Imaging prices at Mary Breckinridge ARH Hospital

Hyden, KY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $294 $490 3.6×
Abdomen 2 views (74019) $388.80 $648 4.0×
Ankle 2 views (73600)
range across 3 matching MRF lines
$265.80–$532.80 $443–$888 varies
Bone age studies (77072) $247.80 $413 2.5×
Bone survey infant (77076) $339 $565 3.5×
Chest 1 view (71045) $213.60 $356 2.6×
Chest 2 views (71046) $251.40 $419 3.1×
Chest 3 views (71047) $388.80 $648 4.8×
Clavicle complete (73000)
range across 3 matching MRF lines
$294–$589.20 $490–$982 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $2,011.80 $3,353 20.5×
CT abdomen and pelvis without and with contrast (74178) $5,270.40 $8,784 16.1×
CT abdomen and pelvis without contrast (74176) $3,292.80 $5,488 14.7×
CT abdomen w contrast (74160) $1,892.40 $3,154 11.5×
CT abdomen w wo contrast (74170) $2,256.60 $3,761 13.7×
CT abdomen w/o contrast (74150) $1,533 $2,555 15.6×
CT Angio Abdomen and Pelvis (74174) $4,842.60 $8,071 14.8×
CT Angio Chest (71275) $2,693.40 $4,489 16.4×
CT Angio Head (70496) $2,098.20 $3,497 12.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $4,195.80 $6,993 25.5×
CT Angio Neck (70498) $2,098.20 $3,497 12.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,098.80 $3,498 12.8×
CT cervical spine w/ contrast (72126) $2,461.80 $4,103 7.5×
CT cervical spine w/o contrast (72125) $2,537.40 $4,229 25.9×
CT cervical spine w/wo cont (72127) $2,693.40 $4,489 16.4×
CT chest w contrast (71260) $2,422.80 $4,038 14.7×
CT chest w/wo contrast (71270) $2,899.80 $4,833 17.6×
CT head/brain with contrast (70460) $1,577.40 $2,629 9.6×
CT head/brain without and with contrast (70470) $2,240.40 $3,734 13.6×
CT lower ext w/o (73700)
range across 3 matching MRF lines
$1,463.40–$2,926.80 $2,439–$4,878 varies
CT lower extremity w/contrast material (73701) $2,067.60 $3,446 12.6×
CT lumbar spine w/o contrast (72131) $2,088.60 $3,481 21.3×
CT maxillofacial w contrast (70487) $2,067.60 $3,446 12.6×
CT maxillofacial wo contrast (70486) $1,595.40 $2,659 16.3×
CT neck tissue combo (70492) $2,346.60 $3,911 14.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,346.60 $3,911 14.3×
CT orbits w/o contrast (70480) $1,636.20 $2,727 16.7×
CT pelvis w&w/o contrast (72194) $3,015.60 $5,026 18.3×
CT pelvis w/o contrast (72192) $1,700.40 $2,834 17.3×
CT scans face/jaw combo (70488) $2,346.60 $3,911 14.3×
CT soft tissue neck w contrast (70491) $2,067.60 $3,446 12.6×
CT soft tissue neck w/o contrast (70490) $1,636.20 $2,727 16.7×
CT thoracic spine w/o contrast (72128) $2,247 $3,745 22.9×
CT thorax w/o contrast (71250) $2,011.80 $3,353 20.5×
CT upper ext wo (73200) $1,463.40 $2,439 14.9×
CT upper extremity with contrast (73201) $2,067.60 $3,446 6.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,219.40 $3,699 13.5×
Dxa Bone Density Axial (77080) $579.60 $966 5.9×
Dxa bone density study (77085) $293.40 $489 3.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $89.40 $149 1.1×
Foot 2 views (73620)
range across 3 matching MRF lines
$231.60–$462 $386–$770 varies
Forearm 2 views (73090) $285.60 $476 3.5×
Hand 2 views (73120)
range across 4 matching MRF lines
$213.60–$426.60 $356–$711 varies
Knee 3 Views (73562)
range across 3 matching MRF lines
$231.60–$462 $386–$770 varies
MRI cervical spine w/o cont (72141) $3,052.20 $5,087 13.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,166.60 $3,611 9.7×
MRI orbit face &/neck w/o contrast (70540) $3,052.20 $5,087 13.6×
MRI thoracic spine w/o contrast (72146) $3,205.20 $5,342 14.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,306.40 $3,844 10.3×
MRI, joint upper extrem (73221) $3,205.20 $5,342 14.3×
MRI, joint upper extrem combo (73223) $3,205.20 $5,342 9.8×
Neck soft tissue (70360) $265.80 $443 3.3×
Pelvis 1 or 2 views (72170) $294 $490 3.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $684.60 $1,141 7.0×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$317.40–$633.60 $529–$1,056 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$285.60–$568.20 $476–$947 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$333–$666.60 $555–$1,111 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $432.60 $721 4.4×
Radex fingr minimum 2 views (73140) $238.20 $397 2.9×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$301.20–$600 $502–$1,000 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$300.60–$598.80 $501–$998 varies
