Imaging prices at Parkview Logansport Hospital, Inc
Logansport, IN · every code in this section with a posted price and a Medicare benchmark.
219 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $3,834.88 | $7,669.75 | 2.6× |
| Abdomen 1 View (74018) | $165.88 | $331.75 | 1.8× |
| Abdomen 2 views (74019) | $216.12 | $432.25 | 2.0× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$110.50–$159.62 | $221–$319.25 | varies |
| Basic radiation dosimetry calculation (77300) | $255.25 | $510.50 | 1.8× |
| Bone age studies (77072) | $107 | $214 | 1.0× |
| Bone Imaging 3 Phase (78315) | $448 | $896 | 1.1× |
| Bone Imaging Limited Area (78300) | $563.38 | $1,126.75 | 1.3× |
| Bone Imaging Whole Body (78306) | $934.50 | $1,869 | 2.2× |
| Bone survey infant (77076) | $240.62 | $481.25 | 2.2× |
| Cat Scan Follow-Up Study (76380) | $280 | $560 | 3.0× |
| Chest 1 view (71045) | $116 | $232 | 1.3× |
| Chest 2 views (71046) | $192.75 | $385.50 | 2.1× |
| Chest 3 views (71047) | $267 | $534 | 2.9× |
| Chest 4 or more views (71048) | $246.62 | $493.25 | 2.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$177.38–$240 | $354.75–$480 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $49.50 | $99 | 0.4× |
| Continuing medical physics consltj pr wk (77336) | $371.25 | $742.50 | 2.6× |
| Contrast X-Ray Bladder (74430) | $382.62 | $765.25 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $725.25 | $1,450.50 | 2.0× |
| CT abdomen and pelvis without contrast (74176) | $526.75 | $1,053.50 | 2.1× |
| CT abdomen w contrast (74160) | $510.75 | $1,021.50 | 2.8× |
| CT abdomen w wo contrast (74170) | $542 | $1,084 | 2.9× |
| CT abdomen w/o contrast (74150) | $476.88 | $953.75 | 4.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,466.38 | $2,932.75 | 4.0× |
| CT Angio Chest (71275) | $551.62 | $1,103.25 | 3.0× |
| CT Angio Head (70496) | $513.50 | $1,027 | 2.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$599–$914.75 | $1,198–$1,829.50 | varies |
| CT Angio Neck (70498) | $513.38 | $1,026.75 | 2.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$842–$1,263 | $1,684–$2,526 | varies |
| CT cervical spine w/ contrast (72126) | $421 | $842 | 1.1× |
| CT cervical spine w/o contrast (72125) | $452.75 | $905.50 | 4.1× |
| CT cervical spine w/wo cont (72127) | $874 | $1,748 | 4.7× |
| CT chest w contrast (71260) | $507 | $1,014 | 2.7× |
| CT chest w/wo contrast (71270) | $685.75 | $1,371.50 | 3.7× |
| CT colonography screening (74263) | $421 | $842 | 1.7× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $577.25 | $1,154.50 | 3.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $472.62 | $945.25 | 4.3× |
| CT head/brain with contrast (70460) | $470 | $940 | 2.5× |
| CT head/brain without and with contrast (70470) | $496.50 | $993 | 2.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $49.50 | $99 | 0.5× |
| CT iac w contrast (70481) | $936 | $1,872 | 5.0× |
| CT l-spine w&w/o contrast (72133) | $990.50 | $1,981 | 5.3× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$551–$819.50 | $1,102–$1,639 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$510.75–$766.12 | $1,021.50–$1,532.25 | varies |
| CT lumbar spine w contrast (72132) | $810.50 | $1,621 | 2.2× |
| CT lumbar spine w/o contrast (72131) | $481.12 | $962.25 | 4.3× |
| CT maxillofacial w contrast (70487) | $473.25 | $946.50 | 2.6× |
| CT maxillofacial wo contrast (70486) | $436.25 | $872.50 | 3.9× |
| CT neck tissue combo (70492) | $510.75 | $1,021.50 | 2.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $528.88 | $1,057.75 | 2.8× |
| CT orbits w/o contrast (70480) | $459.50 | $919 | 4.2× |
| CT pelvis w&w/o contrast (72194) | $964 | $1,928 | 5.2× |
| CT pelvis w/o contrast (72192) | $450.12 | $900.25 | 4.1× |
| CT scan of leg combo (73702) | $877 | $1,754 | 4.7× |
| CT scans face/jaw combo (70488) | $501.75 | $1,003.50 | 2.7× |
| CT soft tissue neck w contrast (70491) | $462 | $924 | 2.5× |
| CT soft tissue neck w/o contrast (70490) | $438.25 | $876.50 | 4.0× |
