Imaging prices at Lexington Medical Center

Lexington, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $14,225 $28,450 10.6×
Abdomen 2 views (74019) $162 $324 1.6×
Ankle 2 views (73600) $201.50 $403 2.4×
Basic radiation dosimetry calculation (77300) $713.50 $1,427 5.5×
Bone &/Joint Imaging Limited Area (78300) $2,613 $5,226 6.7×
Bone &/joint imaging whole body (78306) $3,608 $7,216 9.3×
Bone age studies (77072) $358.50 $717 3.5×
Bone Imaging 3 Phase (78315) $4,113.50 $8,227 10.6×
Bone survey complete (77075) $468 $936 4.6×
Cervical spine 2 or 3 views (72040) $233.50 $467 2.8×
Chest 1 view (71045) $179.50 $359 2.1×
Chest 3 views (71047) $268 $536 3.2×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $323 $646 1.9×
Clavicle complete (73000) $186.50 $373 2.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $182 $364 1.8×
Continuing medical physics consltj pr wk (77336) $1,131 $2,262 8.7×
CT abdomen and pelvis without and with contrast (74178) $3,345.50 $6,691 9.9×
CT abdomen and pelvis without contrast (74176) $1,895 $3,790 8.2×
CT abdomen w contrast (74160) $2,191.50 $4,383 12.9×
CT abdomen w wo contrast (74170) $2,487 $4,974 14.6×
CT abdomen w/o contrast (74150) $1,422 $2,844 14.0×
CT angiography upper extremity lt (73206) $1,370.50 $2,741 8.1×
CT c-spine w/o contrast (72125) $1,409.50 $2,819 13.9×
CT cervical spine w&w/o contrast (72127) $3,000 $6,000 17.6×
CT cervical spine with contrast (72126) $5,409 $10,818 16.0×
CT chest w/wo contrast (71270) $1,222 $2,444 7.2×
CT chest with contrast (71260) $1,473 $2,946 8.7×
CT head/brain with contrast (70460) $1,640.50 $3,281 9.6×
CT head/brain without and with contrast (70470) $1,919.50 $3,839 11.3×
CT iac w contrast (70481) $1,499 $2,998 8.8×
CT lower ext w/o (73700) $1,176 $2,352 11.6×
CT lower extremity w wo contrast (73702) $1,799 $3,598 10.6×
CT lower extremity with contrast (73701) $1,481.50 $2,963 8.7×
CT lumbar spine w & w/o contrast (72133) $1,409 $2,818 8.3×
CT lumbar spine w/o contrast (72131) $666 $1,332 6.6×
CT lumbar spine with contrast (72132) $2,559.50 $5,119 7.6×
CT maxillofacial w contrast (70487) $1,370.50 $2,741 8.1×
CT maxillofacial w/o contrast (70486) $1,142.50 $2,285 11.3×
CT maxillofacial w/wo contrast (70488) $1,679 $3,358 9.9×
CT neck soft tissue w contrast (70491) $1,569 $3,138 9.2×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,638 $3,276 9.6×
CT orbits w/o contrast (70480) $1,270 $2,540 12.5×
CT pelvis w & w/o contrast (72194) $1,497 $2,994 8.8×
CT pelvis w/o contrast (72192) $703.50 $1,407 6.9×
CT soft tissue neck w/o & w/contrast material (70492) $1,898 $3,796 11.2×
CT soft tissue neck w/o contrast (70490) $1,302 $2,604 12.8×
CT thoracic spine w/contrast (72129) $2,487.50 $4,975 14.6×
CT thoracic spine w/o contrast (72128) $1,168.50 $2,337 11.5×
CT thoracic spine w/wo contrast (72130) $2,487.50 $4,975 14.6×
CT thorax w/o contrast (71250) $663.50 $1,327 6.5×
CT upper extremity w/o & w/contrast material (73202) $2,216 $4,432 13.0×
CT upper extremity w/o contrast rt (73200) $1,430.50 $2,861 14.1×
CT upper extremity with contrast (73201) $1,773.50 $3,547 5.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,746 $3,492 10.3×
Cta Abdomen (74175) $2,444 $4,888 14.4×
CTA abdomen pelvis (74174) $3,092.50 $6,185 9.1×
CTA chest (71275) $1,766 $3,532 10.4×
Cta Head (70496) $2,066.50 $4,133 12.1×
CTA lwr ext w&w/o contrast (73706) $1,418.50 $2,837 8.3×
Cta Neck (70498) $2,075.50 $4,151 12.2×
Cystography minimum 3 views rs&i (74430) $335 $670 1.0×
Dxa bone density study 1/> sites axial skel (77080) $240.50 $481 2.4×
Esophagus (74220) $381 $762 2.2×
Fetal biophysical profile non-stress testing (76818) $392.50 $785 3.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $286.50 $573 2.8×
