Imaging prices at Pana Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $423.75 $423.75 4.5×
Abdomen 2 views (74019) $450 $450 4.0×
Ankle 2 views (73600)
range across 3 matching MRF lines
$346.50–$601.75 $346.50–$601.75 varies
Bone age studies (77072) $460 $460 4.1×
Bone Imaging Whole Body (78306) $1,502.50 $1,502.50 3.5×
Chest 1 view (71045) $342.50 $342.50 3.7×
Chest 2 views (71046) $423.75 $423.75 4.5×
Clavicle complete (73000)
range across 3 matching MRF lines
$501.50–$868.25 $501.50–$868.25 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $702.50 $702.50 6.3×
CT abdomen and pelvis without and with contrast (74178) $8,481.25 $8,481.25 22.7×
CT abdomen and pelvis without contrast (74176) $5,282.50 $5,282.50 20.7×
CT abdomen w contrast (74160) $2,888 $2,888 15.4×
CT abdomen w wo contrast (74170) $4,241 $4,241 22.6×
CT abdomen w/o contrast (74150) $2,610.25 $2,610.25 23.3×
CT Angio Abdomen and Pelvis (74174) $4,136.25 $4,136.25 11.1×
CT Angio Chest (71275)
range across 3 matching MRF lines
$3,409–$4,436 $3,409–$4,436 varies
CT Angio Head (70496)
range across 3 matching MRF lines
$3,409–$4,436 $3,409–$4,436 varies
CT Angio Neck (70498) $3,409 $3,409 18.1×
CT cervical spine w/o contrast (72125) $2,939.75 $2,939.75 26.2×
CT chest w contrast (71260) $3,323.25 $3,323.25 17.7×
CT chest w/wo contrast (71270) $4,241 $4,241 22.6×
CT head/brain without and with contrast (70470) $3,690 $3,690 19.6×
CT l-spine w&w/o contrast (72133) $3,481.25 $3,481.25 18.5×
CT lower ext w/o (73700)
range across 19 matching MRF lines
$2,610.25–$5,218.25 $2,610.25–$5,218.25 varies
CT lower extremity w/contrast material (73701)
range across 17 matching MRF lines
$2,509.25–$5,361 $2,509.25–$5,361 varies
CT lumbar spine w/o contrast (72131) $2,939.75 $2,939.75 26.2×
CT maxillofacial w contrast (70487) $2,763.25 $2,763.25 14.7×
CT maxillofacial wo contrast (70486) $2,610.25 $2,610.25 23.3×
CT orbits w/o contrast (70480) $2,610.25 $2,610.25 23.3×
CT pelvis w/o contrast (72192) $2,610.25 $2,610.25 23.3×
CT soft tissue neck w contrast (70491) $2,888 $2,888 15.4×
CT soft tissue neck w/o contrast (70490) $2,610.25 $2,610.25 23.3×
CT thoracic spine w/o contrast (72128) $1,928.75 $1,928.75 17.2×
CT thorax w/o contrast (71250)
range across 7 matching MRF lines
$2,435.50–$2,610.25 $2,435.50–$2,610.25 varies
CT upper ext wo (73200)
range across 26 matching MRF lines
$1,836.75–$3,856 $1,836.75–$3,856 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $4,436 $4,436 23.6×
CTA pelvis (72191) $4,436 $4,436 23.6×
Dxa Bone Density Axial (77080) $755.25 $755.25 6.7×
Foot 2 views (73620)
range across 3 matching MRF lines
$414.50–$610 $414.50–$610 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$469.75–$818 $469.75–$818 varies
Gastric emptying imaging study (78264) $1,600.75 $1,600.75 3.7×
Hand 2 views (73120)
range across 4 matching MRF lines
$423.75–$841.50 $423.75–$841.50 varies
Hepatobil Syst Image W/Drug (78227) $2,376.75 $2,376.75 4.1×
Hepatobiliary System Imaging (78226) $1,507.50 $1,507.50 3.5×
Knee 3 Views (73562)
range across 3 matching MRF lines
$484.50–$965.50 $484.50–$965.50 varies
MRA head w/o contrast (70544) $2,559.75 $2,559.75 10.0×
MRI abdomen w/o contrast (74181) $3,009.75 $3,009.75 11.8×
MRI any jt lower extrem w/contrast material (73722) $3,616.25 $3,616.25 4.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,758.25 $3,758.25 10.1×
MRI any jt upper extremity w/contrast matrl (73222) $3,616.25 $3,616.25 4.3×
MRI cervical spine w/o cont (72141) $4,129.50 $4,129.50 16.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 8 matching MRF lines
$3,459.25–$3,752.75 $3,459.25–$3,752.75 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 8 matching MRF lines
$3,458–$3,459.25 $3,458–$3,459.25 varies
Mri Neck Spine W/O & W/Dye (72156) $5,084.75 $5,084.75 13.6×
MRI pelvis w/o & w contrast (72197) $4,421.75 $4,421.75 11.8×
MRI pelvis w/o contrast (72195) $3,009.75 $3,009.75 11.8×
MRI thoracic spine w/o contrast (72146) $3,052.25 $3,052.25 11.9×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 12 matching MRF lines
$3,009.75–$3,459.25 $3,009.75–$3,459.25 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 12 matching MRF lines
$3,009.75–$3,459.25 $3,009.75–$3,459.25 varies
MRI, abdomen, combo (74183) $3,758.25 $3,758.25 10.1×
MRI, dorsal spine combo (72157) $5,084.75 $5,084.75 13.6×
MRI, joint upper extrem (73221) $3,578.75 $3,578.75 14.0×
MRI, joint upper extrem combo (73223) $3,758.25 $3,758.25 10.1×
MRI, lumbar spine combo (72158) $5,084.75 $5,084.75 13.6×
Myocardial Spect Multiple Studies (78452) $7,169.75 $7,169.75 5.2×
Neck soft tissue (70360) $350.75 $350.75 3.8×
Pelvis 1 or 2 views (72170) $423.75 $423.75 3.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $480.25 $480.25 4.3×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$518–$1,032.25 $518–$1,032.25 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$410.50–$819.75 $410.50–$819.75 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$589.25–$1,177 $589.25–$1,177 varies