| CT thoracic spine w contrast (72129) | $833 | $1,666 | 4.5× |
| CT thoracic spine w/o contrast (72128) | $485.62 | $971.25 | 4.4× |
| CT thoracic spine w/wo cont (72130) | $1,015.75 | $2,031.50 | 5.5× |
| CT thorax w/o contrast (71250) | $452.75 | $905.50 | 4.1× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$842–$1,263 | $1,684–$2,526 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$784–$1,176 | $1,568–$2,352 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,222.50 | $2,445 | 6.6× |
| Cta Abdomen (74175) | $527.12 | $1,054.25 | 2.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $794 | $1,588 | 2.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $137.15 | $274.30 | 1.2× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$58.50–$138.12 | $117–$276.25 | varies |
| Dxa Bone Density Axial (77080) | $159.38 | $318.75 | 1.4× |
| Echo exam of fetal heart (76825) | $260 | $520 | 0.4× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$144.50–$178.10 | $289–$356.20 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$177.78–$233.88 | $355.55–$467.75 | varies |
| Fluoroscopy up to 1 hr (76000) | $270.62 | $541.25 | 1.1× |
| Foot 2 views (73620) range across 7 matching MRF lines |
$114.62–$167.88 | $229.25–$335.75 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$177.50–$240.50 | $355–$481 | varies |
| Gastric emptying imaging study (78264) | $922.62 | $1,845.25 | 2.2× |
| Gated Heart Planar Single (78472) | $780.50 | $1,561 | 1.8× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$127.75–$196.75 | $255.50–$393.50 | varies |
| Hepatobil Syst Image W/Drug (78227) | $626.12 | $1,252.25 | 1.1× |
| Hepatobiliary System Imaging (78226) | $524.75 | $1,049.50 | 1.2× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$338–$1,495 | $676–$2,990 | varies |
| Hysterosalpingogram (74740) | $367.38 | $734.75 | 1.5× |
| K Flow/Funct Image W/Drug (78708) | $602.88 | $1,205.75 | 1.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$173.25–$274.12 | $346.50–$548.25 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,048.62 | $2,097.25 | 1.8× |
| Lymph System Imaging (78195) | $311 | $622 | 0.5× |
| Mlc imrt design & construction per imrt plan (77338) | $1,372.75 | $2,745.50 | 3.5× |
| MRA head w/o contrast (70544) | $732.50 | $1,465 | 2.9× |
| MRA head with contrast (70545) | $1,002 | $2,004 | 2.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,648 | $3,296 | 4.5× |
| MRA neck w/o contrast (70547) | $511.50 | $1,023 | 2.0× |
| MRI abdomen w/o contrast (74181) | $747.12 | $1,494.25 | 3.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$787–$1,119.50 | $1,574–$2,239 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$775.50–$1,457.50 | $1,551–$2,915 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$1,032.50–$1,548.75 | $2,065–$3,097.50 | varies |
| MRI cervical spine w/o cont (72141) | $727.62 | $1,455.25 | 2.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$781.88–$1,457.50 | $1,563.75–$2,915 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$661–$991.50 | $1,322–$1,983 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $879.88 | $1,759.75 | 2.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $769.25 | $1,538.50 | 2.1× |
| MRI pelvis w/o & w contrast (72197) | $812.12 | $1,624.25 | 2.2× |
| MRI pelvis w/o contrast (72195) | $734 | $1,468 | 2.9× |
| MRI thoracic spine w/o contrast (72146) | $742.75 | $1,485.50 | 2.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$673.50–$1,010.25 | $1,347–$2,020.50 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$774.50–$1,161.75 | $1,549–$2,323.50 | varies |
| MRI, abdomen, combo (74183) | $803.75 | $1,607.50 | 2.2× |
| MRI, dorsal spine combo (72157) | $804.12 | $1,608.25 | 2.2× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$653.50–$980.25 | $1,307–$1,960.50 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$769.88–$1,154.81 | $1,539.75–$2,309.62 | varies |
