Imaging prices at Owensboro Health Twin Lakes Medical Center

Leitchfield, KY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $243.18 $374.13 2.5×
Acute gastrointestinal blood loss imaging (78278) $1,444.79 $2,222.76 3.9×
Ankle 2 views (73600) $93.28 $143.50 1.1×
Arthrogram hip (73525) $375.20 $577.23 1.1×
Arthrogram shoulder (73040) $376.43 $579.13 1.1×
Bone &/Joint Imaging Limited Area (78300) $1,189.08 $1,829.35 3.2×
Bone &/Joint Imaging Multiple Areas (78305) $409.94 $630.68 1.1×
Bone &/joint imaging whole body (78306) $1,015.61 $1,562.47 2.7×
Bone age studies (77072) $133.25 $205 1.4×
Bone Imaging 3 Phase (78315) $1,355.59 $2,085.52 3.6×
Bone survey complete (77075) $135.59 $208.60 1.4×
Cervical spine 2 or 3 views (72040) $243.18 $374.13 3.0×
Chest 1 view (71045) $153.24 $235.75 1.9×
Chest 3 views (71047) $255.13 $392.51 3.1×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $186.55 $287 1.1×
Clavicle complete (73000) $96.61 $148.63 1.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $445.33 $685.13 4.5×
CT abdomen and pelvis without and with contrast (74178) $1,533.26 $2,358.86 4.7×
CT abdomen and pelvis without contrast (74176) $1,533.26 $2,358.86 6.8×
CT abdomen w contrast (74160) $1,533.26 $2,358.86 9.3×
CT abdomen w wo contrast (74170) $1,533.26 $2,358.86 9.3×
CT abdomen w/o contrast (74150) $1,533.26 $2,358.86 15.6×
CT angiography upper extremity lt (73206) $803.58 $1,236.27 4.9×
CT c-spine w/o contrast (72125) $1,533.26 $2,358.86 15.6×
CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) $181.86 $279.79 1.1×
CT cervical spine w&w/o contrast (72127) $758.71 $1,167.25 4.6×
CT cervical spine with contrast (72126) $1,064.84 $1,638.21 3.3×
CT chest w/wo contrast (71270) $1,533.26 $2,358.86 9.3×
CT chest with contrast (71260) $1,533.26 $2,358.86 9.3×
CT head/brain with contrast (70460) $1,471.24 $2,263.45 8.9×
CT head/brain without and with contrast (70470) $1,533.26 $2,358.86 9.3×
CT iac w contrast (70481) $1,533.26 $2,358.86 9.3×
CT lower ext w/o (73700) $1,533.26 $2,358.86 15.6×
CT lower extremity w wo contrast (73702) $759.45 $1,168.38 4.6×
CT lower extremity with contrast (73701) $1,533.26 $2,358.86 9.3×
CT lumbar spine w & w/o contrast (72133) $759.45 $1,168.38 4.6×
CT lumbar spine w/o contrast (72131) $1,533.26 $2,358.86 15.6×
CT lumbar spine with contrast (72132) $1,533.26 $2,358.86 4.7×
CT maxillofacial w contrast (70487) $1,533.26 $2,358.86 9.3×
CT maxillofacial w/o contrast (70486) $1,533.26 $2,358.86 15.6×
CT maxillofacial w/wo contrast (70488) $1,668.51 $2,566.94 10.1×
CT neck soft tissue w contrast (70491) $1,533.26 $2,358.86 9.3×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,533.26 $2,358.86 9.3×
CT orbits w/o contrast (70480) $1,533.26 $2,358.86 15.6×
CT pelvis w & w/o contrast (72194) $1,345.89 $2,070.60 8.2×
CT pelvis w/o contrast (72192) $1,533.26 $2,358.86 15.6×
CT soft tissue neck w/o & w/contrast material (70492) $1,533.26 $2,358.86 9.3×
CT soft tissue neck w/o contrast (70490) $1,533.26 $2,358.86 15.6×
CT thoracic spine w/contrast (72129) $1,533.26 $2,358.86 9.3×
CT thoracic spine w/o contrast (72128) $1,533.26 $2,358.86 15.6×
CT thoracic spine w/wo contrast (72130) $758.71 $1,167.25 4.6×
CT thorax w/o contrast (71250) $1,533.26 $2,358.86 15.6×
CT upper extremity w/o & w/contrast material (73202) $803.58 $1,236.27 4.9×
CT upper extremity w/o contrast rt (73200) $1,533.26 $2,358.86 15.6×
CT upper extremity with contrast (73201) $1,533.26 $2,358.86 4.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,533.26 $2,358.86 9.3×
Cta Abdomen (74175) $1,533.49 $2,359.22 9.3×
CTA abdomen pelvis (74174) $1,583.40 $2,436 4.8×
CTA chest (71275) $1,537.22 $2,364.95 9.3×
Cta Head (70496) $1,533.26 $2,358.86 9.3×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $361.72 $556.50 1.1×
CTA lwr ext w&w/o contrast (73706) $1,533.49 $2,359.22 9.3×
