Imaging prices at Olympia Fields Hospital

Olympia Fields, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $1,475 $11,571 1.0×
Abdomen 1 View (74018) $92 $463.95 1.0×
Abdomen 2 views (74019) $111 $580 1.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $426 $2,131.50 1.0×
Angiography extremity bilateral rs&i (75716)
range across 2 matching MRF lines		 $3,367 $16,835.15–$16,835.20 1.0×
Angiography extremity unilateral rs&i (75710)
range across 2 matching MRF lines		 $3,367 $16,835.15–$16,835.20 1.0×
Ankle 2 views (73600) $92 $463.95 1.0×
Artery X-Rays Abdomen (75726) $5,933 $29,668.90 1.0×
Artery X-Rays Pelvis (75736) $5,933 $29,668.90 1.0×
Arthrogram hip (73525) $372 $2,236 1.0×
Basic radiation dosimetry calculation (77300) $143 $1,447 1.0×
Bone age studies (77072) $111 $557.40 1.0×
Bone Imaging 3 Phase (78315) $426 $4,077 1.0×
Bone Imaging Whole Body (78306) $426 $4,077 1.0×
Bone survey infant (77076) $111 $606 1.0×
Brachytx Isodose Plan Simple (77316) $399 $1,996.35 1.0×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $579 $5,391 1.0×
Cat Scan Follow-Up Study (76380) $92 $1,579 1.0×
Chest 1 view (71045) $92 $526 1.0×
Chest 2 views (71046) $92 $487 1.0×
Chest 3 views (71047) $92 $463.95 1.0×
Chest 4 or more views (71048) $111 $657 1.0×
Clavicle complete (73000) $92 $463.95 1.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $111 $557.40 1.0×
Continuing medical physics consltj pr wk (77336) $143 $1,315 1.0×
Contrast Exam Abdominl Aorta (75625)
range across 2 matching MRF lines		 $3,367 $16,835.15–$16,835.20 1.0×
Contrast X-Ray Bladder (74430) $372 $1,860.10 1.0×
Contrast X-Ray Of Knee Joint (73580) $372 $2,103 1.0×
CT abdomen and pelvis without and with contrast (74178) $372 $7,890 1.0×
CT abdomen and pelvis without contrast (74176) $254 $5,260 1.0×
CT abdomen w contrast (74160) $187 $4,471 1.0×
CT abdomen w wo contrast (74170) $187 $5,260 1.0×
CT abdomen w/o contrast (74150) $111 $3,683 1.0×
CT Angio Abdomen and Pelvis (74174) $372 $5,260 1.0×
CT Angio Chest (71275) $187 $5,916 1.0×
CT Angio Head (70496) $187 $5,916 1.0×
CT angio hrt w/3d image (75574) $372 $3,288 1.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $187 $5,260 1.0×
CT Angio Neck (70498) $187 $5,916 1.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $187 $5,260 1.0×
CT cervical spine w/ contrast (72126) $372 $4,471 1.0×
CT cervical spine w/o contrast (72125) $111 $3,683 1.0×
CT cervical spine w/wo cont (72127) $187 $5,260 1.0×
CT chest w contrast (71260) $187 $4,471 1.0×
CT chest w/wo contrast (71270) $187 $5,260 1.0×
CT head/brain with contrast (70460) $187 $4,471 1.0×
CT head/brain without and with contrast (70470) $187 $5,260 1.0×
CT heart contrast eval cardiac structure&morph (75572) $372 $3,288 1.0×
CT heart no contrast quant eval coronry calcium (75571) $92 $463.95 1.0×
CT hrt w/3d image congen (75573) $372 $1,860.10 1.0×
CT iac w contrast (70481) $187 $4,471 1.0×
CT l-spine w&w/o contrast (72133) $187 $5,260 1.0×
CT lower ext w/o (73700) $111 $3,683 1.0×
CT lower extremity w/contrast material (73701) $187 $4,471 1.0×
CT lumbar spine w contrast (72132) $372 $4,471 1.0×
CT lumbar spine w/o contrast (72131) $111 $3,683 1.0×
CT maxillofacial w contrast (70487) $187 $4,471 1.0×
