Imaging prices at Orthopaedic Hospital at Parkview North LLC

Fort Wayne, IN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $204 $408 2.2×
Abdomen 2 views (74019) $296 $592 2.7×
Ankle 2 views (73600)
range across 6 matching MRF lines
$162.50–$252.50 $325–$505 varies
Arthrogram hip (73525) $1,051 $2,102 2.8×
Bone age studies (77072) $111 $222 1.0×
Bone survey infant (77076) $446.50 $893 4.0×
Cardiac MRI w/w/o contrast & further seq (75561) $1,079 $2,158 2.9×
Cardiac MRI w/w/o contrast w/stress (75563) $1,295 $2,590 1.6×
Cat Scan Follow-Up Study (76380)
range across 5 matching MRF lines
$291.50–$291.65 $583–$583.30 varies
Chest 1 view (71045) $163 $326 1.8×
Chest 2 views (71046) $215.50 $431 2.3×
Chest 3 views (71047) $268 $536 2.9×
Chest 4 or more views (71048) $349 $698 3.2×
Clavicle complete (73000)
range across 3 matching MRF lines
$166.50–$250 $333–$500 varies
Contrast X-Ray Bladder (74430) $508 $1,016 1.4×
Contrast X-Ray Of Knee Joint (73580) $998.50 $1,997 2.7×
CT abdomen and pelvis without and with contrast (74178) $1,706 $3,412 4.6×
CT abdomen and pelvis without contrast (74176) $879 $1,758 3.5×
CT abdomen w contrast (74160) $812 $1,624 4.4×
CT abdomen w wo contrast (74170) $942.50 $1,885 5.1×
CT abdomen w/o contrast (74150) $671.50 $1,343 6.1×
CT Angio Abdomen and Pelvis (74174) $1,985 $3,970 5.4×
CT Angio Chest (71275) $983 $1,966 5.3×
CT Angio Head (70496) $823.50 $1,647 4.4×
CT angio hrt w/3d image (75574) $858.50 $1,717 2.3×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$786.50–$1,180 $1,573–$2,360 varies
CT Angio Neck (70498) $823 $1,646 4.4×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 3 matching MRF lines
$889–$1,245 $1,778–$2,490 varies
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $481.50 $963 2.6×
CT cervical spine w/ contrast (72126) $779 $1,558 2.1×
CT cervical spine w/o contrast (72125) $571 $1,142 5.2×
CT cervical spine w/wo cont (72127) $814 $1,628 4.4×
CT chest w contrast (71260) $797 $1,594 4.3×
CT chest w/wo contrast (71270) $1,004 $2,008 5.4×
CT colonography screening (74263) $521 $1,042 2.1×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $1,089.50 $2,179 5.9×
CT colonogrphy dx image postprocess w/o contrast (74261) $521 $1,042 4.7×
CT head/brain with contrast (70460) $642.50 $1,285 3.5×
CT head/brain without and with contrast (70470) $753 $1,506 4.1×
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines
$49.50–$297 $99–$594 varies
CT hrt w/3d image congen (75573) $830.50 $1,661 2.3×
CT iac w contrast (70481) $763.50 $1,527 4.1×
CT l-spine w&w/o contrast (72133) $1,031.50 $2,063 5.6×
CT lower ext w/o (73700)
range across 3 matching MRF lines
$574–$860.50 $1,148–$1,721 varies
CT lower extremity w/contrast material (73701)
range across 3 matching MRF lines
$812–$1,137.50 $1,624–$2,275 varies
CT lumbar spine w contrast (72132) $844 $1,688 2.3×
CT lumbar spine w/o contrast (72131) $723.50 $1,447 6.5×
CT maxillofacial w contrast (70487) $656 $1,312 3.5×
CT maxillofacial wo contrast (70486)
range across 4 matching MRF lines
$411.50–$536.50 $823–$1,073 varies
CT neck tissue combo (70492) $812 $1,624 4.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $888 $1,776 4.8×
CT orbits w/o contrast (70480) $633 $1,266 5.7×
CT pelvis w&w/o contrast (72194) $1,004 $2,008 5.4×
CT pelvis w/o contrast (72192) $594 $1,188 5.4×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$1,022.50–$1,076.50 $2,045–$2,153 varies
CT scans face/jaw combo (70488) $774.50 $1,549 4.2×
CT soft tissue neck w contrast (70491) $643.50 $1,287 3.5×
CT soft tissue neck w/o contrast (70490) $545 $1,090 4.9×
CT thoracic spine w contrast (72129) $868 $1,736 4.7×
CT thoracic spine w/o contrast (72128) $742.50 $1,485 6.7×
CT thoracic spine w/wo cont (72130) $1,093 $2,186 5.9×
CT thorax w/o contrast (71250) $571 $1,142 5.2×
CT upper ext wo (73200)
range across 3 matching MRF lines
