Imaging prices at Pineville Community Health Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 2 matching MRF lines
$176–$281.60 $176–$281.60 varies
Abdomen 2 views (74019) $396 $396 4.0×
Ankle 2 views (73600)
range across 2 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
Bone Imaging Limited Area (78300) $1,133.44 $1,133.44 3.0×
Bone Imaging Whole Body (78306) $1,133.44 $1,133.44 3.0×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $1,316.70 $1,316.70 3.5×
Chest 1 view (71045)
range across 3 matching MRF lines
$35.20–$680 $35.20–$680 varies
Chest 2 views (71046)
range across 2 matching MRF lines
$100.32–$640.64 $100.32–$640.64 varies
Chest 3 views (71047) $464.64 $464.64 5.7×
Clavicle complete (73000)
range across 2 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,898.82 $1,898.82 19.4×
Contrast X-Ray Bladder (74430) $1,344.64 $1,344.64 4.1×
CT abdomen and pelvis without and with contrast (74178) $2,172.94 $2,172.94 6.6×
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines
$1,361–$1,898.82 $1,361–$1,898.82 varies
CT abdomen w contrast (74160) $2,034.34 $2,034.34 12.4×
CT abdomen w wo contrast (74170) $2,172.94 $2,172.94 13.2×
CT abdomen w/o contrast (74150) $1,898.82 $1,898.82 19.4×
CT Angio Abdomen and Pelvis (74174) $5,021.94 $5,021.94 15.3×
CT Angio Chest (71275) $2,511.74 $2,511.74 15.3×
CT Angio Head (70496)
range across 2 matching MRF lines
$2,511.74–$5,012 $2,511.74–$5,012 varies
CT angio hrt w/3d image (75574) $3,000 $3,000 9.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,511.74 $2,511.74 15.3×
CT Angio Neck (70498)
range across 2 matching MRF lines
$1,794.10–$2,511.74 $1,794.10–$2,511.74 varies
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,511.74 $2,511.74 15.3×
CT cervical spine w/ contrast (72126) $2,034.34 $2,034.34 6.2×
CT cervical spine w/o contrast (72125) $1,898.82 $1,898.82 19.4×
CT cervical spine w/wo cont (72127) $2,172.94 $2,172.94 13.2×
CT chest w contrast (71260) $2,034.34 $2,034.34 12.4×
CT chest w/wo contrast (71270) $2,172.94 $2,172.94 13.2×
CT head/brain with contrast (70460) $2,034.34 $2,034.34 12.4×
CT head/brain without and with contrast (70470) $2,172.94 $2,172.94 13.2×
CT heart no contrast quant eval coronry calcium (75571) $150 $150 1.8×
CT iac w contrast (70481) $2,034.34 $2,034.34 12.4×
CT lower ext w/o (73700)
range across 6 matching MRF lines
$1,356.30–$5,696.46 $1,356.30–$5,696.46 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$1,453.10–$2,034.34 $1,453.10–$2,034.34 varies
CT lumbar spine w contrast (72132) $2,034.34 $2,034.34 6.2×
CT lumbar spine w/o contrast (72131) $189.82 $189.82 1.9×
CT maxillofacial w contrast (70487) $2,034.34 $2,034.34 12.4×
CT maxillofacial wo contrast (70486) $1,898.82 $1,898.82 19.4×
CT neck tissue combo (70492) $2,483.36 $2,483.36 15.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,172.94 $2,172.94 13.2×
CT orbits w/o contrast (70480) $1,898.82 $1,898.82 19.4×
CT pelvis w&w/o contrast (72194) $2,483.36 $2,483.36 15.1×
CT pelvis w/o contrast (72192) $1,898.82 $1,898.82 19.4×
CT scans face/jaw combo (70488) $2,034.34 $2,034.34 12.4×
CT soft tissue neck w contrast (70491) $2,324.96 $2,324.96 14.1×
CT soft tissue neck w/o contrast (70490) $1,898.82 $1,898.82 19.4×
CT thoracic spine w/o contrast (72128) $1,898.82 $1,898.82 19.4×
CT thorax w/o contrast (71250) $1,898.82 $1,898.82 19.4×
CT upper ext wo (73200) $1,898.82 $1,898.82 19.4×
CT upper extremity with contrast (73201) $2,034.34 $2,034.34 6.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,511.74 $2,511.74 15.3×
Cta Abdomen (74175) $2,511.74 $2,511.74 15.3×
Dxa Bone Density Axial (77080) $1,250 $1,250 12.7×
Dxa bone density study (77085)
range across 2 matching MRF lines
$401.60–$441.76 $401.60–$441.76 varies
Dxa bone density study 1/>sites appendiclr skel (77081) $1,250 $1,250 15.3×
Esophagram (74220) $640.64 $640.64 3.9×
Fluoroscopy up to 1 hr (76000) $869.44 $869.44 3.9×
Foot 2 views (73620)
range across 2 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
Gated Heart Planar Single (78472) $1,316.70 $1,316.70 3.5×
Hand 2 views (73120)
range across 3 matching MRF lines
$434.72–$586.08 $434.72–$586.08 varies
Hepatobil Syst Image W/Drug (78227) $1,453.76 $1,453.76 2.9×
Hepatobiliary System Imaging (78226) $1,133.44 $1,133.44 3.0×