| MRI, lumbar spine combo (72158) | $795 | $1,590 | 2.2× |
| Myelogram cervical (72240) | $1,241 | $2,482 | 1.5× |
| Myelogram Lumbar (72265) | $1,210 | $2,420 | 1.5× |
| Myocardial Spect Multiple Studies (78452) | $2,994.88 | $5,989.75 | 2.2× |
| Neck soft tissue (70360) | $135.75 | $271.50 | 1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,524.62 | $11,049.25 | 3.8× |
| Parathyroid Planar Imaging (78070) | $413.50 | $827 | 1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $727.50 | $1,455 | 1.7× |
| Pelvis 1 or 2 views (72170) | $165.38 | $330.75 | 1.5× |
| PET image w/CT, full body (78816) | $2,505.50 | $5,011 | 1.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,505.50 | $5,011 | 1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $567.25 | $1,134.50 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $273.38 | $546.75 | 2.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$185.75–$273.50 | $371.50–$547 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$181–$254.50 | $362–$509 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$183.38–$264 | $366.75–$528 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $238.50 | $477 | 2.2× |
| Radex fingr minimum 2 views (73140) | $106.50 | $213 | 1.2× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$191.50–$296.50 | $383–$593 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$183.38–$264 | $366.75–$528 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$147–$220.50 | $294–$441 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $167 | $334 | 1.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$186.88–$278 | $373.75–$556 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $129.88 | $259.75 | 1.4× |
| Radex Spine 1 View Specify Level (72020) | $128 | $256 | 1.4× |
| Radex Sternum Minimum 2 Views (71120) | $165.25 | $330.50 | 1.8× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$106.50–$159.75 | $213–$319.50 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$147–$235 | $294–$470 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$181–$254.50 | $362–$509 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $9,724.75 | $19,449.50 | 1.2× |
| Radiation treatment delivery level 1 (77402) | $309.50 | $619 | 2.9× |
| Radiation treatment delivery level 2 (77407) | $373 | $746 | 0.9× |
| Radiation treatment delivery level 3 (77412) | $454.88 | $909.75 | 0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $250.50 | $501 | 2.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $365.62 | $731.25 | 2.0× |
| Radiologic exam swallow function contrast study (74230) | $376.50 | $753 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $465.62 | $931.25 | 2.5× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$196.62–$294.94 | $393.25–$589.87 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$145.12–$228 | $290.25–$456 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$189–$312.50 | $378–$625 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,122.38 | $2,244.75 | 2.0× |
| Scapula (73010) range across 3 matching MRF lines |
$165–$247.50 | $330–$495 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $39.50 | $79 | 1.7× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$122.62–$183.94 | $245.25–$367.87 | varies |
| Skull less than 4 views (70250) | $117 | $234 | 1.1× |
| Special dosimetry (77331) | $188 | $376 | 1.3× |
| Special teletherapy port plan (77321) | $539.88 | $1,079.75 | 1.4× |
| Special treatment procedure (77470) | $1,523.75 | $3,047.50 | 2.6× |
| Stereotactic Body Radiation Delivery (77373) | $3,300.12 | $6,600.25 | 1.7× |
| Sternoclavicular joints (71130) | $156.50 | $313 | 1.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,217.38 | $2,434.75 | 3.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,173.25 | $2,346.50 | 3.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $572.50 | $1,145 | 1.4× |
| Ther rad simulaj-aided field setting simple (77280) | $498.12 | $996.25 | 3.5× |