$690.50–$1,036 $1,381–$2,072 varies
CT upper extremity with contrast (73201)
range across 3 matching MRF lines
$817–$1,137.50 $1,634–$2,275 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,273.50 $2,547 6.9×
Cta Abdomen (74175) $880.50 $1,761 4.7×
CTA pelvis (72191) $928 $1,856 5.0×
Doppler Echo Fetal Spectral Display Complete (76827) $394.50 $789 3.6×
Doppler Fetal Mid Cerebral Artery (76821) $415.50 $831 3.8×
Dxa Bone Density Axial (77080) $287.50 $575 2.6×
Dxa bone density study 1/>sites appendiclr skel (77081) $150.50 $301 1.6×
Echo exam of fetal heart (76825) $394.50 $789 0.7×
Echo exam uterus (76831) $475.50 $951 1.9×
Echo Guide For Artery Repair (76936) $664 $1,328 2.9×
Esophagram (74220) $483.50 $967 2.6×
Fetal Biophys Profile W/Nst (76818) $486 $972 4.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $423 $846 3.8×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $764.50 $1,529 3.0×
Fluoroscopy up to 1 hr (76000) $640 $1,280 2.5×
Foot 2 views (73620)
range across 7 matching MRF lines
$135–$252.50 $270–$505 varies
Forearm 2 views (73090)
range across 5 matching MRF lines
$163.50–$250.50 $327–$501 varies
Hand 2 views (73120)
range across 6 matching MRF lines
$160.50–$241.50 $321–$483 varies
Hysterosalpingogram (74740) $754 $1,508 3.0×
Infant hip ultrasound with hip movement (dynamic) (76885) $618 $1,236 6.7×
Joint Survey Single View (77077) $250.50 $501 2.3×
Knee 3 Views (73562)
range across 3 matching MRF lines
$208–$298.50 $416–$597 varies
Magnetic Image Jaw Joint (70336) $693 $1,386 2.7×
Mr safety determination physician/other qhp (76016) $130 $260 1.4×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $37.50 $75 1.2×
Mra Head W/O & W/Contrast Material (70546) $1,078 $2,156 2.9×
MRA head w/o contrast (70544) $807 $1,614 3.2×
MRA head with contrast (70545) $1,043.50 $2,087 2.8×
MRA neck w contrast (70548) $967.50 $1,935 2.6×
Mra Neck W/O &W/Contrast Material (70549) $978 $1,956 2.6×
MRA neck w/o contrast (70547) $533 $1,066 2.1×
MRI abdomen w contrast (74182) $926 $1,852 2.5×
MRI abdomen w/o contrast (74181)
range across 3 matching MRF lines
$515.50–$868 $1,031–$1,736 varies
MRI any jt lower extrem w/contrast material (73722)
range across 3 matching MRF lines
$820–$1,192 $1,640–$2,384 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 3 matching MRF lines
$953–$1,429.50 $1,906–$2,859 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 5 matching MRF lines
$802–$1,192 $1,604–$2,384 varies
MRI Breast W/O Contrast Bilateral (77047) $1,125.50 $2,251 4.5×
MRI Breast Without Contrast Material Unilateral (77046) $790 $1,580 3.1×
MRI cardiac w/o contrast (75557) $824.50 $1,649 3.3×
MRI cervical spine w contrast (72142) $968.50 $1,937 2.6×
MRI cervical spine w/o cont (72141)
range across 3 matching MRF lines
$248–$786 $496–$1,572 varies
MRI chest w/o contrast (71550) $753.50 $1,507 3.0×
MRI chest wo w contrast (71552) $984.50 $1,969 2.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $907 $1,814 2.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$979.50–$1,390.50 $1,959–$2,781 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$689–$993 $1,378–$1,986 varies
MRI lumbar spine w contrast (72149) $917.50 $1,835 2.5×
Mri Neck Spine W/O & W/Dye (72156)
range across 2 matching MRF lines
$347.50–$1,388 $695–$2,776 varies
MRI orbit face &/neck w/o contrast (70540) $675 $1,350 2.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $927 $1,854 2.5×
MRI pelvis w contrast (72196) $937.50 $1,875 2.5×
MRI pelvis w/o & w contrast (72197) $1,106 $2,212 3.0×
MRI pelvis w/o contrast (72195) $764.50 $1,529 3.0×
MRI spectroscopy (76390) $853 $1,706 9.3×
MRI thoracic spine w/o contrast (72146)
range across 2 matching MRF lines
$275.50–$850 $551–$1,700 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 4 matching MRF lines