Radex lower extremity infant minimum 2 views (73592) $361.20 $602 4.4×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $1,273.20 $2,122 13.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $294 $490 3.6×
Radex Ribs Unilateral 2 Views (71100) $383.40 $639 4.7×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$294–$589.20 $490–$982 varies
Radex Sinuses Paransl < 3 Views (70210) $259.80 $433 3.2×
Radex Spine 1 View Specify Level (72020) $294 $490 3.6×
Radex Sternum Minimum 2 Views (71120) $247.80 $413 3.0×
Radex Toe Minimum 2 Views (73660)
range across 3 matching MRF lines
$173.40–$346.80 $289–$578 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$331.20–$663 $552–$1,105 varies
Radiolog exam mandible compl minimum 4 views (70110) $477.60 $796 4.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $397.80 $663 4.1×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$364.80–$729.60 $608–$1,216 varies
Radiologic exam pelvis compl minimum 3 views (72190) $304.20 $507 3.1×
Radiologic examination femur 1 view (73551) $140.40 $234 1.7×
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$294–$589.20 $490–$982 varies
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$205.80–$412.20 $343–$687 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$301.20–$600 $502–$1,000 varies
Ribs bilateral 3 views (71110) $581.40 $969 5.9×
Scapula (73010) $294 $490 3.0×
Shoulder 1 view (73020) $190.20 $317 2.3×
Skull less than 4 views (70250) $259.80 $433 2.6×
Thoracic spine 2 views (72070) $315 $525 3.2×
Thoracic spine 3 views (72072) $449.40 $749 4.6×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$462.60–$924.60 $771–$1,541 varies
Ultrasound Exam Aaa Screen (76706) $405 $675 4.1×
Ultrasound, abdomen limited (76705) $664.20 $1,107 6.8×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$462.60–$924.60 $771–$1,541 varies
Us chest (76604) $898.80 $1,498 9.2×
Us complete joint (76881) $227.40 $379 2.3×
Us exam, pelvic, limited (76857) $637.20 $1,062 6.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$149.40–$299.40 $249–$499 varies
Us ob limited 1 or more fetuses (76815) $643.20 $1,072 6.6×
Us ob transvaginal (76817) $813 $1,355 8.3×
Us pelvic non ob complete (76856) $918.60 $1,531 9.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $809.40 $1,349 8.3×
Us preg uterus real time f/u trnsabdl per fetus (76816) $809.40 $1,349 8.3×
Us retroperitoneal complete (76770) $581.40 $969 5.9×
Us retroperitoneal limited (76775)
range across 3 matching MRF lines
$159–$811.80 $265–$1,353 varies
Us scrotum and contents (76870) $907.20 $1,512 9.2×
Us thyroid (76536) $723.60 $1,206 7.4×
Wrist 2 views (73100)
range across 3 matching MRF lines
$285.60–$570 $476–$950 varies
X-Ray Bend Only L-S Spine (72120) $366 $610 3.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $255 $425 3.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $541.20 $902 5.5×
X-Ray Exam Hip Uni 1 View (73501) $213 $355 2.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $234 $390 2.9×
X-Ray Exam Hip Uni 4/> Views (73503) $243 $405 2.5×
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines
$569.40–$578.40 $949–$964 varies
X-Ray Exam Hips Bi 3-4 Views (73522) $571.80 $953 5.8×
X-Ray Exam L-S Spine Bending (72114) $648 $1,080 6.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $333 $555 4.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $581.40 $969 5.9×
X-Ray Exam Unilat Ribs/Chest (71101) $468.60 $781 4.8×
X-ray humerus (73060)
range across 3 matching MRF lines
$294–$589.20 $490–$982 varies
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $399 $665 4.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $348 $580 3.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $664.20 $1,107 6.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $364.80 $608 3.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $161.40 $269 1.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $333 $555 4.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $477 $795 5.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $477.60 $796 4.9×
X-Rays Bone Length Studies (77073) $320.40 $534 3.3×
Xr c-spine 4 or 5 views (72050) $445.80 $743 4.5×

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.