Imaging prices at Lodi Hospital

Lodi, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $395.20 $608 4.8×
Abdomen 2 views (74019) $477.10 $734 4.8×
Ankle 2 views (73600) $395.20 $608 4.8×
Basic radiation dosimetry calculation (77300) $544.70 $838 4.3×
Bone age studies (77072) $477.10 $734 4.8×
Cardiac MRI w/w/o contrast w/stress (75563) $3,543.15 $5,451 4.8×
Chest 1 view (71045) $395.20 $608 4.8×
Chest 2 views (71046) $395.20 $608 4.8×
Chest 4 or more views (71048) $477.10 $734 4.8×
Clavicle complete (73000) $395.20 $608 4.8×
CT abdomen and pelvis without and with contrast (74178) $1,601.60 $2,464 4.9×
CT abdomen and pelvis without contrast (74176) $1,084.20 $1,668 4.8×
CT abdomen w contrast (74160) $798.20 $1,228 4.8×
CT abdomen w wo contrast (74170) $798.20 $1,228 4.8×
CT abdomen w/o contrast (74150) $477.10 $734 4.8×
CT Angio Abdomen and Pelvis (74174) $1,601.60 $2,464 4.9×
CT Angio Chest (71275) $798.20 $1,228 4.8×
CT Angio Head (70496) $798.20 $1,228 4.8×
CT Angio Neck (70498) $798.20 $1,228 4.8×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $803.40 $1,236 4.8×
CT cervical spine w/ contrast (72126) $1,601.60 $2,464 4.9×
CT cervical spine w/o contrast (72125) $477.10 $734 4.8×
CT chest w contrast (71260) $798.20 $1,228 4.8×
CT chest w/wo contrast (71270) $798.20 $1,228 4.8×
CT head/brain with contrast (70460) $798.20 $1,228 4.8×
CT head/brain without and with contrast (70470) $798.20 $1,228 4.8×
CT heart no contrast quant eval coronry calcium (75571) $395.20 $608 4.8×
CT iac w contrast (70481) $798.20 $1,228 4.8×
CT l-spine w&w/o contrast (72133) $798.20 $1,228 4.8×
CT lower ext w/o (73700) $477.10 $734 4.8×
CT lower extremity w/contrast material (73701) $798.20 $1,228 4.8×
CT lumbar spine w contrast (72132) $1,601.60 $2,464 4.9×
CT lumbar spine w/o contrast (72131) $477.10 $734 4.8×
CT maxillofacial w contrast (70487) $798.20 $1,228 4.8×
CT maxillofacial wo contrast (70486) $477.10 $734 4.8×
CT neck tissue combo (70492) $798.20 $1,228 4.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $798.20 $1,228 4.8×
CT orbits w/o contrast (70480) $477.10 $734 4.8×
CT pelvis w&w/o contrast (72194) $798.20 $1,228 4.8×
CT pelvis w/o contrast (72192) $477.10 $734 4.8×
CT scan of leg combo (73702) $798.20 $1,228 4.8×
CT scans face/jaw combo (70488) $798.20 $1,228 4.8×
CT soft tissue neck w contrast (70491) $798.20 $1,228 4.8×
CT soft tissue neck w/o contrast (70490) $477.10 $734 4.8×
CT thoracic spine w contrast (72129) $798.20 $1,228 4.8×
CT thoracic spine w/o contrast (72128) $477.10 $734 4.8×
CT thorax w/o contrast (71250) $477.10 $734 4.8×
CT upper ext wo (73200) $477.10 $734 4.8×
CT upper extremity w/o & w/contrast material (73202) $798.20 $1,228 4.8×
CT upper extremity with contrast (73201) $1,601.60 $2,464 4.9×
Cta Abdomen (74175) $798.20 $1,228 4.8×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,598.35 $2,459 4.8×
CTA pelvis (72191) $798.20 $1,228 4.8×
Dxa Bone Density Axial (77080) $477.10 $734 4.8×
Dxa bone density study (77085) $477.10 $734 4.8×
Dxa bone density study 1/>sites appendiclr skel (77081) $395.20 $608 4.8×
Esophagram (74220) $798.20 $1,228 4.8×
Fluoroscopy up to 1 hr (76000) $1,084.20 $1,668 4.8×
Foot 2 views (73620) $395.20 $608 4.8×
Forearm 2 views (73090) $395.20 $608 4.8×
Hand 2 views (73120) $477.10 $734 4.8×
Joint Survey Single View (77077) $477.10 $734 4.8×
Knee 3 Views (73562) $395.20 $608 4.8×
Magnetic Image Jaw Joint (70336) $1,084.20 $1,668 4.8×
Mra Head W/O & W/Contrast Material (70546) $1,601.60 $2,464 4.9×
MRA head w/o contrast (70544) $1,084.20 $1,668 4.8×
MRA neck w contrast (70548) $1,601.60 $2,464 4.9×
Mra Neck W/O &W/Contrast Material (70549) $1,601.60 $2,464 4.9×
MRA neck w/o contrast (70547) $1,084.20 $1,668 4.8×
MRI abdomen w contrast (74182) $1,601.60 $2,464 4.9×