Hysterosalpingogram (74740) $869.44 $869.44 3.9×
K Flow/Funct Image W/Drug (78708) $1,453.76 $1,453.76 2.9×
K Flow/Funct Image W/O Drug (78707) $1,453.76 $1,453.76 2.9×
Knee 3 Views (73562)
range across 2 matching MRF lines
$309.76–$610.72 $309.76–$610.72 varies
Lung Ventilat&Perfus Imaging (78582) $1,700.16 $1,700.16 3.3×
Magnetic Image Jaw Joint (70336) $3,033.80 $3,033.80 13.6×
Mra Head W/O & W/Contrast Material (70546) $4,522.98 $4,522.98 13.8×
MRA head w/o contrast (70544) $2,682.68 $2,682.68 12.0×
MRA head with contrast (70545) $3,241.70 $3,241.70 9.9×
MRA neck w contrast (70548) $3,478.86 $3,478.86 10.6×
Mra Neck W/O &W/Contrast Material (70549) $4,522.98 $4,522.98 13.8×
MRA neck w/o contrast (70547) $2,921.38 $2,921.38 13.0×
MRI abdomen w contrast (74182) $2,646.60 $2,646.60 8.1×
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines
$2,922.15–$3,030.72 $2,922.15–$3,030.72 varies
MRI any jt lower extrem w/contrast material (73722) $3,654.42 $3,654.42 5.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,635.40 $4,635.40 14.2×
MRI any jt upper extremity w/contrast matrl (73222) $3,654.42 $3,654.42 5.0×
MRI cervical spine w contrast (72142) $3,759.14 $3,759.14 11.5×
MRI cervical spine w/o cont (72141) $3,070.76 $3,070.76 13.7×
MRI chest w/o contrast (71550) $3,070.76 $3,070.76 13.7×
MRI chest with contrast (71551) $3,754.52 $3,754.52 5.1×
MRI chest wo w contrast (71552) $4,761.68 $4,761.68 14.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $3,654.42 $3,654.42 11.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,640.02 $4,640.02 14.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,992.22 $2,992.22 13.4×
MRI lumbar spine w contrast (72149) $3,706.78 $3,706.78 11.3×
Mri Neck Spine W/O & W/Dye (72156) $4,766.30 $4,766.30 14.6×
MRI orbit face &/neck w/o contrast (70540) $2,992.22 $2,992.22 13.4×
MRI orbit face neck w contrast (70542) $3,706.78 $3,706.78 11.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,636.94 $4,636.94 14.2×
MRI pelvis w contrast (72196) $3,706.78 $3,706.78 11.3×
MRI pelvis w/o & w contrast (72197) $3,339.60 $3,339.60 10.2×
MRI pelvis w/o contrast (72195) $3,032.26 $3,032.26 13.5×
MRI thoracic spine w/o contrast (72146) $3,070.76 $3,070.76 13.7×
MRI upper extremity oth than jt w/contr matrl (73219) $3,654.42 $3,654.42 11.2×
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$2,136.20–$2,990.68 $2,136.20–$2,990.68 varies
Mri Uppr Extremity W/O&W/Dye (73220) $4,640.02 $4,640.02 14.2×
MRI, abdomen, combo (74183) $4,675.44 $4,675.44 14.3×
MRI, dorsal spine combo (72157) $3,754.52 $3,754.52 11.5×
MRI, dorsal spine contrast (72147) $2,681.80 $2,681.80 8.2×
MRI, joint upper extrem (73221) $2,992.22 $2,992.22 13.4×
MRI, joint upper extrem combo (73223) $4,635.40 $4,635.40 14.2×
MRI, lumbar spine combo (72158) $4,678.52 $4,678.52 14.3×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $1,316.70 $1,316.70 3.5×
Myocardial Spect Multiple Studies (78452) $3,917.76 $3,917.76 3.2×
Neck soft tissue (70360)
range across 2 matching MRF lines
$293.92–$2,870.56 $293.92–$2,870.56 varies
Pelvis 1 or 2 views (72170) $434.72 $434.72 4.4×
Pulmonary Perfusion Imaging Particulate (78580) $1,133.44 $1,133.44 3.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $434.72 $434.72 4.4×
Radex abscess/fistula/sinus tract rs&i (76080) $1,731.84 $1,731.84 3.4×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$309.76–$610.72 $309.76–$610.72 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$309.76–$610.72 $309.76–$610.72 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $434.72 $434.72 4.4×
Radex fingr minimum 2 views (73140) $293.92 $293.92 3.6×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$193.60–$610.72 $193.60–$610.72 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$309.76–$610.72 $309.76–$610.72 varies
Radex lower extremity infant minimum 2 views (73592)
range across 4 matching MRF lines
$267.20–$582.56 $267.20–$582.56 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $434.72 $434.72 4.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $293.92 $293.92 3.6×
Radex Ribs Unilateral 2 Views (71100) $293.92 $293.92 3.6×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
Radex Sinuses Paransl < 3 Views (70210) $293.92 $293.92 3.6×
Radex Spine 1 View Specify Level (72020)
range across 2 matching MRF lines