$701.50–$993 $1,403–$1,986 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 4 matching MRF lines
$949–$1,390.50 $1,898–$2,781 varies
MRI, abdomen, combo (74183) $1,070.50 $2,141 2.9×
MRI, dorsal spine combo (72157)
range across 2 matching MRF lines
$347.50–$1,072 $695–$2,144 varies
MRI, dorsal spine contrast (72147) $947.50 $1,895 2.6×
MRI, joint upper extrem (73221)
range across 6 matching MRF lines
$680.50–$993 $1,361–$1,986 varies
MRI, joint upper extrem combo (73223)
range across 5 matching MRF lines
$929.50–$1,390.50 $1,859–$2,781 varies
MRI, lumbar spine combo (72158)
range across 2 matching MRF lines
$347.50–$1,034.50 $695–$2,069 varies
Myelogram cervical (72240) $1,648 $3,296 2.0×
Myelogram Lumbar (72265) $967.50 $1,935 1.2×
Myelograpy 2/more regions rs&i (72270) $2,153 $4,306 2.6×
N-invas est c ffr sw aly CTA (75580) $2,790.50 $5,581 3.1×
Neck soft tissue (70360) $166 $332 1.8×
Pelvis 1 or 2 views (72170) $201.50 $403 1.8×
Pulmonary Perfusion Imaging Particulate (78580) $1,173 $2,346 2.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $396.50 $793 3.6×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$199.50–$285 $399–$570 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$177–$265 $354–$530 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$208–$275 $416–$550 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $248.50 $497 2.2×
Radex fingr minimum 2 views (73140)
range across 3 matching MRF lines
$110.50–$161 $221–$322 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$205.50–$308.50 $411–$617 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$200–$275 $400–$550 varies
Radex lower extremity infant minimum 2 views (73592)
range across 3 matching MRF lines
$153.50–$253.50 $307–$507 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $208.50 $417 2.3×
Radex Ribs Unilateral 2 Views (71100) $202 $404 2.2×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$209–$289.50 $418–$579 varies
Radex Sinuses Paransl < 3 Views (70210) $194.50 $389 2.1×
Radex Spine 1 View Specify Level (72020) $165.50 $331 1.8×
Radex Sternum Minimum 2 Views (71120) $201 $402 2.2×
Radex Toe Minimum 2 Views (73660)
range across 3 matching MRF lines
$110.50–$159.50 $221–$319 varies
Radex upper extremity infant minimum 2 views (73092)
range across 3 matching MRF lines
$153.50–$253.50 $307–$507 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 8 matching MRF lines
$177–$265 $354–$530 varies
Radiolog exam mandible compl minimum 4 views (70110) $273.50 $547 2.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $325.50 $651 2.9×
Radiologic exam colon double contrast study (74280) $914 $1,828 4.9×
Radiologic exam colon single contrast study (74270) $547 $1,094 2.9×
Radiologic Exam Esophagus Double Contrast Study (74221) $534.50 $1,069 2.9×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$226.50–$331.50 $453–$663 varies
Radiologic exam pelvis compl minimum 3 views (72190) $252 $504 2.3×
Radiologic Exam Small Int Single Contrast Study (74250) $557.50 $1,115 3.0×
Radiologic exam swallow function contrast study (74230) $461 $922 2.5×
Radiologic exam upr gi trc double contrast study (74246) $600 $1,200 3.2×
Radiologic examination femur 1 view (73551)
range across 3 matching MRF lines
$71–$107 $142–$214 varies
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$207.50–$330 $415–$660 varies
Radiologic examination knee 1/2 views (73560)
range across 6 matching MRF lines
$174–$251.50 $348–$503 varies
Radiologic Examination Osseous Survey Limited (77074) $409.50 $819 3.7×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$201.50–$298.50 $403–$597 varies
Ribs bilateral 3 views (71110) $237 $474 2.1×
Scapula (73010)
range across 3 matching MRF lines
$198.50–$284 $397–$568 varies
Shoulder 1 view (73020)
range across 3 matching MRF lines
$136–$206 $272–$412 varies
Shoulder Arthrography (73040) $949 $1,898 2.6×
Skull less than 4 views (70250) $203 $406 1.8×
