Imaging prices at Norton Scott Hospital

Scottsburg, IN · 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) $61.60 $308 0.7×
Abdomen 2 views (74019) $100.80 $504 0.9×
Ankle 2 views (73600)
range across 4 matching MRF lines
$66.40–$108 $332–$540 varies
Bone age studies (77072) $36.80 $184 0.3×
Bone Imaging 3 Phase (78315) $348.40 $1,742 0.8×
Bone Imaging Limited Area (78300) $222.40 $1,112 0.5×
Bone Imaging Whole Body (78306) $318.80 $1,594 0.8×
Bone survey infant (77076)
range across 2 matching MRF lines
$75.60–$159.40 $378–$797 varies
Chest 1 view (71045) $45.20 $226 0.5×
Chest 2 views (71046) $99.20 $496 1.1×
Chest 3 views (71047) $35.60 $178 0.4×
Chest 4 or more views (71048) $148.80 $744 1.3×
Clavicle complete (73000) $73.60 $368 0.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $17.60 $88 0.2×
CT abdomen and pelvis without and with contrast (74178) $718.40 $3,592 1.9×
CT abdomen and pelvis without contrast (74176) $479.20 $2,396 1.9×
CT abdomen w contrast (74160) $630.20 $3,151 3.4×
CT abdomen w wo contrast (74170) $721.80 $3,609 3.9×
CT abdomen w/o contrast (74150) $499 $2,495 4.5×
CT Angio Abdomen and Pelvis (74174) $1,063 $5,315 2.9×
CT Angio Chest (71275) $630.20 $3,151 3.4×
CT Angio Head (70496) $762.20 $3,811 4.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $913 $4,565 4.9×
CT Angio Neck (70498) $643.40 $3,217 3.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $926 $4,630 5.0×
CT cervical spine w/ contrast (72126) $258.40 $1,292 0.7×
CT cervical spine w/o contrast (72125) $512 $2,560 4.6×
CT cervical spine w/wo cont (72127) $961.40 $4,807 5.2×
CT chest w contrast (71260) $630.20 $3,151 3.4×
CT chest w/wo contrast (71270) $668.20 $3,341 3.6×
CT head/brain with contrast (70460) $538.20 $2,691 2.9×
CT head/brain without and with contrast (70470) $610.40 $3,052 3.3×
CT iac w contrast (70481) $442.40 $2,212 2.4×
CT l-spine w&w/o contrast (72133) $727.20 $3,636 3.9×
CT lower ext w/o (73700) $359.20 $1,796 3.2×
CT lower extremity w/contrast material (73701) $421 $2,105 2.3×
CT lumbar spine w contrast (72132) $453.60 $2,268 1.2×
CT lumbar spine w/o contrast (72131) $499 $2,495 4.5×
CT maxillofacial w contrast (70487) $635.20 $3,176 3.4×
CT maxillofacial wo contrast (70486) $499 $2,495 4.5×
CT neck tissue combo (70492) $686.60 $3,433 3.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $621.80 $3,109 3.4×
CT orbits w/o contrast (70480) $409.60 $2,048 3.7×
CT pelvis w&w/o contrast (72194) $668.20 $3,341 3.6×
CT pelvis w/o contrast (72192) $499 $2,495 4.5×
CT scan of leg combo (73702) $497.40 $2,487 2.7×
CT scans face/jaw combo (70488) $707 $3,535 3.8×
CT soft tissue neck w contrast (70491) $407.80 $2,039 2.2×
CT soft tissue neck w/o contrast (70490) $401.80 $2,009 3.6×
CT thoracic spine w contrast (72129) $734.20 $3,671 4.0×
CT thoracic spine w/o contrast (72128) $403 $2,015 3.6×
CT thorax w/o contrast (71250) $499 $2,495 4.5×
CT upper ext wo (73200) $430.80 $2,154 3.9×
CT upper extremity w/o & w/contrast material (73202) $723 $3,615 3.9×
CT upper extremity with contrast (73201) $452.40 $2,262 1.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $861.60 $4,308 4.6×
Cta Abdomen (74175) $874 $4,370 4.7×
Dxa Bone Density Axial (77080) $170.20 $851 1.5×
Dxa bone density study 1/>sites appendiclr skel (77081) $105.20 $526 1.1×
Esophagram (74220) $97.80 $489 0.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $249.80 $1,249 2.3×
Fluoroscopy up to 1 hr (76000) $190.60 $953 0.8×
Foot 2 views (73620)
range across 4 matching MRF lines
$35.40–$66.40 $177–$332 varies
Forearm 2 views (73090) $69.20 $346 0.8×
Gastric emptying imaging study (78264) $304.60 $1,523 0.7×
Hand 2 views (73120)
range across 4 matching MRF lines
$32.20–$64.20 $161–$321 varies
Hepatobil Syst Image W/Drug (78227) $304.60 $1,523 0.5×
Ht Muscle Image Spect Sing (78451) $387.40 $1,937 0.3×
K Flow/Funct Image W/Drug (78708) $283.40 $1,417 0.5×