Fluoroscopy up to 1 hr (76000) $769 $1,538 3.3×
Foot 2 views (73620) $169 $338 2.0×
Forearm 2 views (73090) $198 $396 2.3×
Hand 2 views (73120) $182.50 $365 1.8×
Hand 3 views (73130) $205 $410 2.4×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,382.50 $2,765 2.6×
Hepatobiliary syst imaging including gallbladder (78226) $1,009.50 $2,019 2.6×
Humerus Min 2 Views Left (73060) $168 $336 2.0×
Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) $349 $698 3.4×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $4,072.50 $8,145 7.7×
Kidney img morphology vascular flow 1 w/rx (78708) $3,062 $6,124 5.8×
Knee 3 views (73562) $202.50 $405 2.4×
Liver & spleen imaging static only (78215) $860 $1,720 2.2×
Lymphoscintigraphy (78195) $2,086 $4,172 4.0×
Mlc imrt design & construction per imrt plan (77338) $8,227 $16,454 22.7×
Mr safety determination physician/other qhp (76016) $105 $210 1.2×
Mr safety implant pos&/immoblj supvj phys/qhp (76019) $71 $142 1.2×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $29.50 $59 1.1×
Mr safety implt electronics prepj supvj phys/qhp (76018) $109.50 $219 1.2×
Mr safety med physics xm customization plng&mntr (76017) $287.50 $575 1.2×
MRA head w & w/o contrast (70546) $2,936 $5,872 8.7×
MRA head w/o contrast (70544) $1,578.50 $3,157 6.8×
Mra Neck W/O &W/Contrast Material (70549) $2,335 $4,670 6.9×
MRA neck w/o contrast (70547) $1,261.50 $2,523 5.5×
MRI abdomen w contrast (74182) $2,564.50 $5,129 7.6×
MRI abdomen w/o & w/contrast material (74183) $2,564.50 $5,129 7.6×
MRI abdomen w/o contrast (74181) $1,385 $2,770 6.0×
MRI any jnt lwr ext with con lt (73722) $4,966 $9,932 6.5×
MRI any jt upper extremity w/contrast matrl (73222) $4,986 $9,972 6.6×
MRI breast w/o contrast bilateral (77047) $407 $814 1.8×
MRI c-spine with contrast (72142) $2,510.50 $5,021 7.4×
MRI cervical spine w/o contrast (72141) $1,356.50 $2,713 5.9×
MRI chest w/o & w/contrast material (71552) $2,332.50 $4,665 6.9×
MRI chest w/o contrast (71550) $1,295 $2,590 5.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,187.50 $2,375 5.1×
MRI orbit face &/neck w/o contrast (70540) $1,286.50 $2,573 5.6×
MRI orbit/face/neck w&w/o cont (70543) $2,382 $4,764 7.0×
MRI pelvis w/o & w/contrast material (72197) $2,454.50 $4,909 7.3×
MRI pelvis w/o contrast (72195) $1,326 $2,652 5.7×
MRI scan of arm joint before and after contrast (73223) $3,336 $6,672 9.9×
MRI scan of leg joint before and after contrast (73723) $3,323 $6,646 9.8×
MRI spinal canal cervical w/o & w/contr matrl (72156) $2,510.50 $5,021 7.4×
MRI spinal canal lumbar w/contrast material (72149) $2,703 $5,406 8.0×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $2,703 $5,406 8.0×
MRI spinal canal thoracic w/contrast matrl (72147) $2,659.50 $5,319 7.9×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $2,660 $5,320 7.9×
MRI thoracic spine w/o contrast (72146) $1,436.50 $2,873 6.2×
MRI tmj (70336) $2,108.50 $4,217 9.1×
MRI upper ext joint w/o contrast (73221) $1,794 $3,588 7.8×
MRI upper extrem other than jt w/o & w/contras (73220) $1,822 $3,644 5.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $984 $1,968 4.3×
Myocardial Spect Multiple Studies (78452) $2,789 $5,578 2.2×
N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) $3,110.50 $6,221 3.7×
Neck soft tissue (70360) $190 $380 2.3×
Nm gastric emptying study (78264) $3,790 $7,580 9.8×
Ntsty modul radthx pln dose-vol histos (77301) $22,804.50 $45,609 17.0×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $271.50 $543 2.7×
Osseous survey infant (77076) $516 $1,032 5.1×
Parathyrd planar w/spect&CT (78072) $4,437 $8,874 8.4×
Parathyrd planar w/wo subtrj (78071) $3,815.50 $7,631 9.8×
Parathyroid imaging (78070) $2,673.50 $5,347 6.9×