CT maxillofacial wo contrast (70486) $111 $3,683 1.0×
CT neck tissue combo (70492) $187 $5,260 1.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $187 $5,260 1.0×
CT orbits w/o contrast (70480) $111 $3,683 1.0×
CT pelvis w&w/o contrast (72194) $187 $5,260 1.0×
CT pelvis w/o contrast (72192) $111 $3,683 1.0×
CT scan of leg combo (73702) $187 $5,260 1.0×
CT scans face/jaw combo (70488) $187 $5,260 1.0×
CT soft tissue neck w contrast (70491) $187 $4,471 1.0×
CT soft tissue neck w/o contrast (70490) $111 $3,683 1.0×
CT thoracic spine w contrast (72129) $187 $4,471 1.0×
CT thoracic spine w/o contrast (72128) $111 $3,683 1.0×
CT thoracic spine w/wo cont (72130) $187 $5,260 1.0×
CT thorax w/o contrast (71250) $111 $3,683 1.0×
CT upper ext wo (73200) $111 $3,683 1.0×
CT upper extremity w/o & w/contrast material (73202) $187 $5,260 1.0×
CT upper extremity with contrast (73201) $372 $4,471 1.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $187 $5,916 1.0×
Cta Abdomen (74175) $187 $5,260 1.0×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $372 $11,488 1.0×
CTA pelvis (72191) $187 $5,260 1.0×
Dxa Bone Density Axial (77080) $111 $987 1.0×
Esophagram (74220) $187 $1,145 1.0×
Fetal Biophys Profile W/Nst (76818) $111 $974 1.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $111 $1,315 1.0×
Fluoroscopy up to 1 hr (76000) $254 $1,447 1.0×
Foot 2 views (73620) $92 $463.95 1.0×
Forearm 2 views (73090) $92 $567 1.0×
Gastric emptying imaging study (78264) $426 $3,814 1.0×
Gated Heart Planar Single (78472) $426 $2,761 1.0×
Hand 2 views (73120) $111 $557.40 1.0×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $742 $5,524 1.0×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889)
range across 2 matching MRF lines		 $3,367 $16,835.15–$16,835.20 1.0×
Hepatobil Syst Image W/Drug (78227) $579 $3,814 1.0×
Hepatobiliary System Imaging (78226) $426 $2,892 1.0×
Ht Muscle Image Spect Sing (78451) $1,380 $6,902.80 1.0×
Hysterosalpingogram (74740) $254 $2,103 1.0×
K Flow/Funct Image W/Drug (78708) $579 $2,895 1.0×
K Flow/Funct Image W/O Drug (78707) $579 $2,895 1.0×
Knee 3 Views (73562) $92 $526 1.0×
Lung Ventilat&Perfus Imaging (78582) $579 $3,288 1.0×
Lung Ventilation Imaging (78579) $426 $2,500 1.0×
Lymph System Imaging (78195) $579 $2,895 1.0×
Meckels Divert Exam (78290) $426 $2,131.50 1.0×
Mlc imrt design & construction per imrt plan (77338) $399 $10,783 1.0×
Mra Head W/O & W/Contrast Material (70546) $372 $5,916 1.0×
MRA head w/o contrast (70544) $254 $4,603 1.0×
MRA head with contrast (70545) $372 $5,260 1.0×
MRA neck w contrast (70548) $372 $5,260 1.0×
Mra Neck W/O &W/Contrast Material (70549) $372 $5,916 1.0×
MRA neck w/o contrast (70547) $254 $4,603 1.0×
MRI abdomen w contrast (74182) $372 $5,260 1.0×
MRI abdomen w/o contrast (74181) $254 $4,603 1.0×
MRI any jt lower extrem w/contrast material (73722) $835 $5,260 1.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $372 $5,916 1.0×
MRI any jt upper extremity w/contrast matrl (73222) $835 $5,260 1.0×
MRI Breast W/O Contrast Bilateral (77047) $254 $1,272.20 1.0×
MRI cervical spine w contrast (72142) $372 $5,260 1.0×
MRI cervical spine w/o cont (72141) $254 $4,603 1.0×
MRI chest w/o contrast (71550) $254 $4,603 1.0×
