Imaging prices at Novant Health Medical Park Hospital
Winston-Salem, NC · every code in this section with a posted price and a Medicare benchmark.
121 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $216.60 | $361 | 2.6× |
| Abdomen 2 views (74019) | $256.20 | $427 | 2.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$157.80–$256.20 | $263–$427 | varies |
| Bone age studies (77072) | $178.80 | $298 | 1.8× |
| Bone survey infant (77076) | $256.20 | $427 | 2.5× |
| Chest 1 view (71045) | $216.60 | $361 | 2.6× |
| Chest 2 views (71046) | $256.20 | $427 | 3.0× |
| Chest 3 views (71047) | $309 | $515 | 3.7× |
| Chest 4 or more views (71048) | $328.20 | $547 | 3.2× |
| Cholecystography Oral Contrast (74290) | $245.40 | $409 | 1.4× |
| Clavicle complete (73000) | $216.60 | $361 | 2.6× |
| Contrast X-Ray Bladder (74430) | $309 | $515 | 0.9× |
| Contrast X-Ray Of Elbow (73085) | $595.20 | $992 | 1.8× |
| Dilation ureters/urethra rs&i (74485) | $1,420.20 | $2,367 | 0.7× |
| Dxa bone density study (77085) | $163.20 | $272 | 1.6× |
| Esophagram (74220) | $317.40 | $529 | 1.9× |
| Fluoroscopy up to 1 hr (76000) | $526.20 | $877 | 2.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$157.80–$256.20 | $263–$427 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$111.60–$256.20 | $186–$427 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$111.60–$256.20 | $186–$427 | varies |
| Infusion Ivp (74410) | $437.40 | $729 | 2.6× |
| Joint Survey Single View (77077) | $216.60 | $361 | 2.1× |
| Knee 3 Views (73562) | $309 | $515 | 3.7× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $2,275.80 | $3,793 | 1.6× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $3,510.60 | $5,851 | 1.6× |
| Neck soft tissue (70360) | $216.60 | $361 | 2.6× |
| Pelvis 1 or 2 views (72170) | $256.20 | $427 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $358.20 | $597 | 3.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $404.40 | $674 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $309 | $515 | 3.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $256.20 | $427 | 3.0× |
| Radex elbow complete minimum 3 views (73080) | $309 | $515 | 3.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $309 | $515 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$216.60–$256.20 | $361–$427 | varies |
| Radex foot complete minimum 3 views (73630) | $309 | $515 | 3.7× |
| Radex Hand Minimum 3 Views (73130) | $309 | $515 | 3.7× |
| Radex lower extremity infant minimum 2 views (73592) | $256.20 | $427 | 3.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $309 | $515 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $309 | $515 | 3.7× |
| Radex Ribs Unilateral 2 Views (71100) | $216.60 | $361 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) | $256.20 | $427 | 3.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $215.40 | $359 | 2.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $655.80 | $1,093 | 3.9× |
| Radex Spine 1 View Specify Level (72020) | $216.60 | $361 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $256.20 | $427 | 3.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $246.60 | $411 | 2.9× |
| Radex Toe Minimum 2 Views (73660) range across 11 matching MRF lines |
$215.40–$216.60 | $359–$361 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $256.20 | $427 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $309 | $515 | 3.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $354 | $590 | 3.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $328.20 | $547 | 3.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $309 | $515 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $678 | $1,130 | 4.0× |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$417–$523.20 | $695–$872 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $317.40 | $529 | 1.9× |
| Radiologic exam knee complete 4/more views (73564) | $328.20 | $547 | 3.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $309 | $515 | 3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $386.40 | $644 | 2.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $386.40 | $644 | 2.3× |
| Radiologic examination femur 1 view (73551) | $172.20 | $287 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) | $256.20 | $427 | 3.0× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$215.40–$256.20 | $359–$427 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $199.80 | $333 | 2.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$111.60–$256.20 | $186–$427 | varies |
| Ribs bilateral 3 views (71110) | $309 | $515 | 3.0× |
| Scapula (73010) | $309 | $515 | 3.0× |
| Sella turcica (70240) | $145.20 | $242 | 1.7× |
| Shoulder 1 view (73020) | $216.60 | $361 | 2.6× |
| Skull less than 4 views (70250) | $309 | $515 | 3.0× |
| Sternoclavicular joints (71130) | $309 | $515 | 3.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $349.20 | $582 | 2.1× |
| Thoracic spine 2 views (72070) | $256.20 | $427 | 2.5× |
| Thoracic spine 3 views (72072) | $309 | $515 | 3.0× |
| Thoracolumbar 2 views (72080) | $256.20 | $427 | 3.0× |
| Unlisted Dx Radiographic Procedure (76499) | $130.20 | $217 | 1.5× |
| Unlisted us procedure (76999) | $158.40 | $264 | 1.9× |
| Upper gi w/o kub (74240) | $358.20 | $597 | 2.1× |
| Urethrocystogram voiding (74455) | $484.20 | $807 | 2.1× |
| Urethrocystography retrograde (74450) | $409.20 | $682 | 1.8× |
| Vasogram (74440) | $260.40 | $434 | 1.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$111.60–$256.20 | $186–$427 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $309 | $515 | 3.7× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$339–$367.80 | $565–$613 | varies |
| X-Ray Bend Only L-S Spine (72120) | $328.20 | $547 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$111.60–$256.20 | $186–$427 | varies |
| X-Ray Exam Breast Specimen (76098) | $498.60 | $831 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $204.60 | $341 | 2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $234 | $390 | 2.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $258 | $430 | 2.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $216.60 | $361 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $275.40 | $459 | 3.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $328.20 | $547 | 3.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $256.20 | $427 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $328.20 | $547 | 3.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $355.20 | $592 | 3.5× |
| X-Ray Exam L-S Spine Bending (72114) | $429.60 | $716 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $309 | $515 | 3.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $410.40 | $684 | 4.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $256.20 | $427 | 2.5× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$111.60–$256.20 | $186–$427 | varies |
| X-ray IV pyelogram (ivp) (74400) | $402 | $670 | 2.4× |
| X-ray IV pyelogram+tomography (74415) | $504 | $840 | 3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $328.20 | $547 | 3.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $309 | $515 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $199.20 | $332 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $309 | $515 | 3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $309 | $515 | 3.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$308.40–$309 | $514–$515 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $256.20 | $427 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $309 | $515 | 3.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $328.20 | $547 | 3.2× |
| X-Ray Stress View (77071) | $143.40 | $239 | 1.7× |
| X-ray thoracic spine 4 vw (72074) | $328.20 | $547 | 3.2× |
| X-Ray Tmj Unilat (70328) | $256.80 | $428 | 3.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $490.20 | $817 | 1.4× |
| X-Rays Bone Length Studies (77073) | $207.60 | $346 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $369.60 | $616 | 3.6× |
| Xr c-spine 4 or 5 views (72050) | $328.20 | $547 | 3.2× |
| Xr facial bones less than 3 views (70140) | $256.20 | $427 | 3.0× |
| Xr orbits complete 4 views (70200) | $328.20 | $547 | 3.2× |
| Xr Tomogram Single Plane (76100) | $242.40 | $404 | 2.4× |
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.