Sternoclavicular joints (71130) $167.50 $335 1.8×
Thoracic spine 2 views (72070) $224 $448 2.0×
Thoracic spine 3 views (72072) $270 $540 2.4×
Thoracolumbar 2 views (72080) $239 $478 2.6×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$360–$503.50 $720–$1,007 varies
Ultrasound Elastography Parenchyma (76981) $214.50 $429 1.9×
Ultrasound Exam Aaa Screen (76706) $271 $542 2.5×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$377–$459 $754–$918 varies
Umbilical-artery Doppler (OB) (76820) $391 $782 3.5×
Upper gi w/o kub (74240) $537 $1,074 2.9×
Urethrocystogram voiding (74455) $599 $1,198 2.4×
Urethrocystography retrograde (74450) $646 $1,292 2.6×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$449.50–$631 $899–$1,262 varies
Us chest (76604) $379 $758 3.4×
Us exam, pelvic, limited (76857) $423 $846 3.8×
Us head (76506) $584 $1,168 5.3×
Us kidney transplant (76776) $522 $1,044 4.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$308.50–$462.50 $617–$925 varies
Us ob detailed single fetus (76811) $840.50 $1,681 3.3×
Us ob limited 1 or more fetuses (76815) $512.50 $1,025 4.6×
Us ob transvaginal (76817) $458.50 $917 4.1×
Us pelvic non ob complete (76856) $453 $906 4.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $616 $1,232 5.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $561 $1,122 5.1×
Us retroperitoneal complete (76770) $501 $1,002 4.5×
Us retroperitoneal limited (76775) $356 $712 3.2×
Us scrotum and contents (76870) $423 $846 3.8×
Us spinal canal and contents (76800) $422.50 $845 3.8×
Us thyroid (76536)
range across 2 matching MRF lines
$360–$450 $720–$900 varies
Venography extremity bilateral rs&i (75822) $1,278 $2,556 0.8×
Venography extremity unilateral rs&i (75820) $1,007.50 $2,015 0.6×
Wrist 2 views (73100)
range across 6 matching MRF lines
$157.50–$250.50 $315–$501 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $213.50 $427 2.3×
X-Ray Bend Only L-S Spine (72120) $250 $500 2.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 5 matching MRF lines
$167.50–$251.50 $335–$503 varies
X-Ray Exam Breast Specimen (76098) $445 $890 0.8×
X-Ray Exam Entire Spi 1 Vw (72081) $337.50 $675 3.7×
X-Ray Exam Entire Spi 2/3 Vw (72082) $391 $782 3.5×
X-Ray Exam Hip Uni 1 View (73501) $160.50 $321 1.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $207.50 $415 2.3×
X-Ray Exam Hips Bi 2 Views (73521) $243 $486 2.2×
X-Ray Exam Hips Bi 3-4 Views (73522) $296.50 $593 2.7×
X-Ray Exam L-S Spine Bending (72114) $377 $754 3.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $217.50 $435 2.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $319.50 $639 2.9×
X-Ray Exam Unilat Ribs/Chest (71101) $245.50 $491 2.2×
X-ray eye for foreign body (70030) $220 $440 2.4×
X-ray humerus (73060)
range across 5 matching MRF lines
$199.50–$275 $399–$550 varies
X-ray IV pyelogram (ivp) (74400) $508 $1,016 2.7×
X-ray IV pyelogram+tomography (74415) $666 $1,332 3.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $149.50 $299 1.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $246 $492 2.2×
X-ray nose-rectum child f.b. (76010) $185 $370 2.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $321 $642 2.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $202 $404 1.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $208 $416 2.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $274.50 $549 3.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $312 $624 2.8×
X-ray thoracic spine 4 vw (72074) $295 $590 2.7×
X-Ray Tmj Unilat (70328) $178 $356 1.9×
X-Rays Bone Length Studies (77073) $278.50 $557 2.5×
X-Rays Bone Survey Complete (77075) $444 $888 4.0×
Xr c-spine 4 or 5 views (72050) $302 $604 2.7×
Xr facial bones less than 3 views (70140) $210.50 $421 2.3×
Xr orbits complete 4 views (70200) $235.50 $471 2.1×

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.