MRI chest wo w contrast (71552) $372 $5,916 1.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $372 $5,916 1.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $254 $4,603 1.0×
MRI lumbar spine w contrast (72149) $372 $5,260 1.0×
Mri Neck Spine W/O & W/Dye (72156) $372 $5,916 1.0×
MRI orbit face &/neck w/o contrast (70540) $254 $4,603 1.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $372 $5,916 1.0×
MRI pelvis w contrast (72196) $372 $5,260 1.0×
MRI pelvis w/o & w contrast (72197) $372 $5,916 1.0×
MRI pelvis w/o contrast (72195) $254 $4,603 1.0×
MRI thoracic spine w/o contrast (72146) $254 $4,603 1.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $254 $4,603 1.0×
Mri Uppr Extremity W/O&W/Dye (73220) $372 $5,916 1.0×
MRI, abdomen, combo (74183) $372 $5,916 1.0×
MRI, dorsal spine combo (72157) $372 $5,916 1.0×
MRI, joint upper extrem (73221) $254 $4,603 1.0×
MRI, joint upper extrem combo (73223) $372 $5,916 1.0×
MRI, lumbar spine combo (72158) $372 $5,916 1.0×
Myocardial Imaging Pet Metabolic Evaluation (78459) $1,380 $6,902.80 1.0×
Myocardial Spect Multiple Studies (78452) $1,380 $7,757 1.0×
Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) $1,524 $7,624.20 1.0×
N-invas est c ffr sw aly CTA (75580) $915 $4,578.65 1.0×
Neck soft tissue (70360) $92 $463.95 1.0×
Ntsty modul radthx pln dose-vol histos (77301) $1,475 $17,093 1.0×
Nuclear Rx Intra-Arterial (79445) $248 $1,244.05 1.0×
Nuclear Rx Oral Admin (79005) $248 $1,972 1.0×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $111 $557.40 1.0×
Parathyroid planar imaging w/wo subtraction (78071) $426 $2,131.50 1.0×
Pelvis 1 or 2 views (72170) $111 $567 1.0×
PET image w/CT, full body (78816) $1,524 $10,124 1.0×
PET imaging CT attenuation skull base mid-thigh (78815) $1,524 $12,492 1.0×
Pulmonary Perfusion Imaging Particulate (78580) $426 $2,131.50 1.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $111 $974 1.0×
Radex abscess/fistula/sinus tract rs&i (76080) $582 $2,913.35 1.0×
Radex Ankle Complete Minimum 3 Views (73610) $92 $554 1.0×
Radex Calcaneus Minimum 2 Views (73650) $92 $463.95 1.0×
Radex elbow complete minimum 3 views (73080) $92 $618 1.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $111 $618 1.0×
Radex fingr minimum 2 views (73140) $92 $463.95 1.0×
Radex foot complete minimum 3 views (73630) $92 $501 1.0×
Radex Hand Minimum 3 Views (73130) $92 $606 1.0×
Radex lower extremity infant minimum 2 views (73592) $92 $487 1.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $92 $515 1.0×
Radex Ribs Unilateral 2 Views (71100) $92 $463.95 1.0×
Radex shoulder complete minimum 2 views (73030) $92 $618 1.0×
Radex Sinuses Paransl < 3 Views (70210) $92 $463.95 1.0×
Radex Spine 1 View Specify Level (72020) $92 $463.95 1.0×
Radex Sternum Minimum 2 Views (71120) $92 $463.95 1.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $92 $463.95 1.0×
Radex Toe Minimum 2 Views (73660) $92 $463.95 1.0×
Radex upper extremity infant minimum 2 views (73092) $111 $606 1.0×
Radex Wrist Complete Minimum 3 Views (73110) $92 $592 1.0×
Radiation Delivery Stereotactic Cranial Linear (77372)
range across 2 matching MRF lines		 $7,854 $39,270.55–$39,270.60 1.0×
Radiation treatment delivery level 1 (77402) $108 $3,202 1.0×
Radiation treatment delivery level 2 (77407) $411 $3,202 1.0×
