Imaging prices at Minnie Hamilton Health System

Grantsville, WV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 2 matching MRF lines		 $114–$218 $114–$218 varies
Abdomen 2 views (74019) $204 $204 2.0×
Ankle 2 views (73600) $108 $108 1.3×
Bone age studies (77072) $69 $69 0.7×
Chest 1 view (71045)
range across 2 matching MRF lines		 $178–$181 $178–$181 varies
Chest 2 views (71046) $218 $218 2.6×
Chest 3 views (71047)
range across 2 matching MRF lines		 $305–$310 $305–$310 varies
Clavicle complete (73000) $96 $96 1.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $128 $128 1.3×
CT abdomen and pelvis without and with contrast (74178) $1,236 $1,236 3.7×
CT abdomen and pelvis without contrast (74176) $556 $556 2.4×
CT abdomen w contrast (74160) $818 $818 4.9×
CT abdomen w wo contrast (74170) $939 $939 5.6×
CT abdomen w/o contrast (74150)
range across 2 matching MRF lines		 $441–$556 $441–$556 varies
CT Angio Abdomen and Pelvis (74174) $1,361 $1,361 4.1×
CT Angio Chest (71275)
range across 2 matching MRF lines		 $818–$1,021 $818–$1,021 varies
CT Angio Head (70496) $1,005 $1,005 6.0×
CT Angio Neck (70498) $1,002 $1,002 6.0×
CT cervical spine w/o contrast (72125) $641 $641 6.4×
CT chest w contrast (71260) $818 $818 4.9×
CT chest w/wo contrast (71270) $1,006 $1,006 6.0×
CT head/brain without and with contrast (70470) $627 $627 3.7×
CT lower ext w/o (73700) $635 $635 6.3×
CT lower extremity w/contrast material (73701) $822 $822 4.9×
CT lumbar spine w/o contrast (72131) $635 $635 6.3×
CT maxillofacial w contrast (70487) $543 $543 3.2×
CT maxillofacial wo contrast (70486) $472 $472 4.7×
CT neck tissue combo (70492) $1,002 $1,002 6.0×
CT pelvis w/o contrast (72192) $448 $448 4.5×
CT soft tissue neck w contrast (70491) $810 $810 4.8×
CT soft tissue neck w/o contrast (70490) $631 $631 6.3×
CT thoracic spine w/o contrast (72128) $639 $639 6.4×
CT thorax w/o contrast (71250) $633 $633 6.3×
CT upper ext wo (73200) $633 $633 6.3×
Dxa Bone Density Axial (77080) $204 $204 2.0×
Foot 2 views (73620) $91 $91 1.1×
Forearm 2 views (73090) $114 $114 1.4×
Hand 2 views (73120) $204 $204 2.0×
Neck soft tissue (70360) $100 $100 1.2×
Pelvis 1 or 2 views (72170) $204 $204 2.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $204 $204 2.0×
Radex Ankle Complete Minimum 3 Views (73610) $114 $114 1.4×
Radex Calcaneus Minimum 2 Views (73650) $114 $114 1.4×
Radex elbow complete minimum 3 views (73080) $113 $113 1.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $204 $204 2.0×
Radex fingr minimum 2 views (73140) $124 $124 1.5×
Radex foot complete minimum 3 views (73630) $105 $105 1.3×
Radex Hand Minimum 3 Views (73130) $110 $110 1.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $119 $119 1.4×
Radex Ribs Unilateral 2 Views (71100) $109 $109 1.3×
Radex shoulder complete minimum 2 views (73030) $179 $179 2.1×
Radex Sinuses Paransl < 3 Views (70210) $106 $106 1.3×
Radex Sternum Minimum 2 Views (71120) $96 $96 1.1×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $175 $175 2.1×
Radex Toe Minimum 2 Views (73660) $108 $108 1.3×
Radex Wrist Complete Minimum 3 Views (73110) $134 $134 1.6×
Radiolog exam mandible compl minimum 4 views (70110) $204 $204 2.0×
Radiologic exam knee complete 4/more views (73564) $204 $204 2.0×
Radiologic examination femur minimum 2 views (73552) $116 $116 1.4×
Radiologic examination knee 1/2 views (73560) $113 $113 1.4×
Radiologic examination tibia & fibula 2 views (73590) $104 $104 1.2×
Scapula (73010) $218 $218 2.2×
Screening Digital Breast Tomosynthesis Bi (77063) $146 $146 6.2×
Skull less than 4 views (70250) $118 $118 1.2×
Thoracic spine 3 views (72072) $204 $204 2.0×
Thoracolumbar 2 views (72080) $100 $100 1.2×
Ultrasound Breast Limited (76642) $270 $270 3.2×
Ultrasound, abdomen limited (76705)
range across 5 matching MRF lines		 $305–$308 $305–$308 varies
Us breast unilateral complete (76641) $352 $352 3.5×
Us complete joint (76881) $213 $213 2.1×
Us exam, pelvic, limited (76857) $204 $204 2.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $60 $60 0.6×
Us pelvic non ob complete (76856) $376 $376 3.7×
Us retroperitoneal limited (76775) $204 $204 2.0×
Us scrotum and contents (76870) $181 $181 1.8×
Us thyroid (76536) $438 $438 4.4×
Wrist 2 views (73100) $105 $105 1.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $229 $229 2.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $151 $151 1.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $204 $204 2.0×
X-Ray Exam L-S Spine Bending (72114) $224 $224 2.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $109 $109 1.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $188 $188 1.9×
X-ray humerus (73060) $105 $105 1.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $135 $135 1.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $204 $204 2.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $204 $204 2.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $204 $204 2.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $113 $113 1.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $141 $141 1.4×
X-Rays Bone Survey Complete (77075) $296 $296 3.0×
Xr c-spine 4 or 5 views (72050) $204 $204 2.0×
Xr orbits complete 4 views (70200) $141 $141 1.4×

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.