Cta Neck (70498) $1,533.26 $2,358.86 9.3×
Cta Pelvis (72191) $758.71 $1,167.25 4.6×
Cystography minimum 3 views rs&i (74430) $247.27 $380.41 0.8×
Dxa bone density study 1/> sites axial skel (77080) $249.85 $384.38 2.5×
Esophagus (74220) $157.23 $241.89 1.0×
Fetal biophysical profile non-stress testing (76818) $231.34 $355.90 2.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $240.82 $370.50 2.5×
Fluoroscopy up to 1 hr (76000) $406.41 $625.25 1.8×
Foot 2 views (73620) $93.28 $143.50 1.1×
Forearm 2 views (73090) $109.93 $169.13 1.3×
Gated Heart Planar Single (78472) $748.86 $1,152.09 2.0×
Hand 2 views (73120) $143.25 $220.38 1.5×
Hand 3 views (73130) $123.26 $189.63 1.5×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,099.68 $1,691.81 2.2×
Hepatobiliary syst imaging including gallbladder (78226) $1,163.29 $1,789.68 3.1×
Ht muscle image spect sing (78451) $1,274.41 $1,960.63 1.0×
Humerus Min 2 Views Left (73060) $137.25 $211.15 1.7×
Hysterosalpingogram (74740) $373.76 $575.01 1.7×
Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) $266.50 $410 2.7×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,345.53 $2,070.04 2.6×
Kidney img morphology vascular flow 1 w/rx (78708) $523.08 $804.74 1.0×
Knee 3 views (73562) $137.25 $211.15 1.7×
Liver & spleen imaging static only (78215) $1,201.61 $1,848.63 3.2×
Lung Ventilation Imaging (78579) $418.37 $643.65 1.1×
Meckels Diverticulum (78290) $418.14 $643.30 1.1×
Mr safety determination physician/other qhp (76016) $92.07 $141.64 1.1×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $25.61 $39.40 0.9×
MRA head w & w/o contrast (70546) $1,757.83 $2,704.35 5.4×
MRA head w/o contrast (70544) $1,758.24 $2,704.98 7.9×
MRA head with contrast (70545) $2,241.75 $3,448.84 6.8×
Mra Neck W/O &W/Contrast Material (70549) $1,731.85 $2,664.38 5.3×
MRA neck w/o contrast (70547) $1,758.24 $2,704.98 7.9×
MRI abdomen w contrast (74182) $803.58 $1,236.27 2.5×
MRI abdomen w/o & w/contrast material (74183) $1,758.24 $2,704.98 5.4×
MRI abdomen w/o contrast (74181) $1,758.24 $2,704.98 7.9×
MRI any jnt lwr ext with con lt (73722) $1,757.83 $2,704.35 2.4×
MRI any jt upper extremity w/contrast matrl (73222) $1,758.24 $2,704.98 2.4×
MRI cervical spine w/o contrast (72141) $1,758.24 $2,704.98 7.9×
MRI chest w/o & w/contrast material (71552) $2,208.62 $3,397.87 6.7×
MRI chest w/o contrast (71550) $1,239.10 $1,906.31 5.5×
MRI chest with contrast (71551) $759.45 $1,168.38 1.0×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $1,936.59 $2,979.37 5.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $758.71 $1,167.25 2.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,758.24 $2,704.98 7.9×
MRI orbit face &/neck w/o contrast (70540) $1,758.24 $2,704.98 7.9×
MRI orbit/face/neck w&w/o cont (70543) $1,758.24 $2,704.98 5.4×
MRI orbit/face/neck w/contrast (70542) $758.71 $1,167.25 2.3×
MRI pelvis w contrast (72196) $758.71 $1,167.25 2.3×
MRI pelvis w/o & w/contrast material (72197) $1,758.24 $2,704.98 5.4×
MRI pelvis w/o contrast (72195) $1,758.24 $2,704.98 7.9×
MRI scan of arm joint before and after contrast (73223) $1,758.24 $2,704.98 5.4×
MRI scan of leg joint before and after contrast (73723) $1,758.24 $2,704.98 5.4×
MRI spinal canal cervical w/o & w/contr matrl (72156) $1,758.24 $2,704.98 5.4×
MRI spinal canal lumbar w/contrast material (72149) $1,710.83 $2,632.04 5.2×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $1,758.24 $2,704.98 5.4×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,758.24 $2,704.98 5.4×
MRI thoracic spine w/o contrast (72146) $1,757.83 $2,704.35 7.9×
MRI upper ext joint w/o contrast (73221) $1,758.24 $2,704.98 7.9×
MRI upper extrem other than jt w/o & w/contras (73220) $1,758.24 $2,704.98 5.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,758.24 $2,704.98 7.9×
Myocardial Spect Multiple Studies (78452) $2,556.91 $3,933.71 2.1×
Neck soft tissue (70360) $65.29 $100.45 0.8×