Radiation treatment delivery level 3 (77412) $589 $8,001 1.0×
Radiolog exam mandible compl minimum 4 views (70110) $111 $606 1.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $111 $697 1.0×
Radiologic exam colon double contrast study (74280) $187 $1,579 1.0×
Radiologic exam colon single contrast study (74270) $187 $1,145 1.0×
Radiologic Exam Esophagus Double Contrast Study (74221) $187 $935.20 1.0×
Radiologic exam knee complete 4/more views (73564) $111 $618 1.0×
Radiologic exam pelvis compl minimum 3 views (72190) $111 $567 1.0×
Radiologic Exam Small Int Single Contrast Study (74250) $187 $1,132 1.0×
Radiologic exam swallow function contrast study (74230) $187 $1,000 1.0×
Radiologic exam upr gi trc double contrast study (74246) $187 $1,182 1.0×
Radiologic examination femur 1 view (73551) $92 $463.95 1.0×
Radiologic examination femur minimum 2 views (73552) $92 $580 1.0×
Radiologic examination knee 1/2 views (73560) $92 $463.95 1.0×
Radiologic examination tibia & fibula 2 views (73590) $92 $515 1.0×
Ribs bilateral 3 views (71110) $111 $1,182 1.0×
Rp loclzj tum plnr 1 area single day imaging (78800) $426 $2,131.50 1.0×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $579 $6,707 1.0×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $579 $4,077 1.0×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $579 $3,288 1.0×
Scapula (73010) $111 $557.40 1.0×
Screening Digital Breast Tomosynthesis Bi (77063) $23 $108.35 1.0×
Shoulder 1 view (73020) $92 $463.95 1.0×
Shoulder Arthrography (73040) $372 $2,103 1.0×
Skull less than 4 views (70250) $111 $606 1.0×
Special Physics Consult (77370) $143 $1,315 1.0×
Special teletherapy port plan (77321) $399 $2,368 1.0×
Special treatment procedure (77470) $589 $5,655 1.0×
Stereotactic Body Radiation Delivery (77373) $1,906 $9,533.55 1.0×
Sternoclavicular joints (71130) $92 $463.95 1.0×
Telethx isodose pln cplx w/basic dosimetry (77307) $399 $1,996.35 1.0×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $399 $4,603 1.0×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $399 $2,631 1.0×
Ther rad simulaj-aided field setting simple (77280) $143 $2,236 1.0×
Thoracic spine 2 views (72070) $111 $557.40 1.0×
Thoracic spine 3 views (72072) $111 $776 1.0×
Thoracolumbar 2 views (72080) $92 $463.95 1.0×
Thyroid Imaging With Vascular Flow (78013) $426 $2,131.50 1.0×
Thyroid Met Imaging Body (78018) $579 $2,895 1.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $426 $2,631 1.0×
Tx Devices Design & Construction Complex (77334) $399 $2,631 1.0×
Tx devices design & construction intermediate (77333) $143 $1,447 1.0×
Tx devices design & construction simple (77332) $143 $1,447 1.0×
Ultrasound Breast Limited (76642) $92 $1,026 1.0×
Ultrasound Exam Aaa Screen (76706) $111 $657 1.0×
Ultrasound, abdomen limited (76705) $111 $1,842 1.0×
Umbilical-artery Doppler (OB) (76820) $111 $921 1.0×
Upper gi w/o kub (74240) $187 $1,000 1.0×
Urethrocystogram voiding (74455) $254 $2,103 1.0×
Urethrocystography retrograde (74450) $254 $1,272.20 1.0×
Us breast unilateral complete (76641) $111 $1,066 1.0×
Us chest (76604) $111 $949 1.0×
Us complete joint (76881) $111 $974 1.0×
Us exam, pelvic, limited (76857) $111 $567 1.0×
Us head (76506) $111 $1,105 1.0×