Pelvis 1 or 2 views (72170) $426.50 $853 4.2×
PET image w/CT, skull-thigh (78815) $3,621 $7,242 2.6×
PET imaging for CT attenuation whole body (78816) $2,969.50 $5,939 2.1×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $2,199 $4,398 6.5×
Pulmonary Perfusion Imaging Particulate (78580) $560.50 $1,121 1.4×
Pulmonary Ventilation & Perfusion Imaging (78582) $787.50 $1,575 1.5×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $160.50 $321 1.9×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $258 $516 2.5×
Radex hips bilateral with pelvis 2 views (73521) $117.50 $235 1.2×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $362 $724 3.6×
Radiation treatment delivery 1 mev >= complex (77412) $1,239 $2,478 2.3×
Radiolog exam mandible compl minimum 4 views (70110) $155.50 $311 1.5×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $202.50 $405 2.4×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $145.50 $291 1.4×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $222 $444 2.6×
Radiologic exam colon single contrast study (74270) $500.50 $1,001 2.9×
Radiologic Exam Esophagus Double Contrast Study (74221) $461 $922 2.7×
Radiologic exam upr gi trc double contrast study (74246) $407.50 $815 2.4×
Radiologic exam upr gi trc single contrast study (74240) $425.50 $851 2.5×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $103 $206 1.2×
Radiological examination surgical specimen (76098) $229 $458 0.4×
Ribs bilateral 3 views (71110) $295 $590 2.9×
Rp loclzj tum spect 1 area single day imaging (78803) $2,746 $5,492 5.2×
Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) $1,963.50 $3,927 1.6×
Sacroiliac Joints < 3 Views (72200) $359 $718 3.5×
Scanogram (77073) $274.50 $549 2.7×
Scapula complete (73010) $162.50 $325 1.6×
Screening digital breast tomosynthesis (77063) $66 $132 2.8×
Small bowel series (74250) $441 $882 2.6×
Spec medical radj physics consltj (77370) $1,651 $3,302 12.7×
Spec telethx port pln parts hemibdy tot bdy (77321) $414.50 $829 1.1×
Special dosimetry (77331) $590 $1,180 4.5×
Special treatment procedure (77470) $2,829.50 $5,659 5.3×
Spine thoracic 3 views (72072) $224 $448 2.2×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,381 $2,762 3.8×
Ther rad simulaj-aided field setting complex (77290) $4,017 $8,034 11.1×
Ther rad simulaj-aided field setting simple (77280) $2,290.50 $4,581 17.6×
Thoracolumbar 2 views (72080) $216.50 $433 2.6×
Thyroid Imaging With Vascular Flow (78013) $2,214.50 $4,429 5.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $2,768 $5,536 7.1×
Treatment device intermediate (77333) $754.50 $1,509 5.8×
Treatment devices simple (77332) $1,501 $3,002 11.5×
Tx devices design & construction complex (77334) $2,153.50 $4,307 5.9×
Ultrasound, abdomen limited (76705) $381.50 $763 3.8×
Umbilical-artery Doppler (OB) (76820) $239.50 $479 2.4×
Upper Extremity Infant (73092) $93.50 $187 0.9×
Urethrocystography retrograde rs&i (74450) $531 $1,062 2.3×
Urethrocystography voiding (74455) $531 $1,062 2.3×
Us abdl aorta screen aaa (76706) $177.50 $355 1.8×
Us breast unilateral complete (76641) $262 $524 2.6×
Us breast unilateral limited (76642) $215 $430 2.5×
Us chest (76604) $303.50 $607 3.0×
Us compl joint r-t w/image documentation (76881) $694.50 $1,389 6.8×
Us fetal nuchal translucency 1st gestation (76813) $213.50 $427 2.1×
Us ob detailed single fetus (76811) $500 $1,000 2.2×
Us ob transvaginal (76817) $227.50 $455 2.2×
Us pelvic non ob complete (76856) $551 $1,102 5.4×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $551 $1,102 5.4×
Us pregnancy ltd (76815) $255 $510 2.5×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $310.50 $621 3.1×
Us retroperitoneal complete (76770) $476 $952 4.7×
Us retroperitoneal limited (76775) $243 $486 2.4×