K Flow/Funct Image W/O Drug (78707) $193.40 $967 0.3×
Knee 3 Views (73562) $114.20 $571 1.2×
Lung Ventilat&Perfus Imaging (78582) $637.40 $3,187 1.1×
Mra Head W/O & W/Contrast Material (70546) $1,189.20 $5,946 3.2×
MRA head w/o contrast (70544) $893.40 $4,467 3.5×
MRA head with contrast (70545) $1,011.80 $5,059 2.7×
Mra Neck W/O &W/Contrast Material (70549) $1,054.20 $5,271 2.9×
MRA neck w/o contrast (70547) $890.40 $4,452 3.5×
MRI abdomen w/o contrast (74181) $758 $3,790 3.0×
MRI any jt lower extrem w/contrast material (73722) $1,024.80 $5,124 1.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,030.80 $5,154 2.8×
MRI cervical spine w contrast (72142) $1,024.80 $5,124 2.8×
MRI cervical spine w/o cont (72141) $1,024.80 $5,124 4.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,024.80 $5,124 2.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$889.60–$1,132.60 $4,448–$5,663 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,024.80 $5,124 4.1×
MRI lumbar spine w contrast (72149) $1,247.20 $6,236 3.4×
Mri Neck Spine W/O & W/Dye (72156) $1,030.80 $5,154 2.8×
MRI orbit face &/neck w/o contrast (70540) $1,024.80 $5,124 4.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 2 matching MRF lines
$1,203.60–$1,203.80 $6,018–$6,019 varies
MRI pelvis w/o & w contrast (72197) $1,030.80 $5,154 2.8×
MRI pelvis w/o contrast (72195) $1,024.80 $5,124 4.1×
MRI thoracic spine w/o contrast (72146) $1,024.80 $5,124 4.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $738.40 $3,692 2.9×
Mri Uppr Extremity W/O&W/Dye (73220) $925 $4,625 2.5×
MRI, abdomen, combo (74183) $1,030.80 $5,154 2.8×
MRI, dorsal spine combo (72157) $1,030.80 $5,154 2.8×
MRI, dorsal spine contrast (72147) $1,287.20 $6,436 3.5×
MRI, joint upper extrem (73221) $1,024.80 $5,124 4.1×
MRI, joint upper extrem combo (73223) $1,030.80 $5,154 2.8×
MRI, lumbar spine combo (72158) $1,030.80 $5,154 2.8×
Myocardial Spect Multiple Studies (78452) $872 $4,360 0.6×
Neck soft tissue (70360) $60.80 $304 0.7×
Pelvis 1 or 2 views (72170) $97 $485 0.9×
Pulmonary Perfusion Imaging Particulate (78580) $247.80 $1,239 0.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022)
range across 2 matching MRF lines
$148.80–$187.40 $744–$937 varies
Radex Ankle Complete Minimum 3 Views (73610) $88.20 $441 1.0×
Radex Calcaneus Minimum 2 Views (73650) $67.80 $339 0.7×
Radex elbow complete minimum 3 views (73080) $102.80 $514 1.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $99.20 $496 0.9×
Radex fingr minimum 2 views (73140) $64.20 $321 0.7×
Radex foot complete minimum 3 views (73630) $70.20 $351 0.8×
Radex Hand Minimum 3 Views (73130) $66.40 $332 0.7×
Radex lower extremity infant minimum 2 views (73592) $66.20 $331 0.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $65.20 $326 0.7×
Radex Ribs Unilateral 2 Views (71100) $84 $420 0.9×
Radex shoulder complete minimum 2 views (73030) $115.60 $578 1.3×
Radex Sinuses Paransl < 3 Views (70210) $46.80 $234 0.5×
Radex Spine 1 View Specify Level (72020) $35.40 $177 0.4×
Radex Sternum Minimum 2 Views (71120) $72.60 $363 0.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $99.20 $496 1.1×
Radex Toe Minimum 2 Views (73660) $67.80 $339 0.7×
Radex Wrist Complete Minimum 3 Views (73110) $109.40 $547 1.2×
Radiolog exam mandible compl minimum 4 views (70110) $93.20 $466 0.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $112 $560 1.0×
Radiologic exam colon single contrast study (74270) $115.80 $579 0.6×
Radiologic exam knee complete 4/more views (73564) $131.80 $659 1.2×
Radiologic exam pelvis compl minimum 3 views (72190) $91.80 $459 0.8×
Radiologic Exam Small Int Single Contrast Study (74250) $180.80 $904 1.0×
Radiologic exam swallow function contrast study (74230) $93.80 $469 0.5×
Radiologic exam upr gi trc double contrast study (74246) $159.40 $797 0.9×
Radiologic examination femur minimum 2 views (73552) $87.60 $438 1.0×