Nm gastric emptying study (78264) $1,406.78 $2,164.27 3.8×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $308.67 $474.88 3.1×
Osseous survey infant (77076) $288.03 $443.12 2.9×
Osseous survey limited (77074) $280.14 $430.98 2.9×
Parathyrd planar w/wo subtrj (78071) $406.39 $625.21 1.1×
Parathyroid imaging (78070) $848.42 $1,305.26 2.3×
Pelvis 1 or 2 views (72170) $116.60 $179.38 1.2×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $1,758.24 $2,704.98 5.4×
Pulmonary Perfusion Imaging Particulate (78580) $1,268.59 $1,951.67 3.4×
Pulmonary Ventilation & Perfusion Imaging (78582) $540.38 $831.35 1.1×
Quan&charac c atherosclerotc plaq asses sev c ds (75577) $964.60 $1,484 1.1×
Radex abscess/fistula/sinus tract rs&i (76080) $432.03 $664.66 0.8×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $149.91 $230.63 1.8×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $119.92 $184.50 1.2×
Radex hips bilateral with pelvis 2 views (73521) $229.86 $353.63 2.3×
Radex mastoids compl minimum 3 views pr side (70130) $106.16 $163.32 1.1×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $123.26 $189.63 1.3×
Radiolog exam mandible compl minimum 4 views (70110) $136.58 $210.13 1.4×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $153.24 $235.75 1.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $123.26 $189.63 1.3×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $166.56 $256.25 2.0×
Radiologic exam colon single contrast study (74270) $233.19 $358.75 1.4×
Radiologic Exam Esophagus Double Contrast Study (74221) $466.38 $717.50 2.8×
Radiologic exam upr gi trc double contrast study (74246) $316.47 $486.88 1.9×
Radiologic exam upr gi trc single contrast study (74240) $266.50 $410 1.6×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $186.55 $287 2.3×
Radiological examination surgical specimen (76098) $323.13 $497.13 0.6×
Ribs bilateral 3 views (71110) $199.88 $307.50 2.0×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,097.33 $1,688.20 2.9×
Sacroiliac Joints < 3 Views (72200) $153.24 $235.75 1.6×
Scanogram (77073) $143.25 $220.38 1.5×
Scapula complete (73010) $137.25 $211.15 1.4×
Screening digital breast tomosynthesis (77063) $62.15 $95.61 2.7×
Shuntogram indwelling nonvascular shunt rs&i (75809) $306.59 $471.67 3.1×
Small bowel series (74250) $139.91 $215.25 0.9×
Spine thoracic 3 views (72072) $123.26 $189.63 1.3×
Spleen imaging only (78185) $402.94 $619.91 1.1×
Thoracolumbar 2 views (72080) $146.36 $225.17 1.8×
Thyroid Imaging With Vascular Flow (78013) $418.37 $643.65 1.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,213.74 $1,867.30 3.2×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $1,575.95 $2,424.54 3.1×
Ultrasound, abdomen limited (76705) $461.26 $709.63 4.7×
Unlisted Diagnostic Radiographic Procedure (76499) $86.89 $133.67 1.1×
Upper Extremity Infant (73092) $144.75 $222.69 1.5×
Urethrocystography voiding (74455) $252.02 $387.73 1.1×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $186.55 $287 1.1×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $181.62 $279.41 1.1×
Us abdl aorta screen aaa (76706) $418.27 $643.49 4.3×
Us breast unilateral complete (76641) $296 $455.38 3.0×
Us breast unilateral limited (76642) $143.90 $221.38 1.8×
Us chest (76604) $466.73 $718.04 4.8×
Us ob detailed single fetus (76811) $279.97 $430.72 1.3×
Us ob transvaginal (76817) $228.15 $351 2.3×
Us pelvic non ob complete (76856) $431.68 $664.13 4.4×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $306.43 $471.43 3.1×
Us pregnancy ltd (76815) $232.62 $357.87 2.4×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $232.62 $357.87 2.4×
Us retroperitoneal complete (76770) $217.71 $334.94 2.2×
Us retroperitoneal limited (76775) $431.07 $663.18 4.4×
Us scrotum and contents (76870) $324.32 $498.96 3.3×
Us soft tissue head/neck (76536) $328.80 $505.84 3.4×