Us scrotum and contents (76870) $432 $864 4.3×
Us soft tissue head/neck (76536) $448 $896 4.4×
Us xtr non-vasc lmtd (76882) $392.50 $785 3.9×
Us, eye b-scan (76512) $175.50 $351 1.7×
Vertebral fracture assessment via dxa (77086) $39 $78 0.5×
Wrist 2 views (73100) $188 $376 2.2×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $176.50 $353 1.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $265.50 $531 3.1×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $184 $368 2.2×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $701.50 $1,403 4.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $188.50 $377 2.2×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $219 $438 2.6×
X-ray exam entire spi 4/5 vw (72083) $313 $626 3.1×
X-ray exam hip uni 1 view (73501) $173 $346 2.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $236.50 $473 2.8×
X-ray exam hip uni 4/> views (73503) $296 $592 2.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $279 $558 2.8×
X-Ray Exam Hips Bi 5/> Views (73523) $316 $632 3.1×
X-ray exam of femur 1 (73551) $362 $724 4.3×
X-ray eye for foreign body (70030) $104 $208 1.2×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $263.50 $527 2.6×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $184 $368 2.2×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $190.50 $381 2.3×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $165.50 $331 2.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $135 $270 1.6×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $224.50 $449 2.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $521 $1,042 6.2×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $349 $698 4.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $221.50 $443 2.2×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $388.50 $777 3.8×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $257 $514 2.5×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $184.50 $369 2.2×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $78.50 $157 0.9×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $191 $382 1.9×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $223.50 $447 2.2×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $417.50 $835 1.2×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $246 $492 2.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $283 $566 2.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $349 $698 3.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $416.50 $833 4.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $359 $718 4.3×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $233 $466 2.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $294 $588 3.5×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $232.50 $465 2.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $276 $552 2.7×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $221.50 $443 2.2×
X-Ray Spine One View - Xr Spine (72020) $159.50 $319 1.9×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $209 $418 2.5×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $171 $342 2.0×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $225.50 $451 2.2×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $259.50 $519 2.6×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $156 $312 1.8×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $208.50 $417 2.5×
Xr c-spine 6 or more views (72052) $394 $788 3.9×
Xr finger(s) 2+ views (73140) $154 $308 1.8×
Xr shoulder 1 view (73020) $182 $364 2.2×
Xr spine cervical 4 or 5 views (72050) $319.50 $639 3.2×
Xr tibia/fibula 2 views (73590) $195.50 $391 2.3×
Xr tmj bilateral (70330) $148.50 $297 1.8×
Xray knee 1 or 2 views rt (73560) $176.50 $353 2.1×