| Thoracic spine 2 views (72070) | $210.12 | $420.25 | 1.9× |
| Thoracic spine 3 views (72072) | $221.12 | $442.25 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $567.75 | $1,135.50 | 1.3× |
| Tx Devices Design & Construction Complex (77334) | $629.12 | $1,258.25 | 1.6× |
| Tx devices design & construction intermediate (77333) | $289.50 | $579 | 2.0× |
| Tx devices design & construction simple (77332) | $298.88 | $597.75 | 2.1× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$83.85–$352.62 | $167.70–$705.25 | varies |
| Ultrasound Exam Aaa Screen (76706) | $145.25 | $290.50 | 1.3× |
| Ultrasound, abdomen limited (76705) | $489 | $978 | 4.4× |
| Umbilical-artery Doppler (OB) (76820) | $129.35 | $258.70 | 1.2× |
| Upper gi w/o kub (74240) | $400.12 | $800.25 | 2.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$307.75–$383.12 | $615.50–$766.25 | varies |
| Us exam, pelvic, limited (76857) | $320 | $640 | 2.9× |
| Us head (76506) | $288.38 | $576.75 | 2.6× |
| Us kidney transplant (76776) | $501 | $1,002 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$52.98–$142.62 | $105.95–$285.25 | varies |
| Us ob detailed single fetus (76811) | $390.98 | $781.95 | 1.5× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$131.95–$349.12 | $263.90–$698.25 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$149.82–$234.50 | $299.65–$469 | varies |
| Us pelvic non ob complete (76856) | $435 | $870 | 3.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$255.12–$284.75 | $510.25–$569.50 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$126.75–$259.50 | $253.50–$519 | varies |
| Us retroperitoneal complete (76770) | $393.62 | $787.25 | 3.6× |
| Us retroperitoneal limited (76775) | $340.75 | $681.50 | 3.1× |
| Us scrotum and contents (76870) | $406 | $812 | 3.7× |
| Us spinal canal and contents (76800) | $217.88 | $435.75 | 2.0× |
| Us thyroid (76536) range across 3 matching MRF lines |
$51.80–$331.88 | $103.60–$663.75 | varies |
| Us transrectal (76872) | $576.50 | $1,153 | 5.2× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$141.12–$221.38 | $282.25–$442.75 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $186.12 | $372.25 | 2.0× |
| X-Ray Bend Only L-S Spine (72120) | $216.38 | $432.75 | 2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$134.25–$205.50 | $268.50–$411 | varies |
| X-Ray Exam Breast Specimen (76098) | $402.75 | $805.50 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $177.12 | $354.25 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $250.12 | $500.25 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $167.25 | $334.50 | 1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $227.50 | $455 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) | $246.88 | $493.75 | 2.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $169.25 | $338.50 | 1.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $307 | $614 | 2.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $177.75 | $355.50 | 1.6× |
| X-ray eye for foreign body (70030) | $140.50 | $281 | 1.5× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$183.38–$264 | $366.75–$528 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $134.50 | $269 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $176 | $352 | 1.6× |
| X-ray nose-rectum child f.b. (76010) | $161.38 | $322.75 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $233.50 | $467 | 2.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $194 | $388 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $199.12 | $398.25 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $246.50 | $493 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $259.75 | $519.50 | 2.3× |
| X-Rays Bone Length Studies (77073) | $267.50 | $535 | 2.4× |
| X-Rays Bone Survey Complete (77075) | $426.50 | $853 | 3.9× |
| Xr c-spine 4 or 5 views (72050) | $290 | $580 | 2.6× |
| Xr orbits complete 4 views (70200) | $226 | $452 | 2.0× |
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.