Radiologic examination knee 1/2 views (73560)
range across 4 matching MRF lines
$99.80–$100 $499–$500 varies
Radiologic Examination Osseous Survey Limited (77074) $126.20 $631 1.1×
Radiologic examination tibia & fibula 2 views (73590)
range across 4 matching MRF lines
$34.20–$67.80 $171–$339 varies
Ribs bilateral 3 views (71110) $126 $630 1.1×
Scapula (73010) $66.80 $334 0.6×
Screening Digital Breast Tomosynthesis Bi (77063) $36.20 $181 1.5×
Shoulder 1 view (73020) $30.80 $154 0.3×
Skull less than 4 views (70250) $37.40 $187 0.3×
Thoracic spine 2 views (72070) $136.20 $681 1.2×
Thoracic spine 3 views (72072) $140 $700 1.3×
Thoracolumbar 2 views (72080) $279.20 $1,396 3.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $283.40 $1,417 0.7×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$146.80–$220 $734–$1,100 varies
Ultrasound Exam Aaa Screen (76706) $154.40 $772 1.4×
Ultrasound, abdomen limited (76705) $222.20 $1,111 2.0×
Unlisted magnetic resonance procedure (76498) $1,024.80 $5,124 11.1×
Unlisted us procedure (76999) $105.80 $529 1.1×
Upper gi w/o kub (74240) $104.40 $522 0.6×
Us breast unilateral complete (76641) $163 $815 1.5×
Us chest (76604) $182.20 $911 1.6×
Us exam, pelvic, limited (76857) $175.80 $879 1.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $72.20 $361 0.7×
Us ob detailed single fetus (76811) $237 $1,185 0.9×
Us ob transvaginal (76817) $255 $1,275 2.3×
Us pelvic non ob complete (76856) $229.40 $1,147 2.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $208.60 $1,043 1.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $237 $1,185 2.1×
Us retroperitoneal complete (76770) $245.40 $1,227 2.2×
Us retroperitoneal limited (76775) $162 $810 1.5×
Us scrotum and contents (76870) $230.60 $1,153 2.1×
Us spinal canal and contents (76800) $147.40 $737 1.3×
Us thyroid (76536) $182.20 $911 1.6×
Vertebral fracture assessment via dxa (77086) $88.40 $442 1.0×
Wrist 2 views (73100)
range across 3 matching MRF lines
$32.20–$64.20 $161–$321 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $84 $420 0.9×
X-Ray Bend Only L-S Spine (72120) $135.40 $677 1.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$25.80–$69.20 $129–$346 varies
X-Ray Exam Breast Specimen (76098) $30.60 $153 0.1×
X-Ray Exam Entire Spi 1 Vw (72081) $110.80 $554 1.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $124.80 $624 1.1×
X-Ray Exam Entire Spi 4/5 Vw (72083) $196.20 $981 1.8×
X-Ray Exam Hip Uni 1 View (73501) $66.80 $334 0.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $119 $595 1.3×
X-Ray Exam Hips Bi 2 Views (73521) $159.80 $799 1.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $86.20 $431 0.8×
X-Ray Exam L-S Spine Bending (72114) $165.80 $829 1.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $69.20 $346 0.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $172.40 $862 1.6×
X-Ray Exam Unilat Ribs/Chest (71101) $128.40 $642 1.2×
X-ray humerus (73060) $101.20 $506 1.1×
X-ray IV pyelogram (ivp) (74400) $147.80 $739 0.8×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $101.60 $508 1.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $64.20 $321 0.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $81.60 $408 0.7×
X-ray nose-rectum child f.b. (76010) $81.20 $406 0.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $170.60 $853 1.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $65 $325 0.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $103.60 $518 1.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $93.20 $466 1.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $81.60 $408 0.7×
X-Rays Bone Survey Complete (77075) $316.80 $1,584 2.9×
Xr c-spine 4 or 5 views (72050) $127.20 $636 1.1×
Xr orbits complete 4 views (70200)
range across 2 matching MRF lines
$87.80–$93.20 $439–$466 varies

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.