MRI abdomen w/o contrast (74181) $1,084.20 $1,668 4.8×
MRI any jt lower extrem w/contrast material (73722) $3,543.15 $5,451 4.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,601.60 $2,464 4.9×
MRI any jt upper extremity w/contrast matrl (73222) $3,543.15 $5,451 4.8×
MRI cervical spine w contrast (72142) $1,601.60 $2,464 4.9×
MRI cervical spine w/o cont (72141) $1,084.20 $1,668 4.8×
MRI chest wo w contrast (71552) $1,601.60 $2,464 4.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,601.60 $2,464 4.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,084.20 $1,668 4.8×
MRI lumbar spine w contrast (72149) $1,601.60 $2,464 4.9×
Mri Neck Spine W/O & W/Dye (72156) $1,601.60 $2,464 4.9×
MRI orbit face &/neck w/o contrast (70540) $1,084.20 $1,668 4.8×
MRI orbit face neck w contrast (70542) $1,601.60 $2,464 4.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,601.60 $2,464 4.9×
MRI pelvis w contrast (72196) $1,601.60 $2,464 4.9×
MRI pelvis w/o & w contrast (72197) $1,601.60 $2,464 4.9×
MRI pelvis w/o contrast (72195) $1,084.20 $1,668 4.8×
MRI thoracic spine w/o contrast (72146) $1,084.20 $1,668 4.8×
MRI upper extremity oth than jt w/contr matrl (73219) $1,601.60 $2,464 4.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,084.20 $1,668 4.8×
Mri Uppr Extremity W/O&W/Dye (73220) $1,601.60 $2,464 4.9×
MRI, abdomen, combo (74183) $1,601.60 $2,464 4.9×
MRI, dorsal spine combo (72157) $1,601.60 $2,464 4.9×
MRI, dorsal spine contrast (72147) $1,601.60 $2,464 4.9×
MRI, joint upper extrem (73221) $1,084.20 $1,668 4.8×
MRI, joint upper extrem combo (73223) $1,601.60 $2,464 4.9×
MRI, lumbar spine combo (72158) $1,601.60 $2,464 4.9×
Myocardial Spect Multiple Studies (78452) $5,855.20 $9,008 4.8×
N-invas est c ffr sw aly CTA (75580) $4,563 $7,020 5.6×
Neck soft tissue (70360) $395.20 $608 4.8×
Nuclear Rx Intra-Arterial (79445) $999.05 $1,537 4.5×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $477.10 $734 4.8×
Pelvis 1 or 2 views (72170) $477.10 $734 4.8×
PET imaging CT attenuation skull base mid-thigh (78815) $6,541.60 $10,064 4.8×
Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) $4,262.70 $6,558 4.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $477.10 $734 4.8×
Radex Ankle Complete Minimum 3 Views (73610) $395.20 $608 4.8×
Radex Calcaneus Minimum 2 Views (73650) $395.20 $608 4.8×
Radex elbow complete minimum 3 views (73080) $395.20 $608 4.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $477.10 $734 4.8×
Radex fingr minimum 2 views (73140) $395.20 $608 4.8×
Radex foot complete minimum 3 views (73630) $395.20 $608 4.8×
Radex Hand Minimum 3 Views (73130) $395.20 $608 4.8×
Radex lower extremity infant minimum 2 views (73592) $395.20 $608 4.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $395.20 $608 4.8×
Radex Ribs Unilateral 2 Views (71100) $395.20 $608 4.8×
Radex shoulder complete minimum 2 views (73030) $395.20 $608 4.8×
Radex Sinuses Paransl < 3 Views (70210) $395.20 $608 4.8×
Radex Spine 1 View Specify Level (72020) $395.20 $608 4.8×
Radex Sternum Minimum 2 Views (71120) $395.20 $608 4.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $395.20 $608 4.8×
Radex Toe Minimum 2 Views (73660) $395.20 $608 4.8×
Radex upper extremity infant minimum 2 views (73092) $477.10 $734 4.8×
Radex Wrist Complete Minimum 3 Views (73110) $395.20 $608 4.8×
Radiolog exam mandible compl minimum 4 views (70110) $477.10 $734 4.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $477.10 $734 4.8×
Radiologic exam colon double contrast study (74280) $798.20 $1,228 4.8×
Radiologic exam colon single contrast study (74270) $798.20 $1,228 4.8×
Radiologic exam knee complete 4/more views (73564) $477.10 $734 4.8×
Radiologic exam pelvis compl minimum 3 views (72190) $477.10 $734 4.8×
