | $1,229 | $1,229 | 7.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $792 | $792 | 9.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,041 | $1,041 | 10.2× |
| X-ray nose-rectum child f.b. (76010) | $352 | $352 | 4.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,547 | $1,547 | 15.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $865 | $865 | 8.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,023 | $1,023 | 12.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,327 | $1,327 | 15.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,089 | $1,089 | 10.7× |
| X-Rays Bone Length Studies (77073) | $1,346 | $1,346 | 13.2× |
| X-Rays Bone Survey Complete (77075) | $1,184 | $1,184 | 11.6× |
| Xr c-spine 4 or 5 views (72050) | $1,339 | $1,339 | 13.1× |
| Xr facial bones less than 3 views (70140) | $843 | $843 | 9.9× |
| Xr orbits complete 4 views (70200) | $1,064 | $1,064 | 10.4× |
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.