Radex Facial Bones Complete Minimum 3 Views (70150)
range across 2 matching MRF lines
$359–$708.75 $359–$708.75 varies
Radex fingr minimum 2 views (73140) $320.75 $320.75 3.4×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$518–$1,032.25 $518–$1,032.25 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$509.75–$1,016 $509.75–$1,016 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $485.25 $485.25 5.2×
Radex Ribs Unilateral 2 Views (71100) $588.75 $588.75 6.3×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$448.50–$892.25 $448.50–$892.25 varies
Radex Spine 1 View Specify Level (72020)
range across 3 matching MRF lines
$283.50–$324 $283.50–$324 varies
Radex Sternum Minimum 2 Views (71120) $410.50 $410.50 4.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $596.50 $596.50 6.4×
Radex Toe Minimum 2 Views (73660) $320.75 $320.75 3.4×
Radex upper extremity infant minimum 2 views (73092) $368.25 $368.25 3.3×
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$453–$900.50 $453–$900.50 varies
Radiolog exam mandible compl minimum 4 views (70110) $797.50 $797.50 7.1×
Radiologic Exam Esophagus Double Contrast Study (74221) $571.50 $571.50 3.0×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$531–$1,608.50 $531–$1,608.50 varies
Radiologic exam pelvis compl minimum 3 views (72190) $523 $523 4.7×
Radiologic exam swallow function contrast study (74230) $567 $567 3.0×
Radiologic exam upr gi trc double contrast study (74246) $843.50 $843.50 4.5×
Radiologic examination femur 1 view (73551)
range across 3 matching MRF lines
$440–$764.25 $440–$764.25 varies
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$440–$646.50 $440–$646.50 varies
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$324–$646.50 $324–$646.50 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$465–$927.75 $465–$927.75 varies
Ribs bilateral 3 views (71110) $759.25 $759.25 6.8×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,220 $1,220 2.1×
Screening Digital Breast Tomosynthesis Bi (77063) $117.75 $117.75 5.0×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$234.50–$406 $234.50–$406 varies
Shoulder Arthrography (73040) $466 $466 1.2×
Skull less than 4 views (70250) $481.25 $481.25 4.3×
Thoracic spine 2 views (72070) $405.25 $405.25 3.6×
Thoracic spine 3 views (72072) $605.25 $605.25 5.4×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$686–$1,402.75 $686–$1,402.75 varies
Ultrasound Exam Aaa Screen (76706) $1,006.25 $1,006.25 9.0×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$774.25–$936 $774.25–$936 varies
Upper gi w/o kub (74240) $565.25 $565.25 3.0×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$1,285.75–$2,570.25 $1,285.75–$2,570.25 varies
Us chest (76604) $564.75 $564.75 5.0×
Us exam, pelvic, limited (76857) $448.50 $448.50 4.0×
Us kidney transplant (76776) $1,500 $1,500 13.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $739.25 $739.25 6.6×
Us ob transvaginal (76817) $774.25 $774.25 6.9×
Us pelvic non ob complete (76856) $982.75 $982.75 8.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $883 $883 7.9×
Us retroperitoneal complete (76770) $1,500 $1,500 13.4×
Us retroperitoneal limited (76775) $1,006.25 $1,006.25 9.0×
Us scrotum and contents (76870) $849.75 $849.75 7.6×
Us thyroid (76536) $613.50 $613.50 5.5×
Wrist 2 views (73100)
range across 4 matching MRF lines
$302.25–$524.50 $302.25–$524.50 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $363.50 $363.50 3.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$485.25–$841.50 $485.25–$841.50 varies
X-Ray Exam Entire Spi 1 Vw (72081) $565.25 $565.25 6.1×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 4 matching MRF lines
$445.25–$505.75 $445.25–$505.75 varies
X-Ray Exam Hip Uni 4/> Views (73503)
range across 4 matching MRF lines
$517–$577.50 $517–$577.50 varies
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines
$517–$577.50 $517–$577.50 varies
X-Ray Exam Hips Bi 3-4 Views (73522) $638.50 $638.50 5.7×
X-Ray Exam L-S Spine Bending (72114) $740.75 $740.75 6.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $628.50 $628.50 6.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $968.50 $968.50 8.6×
X-Ray Exam Unilat Ribs/Chest (71101) $801.50 $801.50 7.2×
X-ray eye for foreign body (70030) $376.25 $376.25 4.0×
X-ray humerus (73060)
range across 3 matching MRF lines
$466–$688.50 $466–$688.50 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $538.25 $538.25 4.8×
X-ray nose-rectum child f.b. (76010) $345 $345 3.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $720.25 $720.25 6.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $501.50 $501.50 5.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $646.50 $646.50 6.9×
X-Ray Tmj Unilat (70328) $505.75 $505.75 5.4×
X-Rays Bone Length Studies (77073) $396.75 $396.75 3.5×
Xr c-spine 4 or 5 views (72050) $871.50 $871.50 7.8×

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.