Us spinal canal and contents (76800) $368.31 $566.63 3.8×
Us xtr non-vasc lmtd (76882) $217.71 $334.94 2.2×
Venography extremity unilateral rs&i (75820) $944.05 $1,452.39 0.6×
Wrist 2 views (73100) $143.25 $220.38 1.8×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $269.83 $415.13 2.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $179.89 $276.75 2.2×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $166.56 $256.25 2.0×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $316.47 $486.88 1.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $103.27 $158.88 1.3×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $153.24 $235.75 1.9×
X-ray exam entire spi 4/5 vw (72083) $106.16 $163.32 1.1×
X-ray exam hip uni 1 view (73501) $89.95 $138.38 1.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $156.57 $240.88 1.9×
X-ray exam hip uni 4/> views (73503) $549.66 $845.63 5.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $123.26 $189.63 1.3×
X-Ray Exam Hips Bi 5/> Views (73523) $133.25 $205 1.4×
X-ray exam of femur 1 (73551) $87.74 $134.99 1.1×
X-ray eye for foreign body (70030) $146.58 $225.50 1.8×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $137.25 $211.15 1.4×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $137.40 $211.38 1.7×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $153.24 $235.75 1.9×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $96.61 $148.63 1.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $89.95 $138.38 1.1×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $183.22 $281.88 1.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $126.59 $194.75 1.6×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $96.61 $148.63 1.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $199.88 $307.50 2.0×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $383.10 $589.38 3.9×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $137.40 $211.38 1.4×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $137.25 $211.15 1.7×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $89.95 $138.38 1.1×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $137.40 $211.38 1.4×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $106.60 $164 1.1×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $109.93 $169.13 1.3×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $183.22 $281.88 1.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $123.26 $189.63 1.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $183.22 $281.88 1.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $146.58 $225.50 1.8×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $159.90 $246 2.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $223.86 $344.40 2.7×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $89.95 $138.38 1.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $223.86 $344.40 2.3×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $199.88 $307.50 2.0×
X-Ray Spine One View - Xr Spine (72020) $117.92 $181.41 1.4×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $184.42 $283.73 2.3×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $137.25 $211.15 1.7×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $109.93 $169.13 1.1×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $108.39 $166.76 1.1×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $96.61 $148.63 1.2×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $123.26 $189.63 1.5×
Xr c-spine 6 or more views (72052) $283.16 $435.63 2.9×
Xr chest 4+ views (71048) $119.92 $184.50 1.2×
Xr finger(s) 2+ views (73140) $109.93 $169.13 1.3×
Xr optic foramina (70190) $90.43 $139.12 1.1×
Xr shoulder 1 view (73020) $79.95 $123 1.0×
Xr spine cervical 4 or 5 views (72050) $266.50 $410 2.7×
Xr tibia/fibula 2 views (73590) $137.25 $211.15 1.7×
Xr tmj bilateral (70330) $223.36 $343.63 2.7×
Xray knee 1 or 2 views rt (73560) $153.24 $235.75 1.9×