Radiologic Exam Small Int Single Contrast Study (74250) $798.20 $1,228 4.8×
Radiologic exam swallow function contrast study (74230) $798.20 $1,228 4.8×
Radiologic exam upr gi trc double contrast study (74246) $798.20 $1,228 4.8×
Radiologic examination femur 1 view (73551) $395.20 $608 4.8×
Radiologic examination femur minimum 2 views (73552) $395.20 $608 4.8×
Radiologic examination knee 1/2 views (73560) $395.20 $608 4.8×
Radiologic examination tibia & fibula 2 views (73590) $395.20 $608 4.8×
Ribs bilateral 3 views (71110) $477.10 $734 4.8×
Scapula (73010) $477.10 $734 4.8×
Screening Digital Breast Tomosynthesis Bi (77063) $91 $140 3.9×
Skull less than 4 views (70250) $477.10 $734 4.8×
Superior sagittal sinus venogram (75870) $14,116.70 $21,718 4.7×
Tbs technical calculation only (77091) $395.20 $608 4.8×
Thoracic spine 2 views (72070) $477.10 $734 4.8×
Thoracic spine 3 views (72072) $477.10 $734 4.8×
Thoracolumbar 2 views (72080) $395.20 $608 4.8×
Ultrasound Breast Limited (76642) $395.20 $608 4.8×
Ultrasound Exam Aaa Screen (76706) $477.10 $734 4.8×
Ultrasound, abdomen limited (76705) $477.10 $734 4.8×
Unlisted magnetic resonance procedure (76498)
range across 4 matching MRF lines		 $800.15–$1,627.60 $1,231–$2,504 varies
Upper gi w/o kub (74240) $798.20 $1,228 4.8×
Us breast unilateral complete (76641) $477.10 $734 4.8×
Us chest (76604) $477.10 $734 4.8×
Us complete joint (76881) $477.10 $734 4.8×
Us exam, pelvic, limited (76857) $477.10 $734 4.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $477.10 $734 4.8×
Us ob limited 1 or more fetuses (76815) $477.10 $734 4.8×
Us pelvic non ob complete (76856) $477.10 $734 4.8×
Us retroperitoneal complete (76770) $477.10 $734 4.8×
Us retroperitoneal limited (76775) $477.10 $734 4.8×
Us scrotum and contents (76870) $477.10 $734 4.8×
Us thyroid (76536) $477.10 $734 4.8×
Wrist 2 views (73100) $395.20 $608 4.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $395.20 $608 4.8×
X-Ray Bend Only L-S Spine (72120) $477.10 $734 4.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $395.20 $608 4.8×
X-Ray Exam Breast Specimen (76098) $2,458.95 $3,783 4.8×
X-Ray Exam Entire Spi 1 Vw (72081) $395.20 $608 4.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $477.10 $734 4.8×
X-Ray Exam Entire Spi 4/5 Vw (72083) $477.10 $734 4.8×
X-Ray Exam Hip Uni 1 View (73501) $395.20 $608 4.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $395.20 $608 4.8×
X-Ray Exam Hip Uni 4/> Views (73503) $477.10 $734 4.8×
X-Ray Exam Hips Bi 2 Views (73521) $477.10 $734 4.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $477.10 $734 4.8×
X-Ray Exam Hips Bi 5/> Views (73523) $477.10 $734 4.8×
X-Ray Exam L-S Spine Bending (72114) $477.10 $734 4.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $395.20 $608 4.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $477.10 $734 4.8×
X-Ray Exam Unilat Ribs/Chest (71101) $477.10 $734 4.8×
X-ray eye for foreign body (70030) $395.20 $608 4.8×
X-ray humerus (73060) $395.20 $608 4.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $395.20 $608 4.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $477.10 $734 4.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $477.10 $734 4.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $477.10 $734 4.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $477.10 $734 4.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $395.20 $608 4.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $395.20 $608 4.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $477.10 $734 4.8×
X-Rays Bone Survey Complete (77075) $477.10 $734 4.8×
Xr c-spine 4 or 5 views (72050) $477.10 $734 4.8×
Xr facial bones less than 3 views (70140) $395.20 $608 4.8×
Xr orbits complete 4 views (70200) $477.10 $734 4.8×

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.