Us kidney transplant (76776) $111 $1,198 1.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $111 $646 1.0×
Us ob limited 1 or more fetuses (76815) $111 $1,198 1.0×
Us ob transvaginal (76817) $111 $961 1.0×
Us pelvic non ob complete (76856) $111 $1,710 1.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $111 $987 1.0×
Us preg uterus real time f/u trnsabdl per fetus (76816) $111 $632 1.0×
Us retroperitoneal complete (76770) $111 $2,103 1.0×
Us retroperitoneal limited (76775) $111 $1,579 1.0×
Us scrotum and contents (76870) $111 $1,579 1.0×
Us spinal canal and contents (76800) $111 $776 1.0×
Us thyroid (76536) $111 $1,710 1.0×
Us transrectal (76872) $111 $1,447 1.0×
Vein X-Ray Chest (75827) $1,678 $8,393.10 1.0×
Venogram Sinus/Jugular (75860)
range across 2 matching MRF lines		 $3,367 $16,835.15–$16,835.20 1.0×
Venography caval inferior serialography rs&i (75825)
range across 2 matching MRF lines		 $3,367 $16,835.15–$16,835.20 1.0×
Venography extremity bilateral rs&i (75822) $1,678 $8,393.10 1.0×
Venography extremity unilateral rs&i (75820) $1,678 $8,393.10 1.0×
Venography Renal Unilateral (75831)
range across 2 matching MRF lines		 $3,367 $16,835.15–$16,835.20 1.0×
Venous sampling by catheter (75893) $5,933 $29,668.90 1.0×
Wrist 2 views (73100) $92 $463.95 1.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $92 $463.95 1.0×
X-Ray Bend Only L-S Spine (72120) $111 $790 1.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $92 $463.95 1.0×
X-Ray Exam Breast Specimen (76098) $582 $2,913.35 1.0×
X-Ray Exam Entire Spi 1 Vw (72081) $92 $463.95 1.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $111 $606 1.0×
X-Ray Exam Hip Uni 1 View (73501) $92 $463.95 1.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $92 $463.95 1.0×
X-Ray Exam Hip Uni 4/> Views (73503) $111 $592 1.0×
X-Ray Exam Hips Bi 2 Views (73521) $111 $697 1.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $111 $895 1.0×
X-Ray Exam Hips Bi 5/> Views (73523) $111 $1,145 1.0×
X-Ray Exam L-S Spine Bending (72114) $111 $657 1.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $92 $657 1.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $111 $1,082 1.0×
X-Ray Exam Unilat Ribs/Chest (71101) $111 $592 1.0×
X-ray humerus (73060) $92 $554 1.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $92 $463.95 1.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $92 $463.95 1.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $111 $557.40 1.0×
X-ray nose-rectum child f.b. (76010) $92 $1,145 1.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $111 $790 1.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $111 $557.40 1.0×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $111 $606 1.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $92 $580 1.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $92 $592 1.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $111 $632 1.0×
X-ray thoracic spine 4 vw (72074) $111 $854 1.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) $372 $1,860.10 1.0×
X-Rays Bone Length Studies (77073) $111 $632 1.0×
X-Rays Bone Survey Complete (77075) $111 $934 1.0×
Xr c-spine 4 or 5 views (72050) $111 $1,026 1.0×
Xr orbits complete 4 views (70200) $111 $790 1.0×

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.