$267.20–$293.92 $267.20–$293.92 varies
Radex Sternum Minimum 2 Views (71120) $293.92 $293.92 3.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $582.56 $582.56 7.1×
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
Radex upper extremity infant minimum 2 views (73092)
range across 4 matching MRF lines
$395.20–$582.56 $395.20–$582.56 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$309.76–$610.72 $309.76–$610.72 varies
Radiolog exam mandible compl minimum 4 views (70110) $395.20 $395.20 4.0×
Radiologic exam colon double contrast study (74280) $640.64 $640.64 3.9×
Radiologic exam colon single contrast study (74270) $640.64 $640.64 3.9×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$271.70–$638.88 $271.70–$638.88 varies
Radiologic Exam Small Int Single Contrast Study (74250) $640.64 $640.64 3.9×
Radiologic exam swallow function contrast study (74230) $640.64 $640.64 3.9×
Radiologic exam upr gi trc double contrast study (74246) $640.64 $640.64 3.9×
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
Radiologic Examination Osseous Survey Limited (77074) $3,608 $3,608 36.8×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
Ribs bilateral 3 views (71110) $434.72 $434.72 4.4×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,364.44 $1,364.44 3.6×
Scapula (73010)
range across 2 matching MRF lines
$394.24–$582.56 $394.24–$582.56 varies
Sella turcica (70240) $293.92 $293.92 3.6×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
Skull less than 4 views (70250) $434.72 $434.72 4.4×
Sternoclavicular joints (71130) $293.92 $293.92 3.6×
Thoracic spine 2 views (72070) $434.72 $434.72 4.4×
Thoracic spine 3 views (72072) $434.72 $434.72 4.4×
Thoracolumbar 2 views (72080) $267.20 $267.20 3.3×
Thyroid Imaging With Vascular Flow (78013) $1,133.44 $1,133.44 3.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,133.44 $1,133.44 3.0×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines
$389.40–$645.70 $389.40–$645.70 varies
Ultrasound, abdomen limited (76705) $480.70 $480.70 4.9×
Unlisted Dx Radiographic Procedure (76499) $176 $176 2.2×
Upper gi w/o kub (74240) $640.64 $640.64 3.9×
Urethrocystography retrograde (74450) $869.44 $869.44 3.9×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$389.40–$645.70 $389.40–$645.70 varies
Us chest (76604) $480.70 $480.70 4.9×
Us complete joint (76881)
range across 2 matching MRF lines
$480.70–$693 $480.70–$693 varies
Us head (76506) $480.70 $480.70 4.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $389.40 $389.40 4.0×
Us ob limited 1 or more fetuses (76815) $480.70 $480.70 4.9×
Us pelvic non ob complete (76856) $480.70 $480.70 4.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $508.20 $508.20 5.2×
Us retroperitoneal limited (76775) $480.70 $480.70 4.9×
Us scrotum and contents (76870) $480.70 $480.70 4.9×
Us thyroid (76536) $480.70 $480.70 4.9×
Us transrectal (76872) $480.70 $480.70 4.9×
Vascular Flow Imaging (78445) $1,133.44 $1,133.44 3.0×
Wrist 2 views (73100)
range across 3 matching MRF lines
$281.60–$582.56 $281.60–$582.56 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $293.92 $293.92 3.6×
X-ray antegrade pyelogram tube (74425) $1,731.84 $1,731.84 5.3×
X-Ray Bend Only L-S Spine (72120) $394.24 $394.24 4.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
X-Ray Exam Breast Specimen (76098) $1,082.40 $1,082.40 2.1×
X-Ray Exam Entire Spi 2/3 Vw (72082)
range across 2 matching MRF lines
$434.72–$976.80 $434.72–$976.80 varies
X-Ray Exam Entire Spi 4/5 Vw (72083) $869.44 $869.44 8.9×
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 3 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
X-Ray Exam Hips Bi 2 Views (73521) $582.56 $582.56 5.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $582.56 $582.56 5.9×
X-Ray Exam L-S Spine Bending (72114) $434.72 $434.72 4.4×
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$327.36–$489.60 $327.36–$489.60 varies
X-Ray Exam Neck Spine 6/>Vws (72052) $434.72 $434.72 4.4×
X-Ray Exam Unilat Ribs/Chest (71101) $434.72 $434.72 4.4×
X-ray humerus (73060)
range across 2 matching MRF lines
$293.92–$582.56 $293.92–$582.56 varies
X-ray IV pyelogram (ivp) (74400) $869.44 $869.44 5.3×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $293.92 $293.92 3.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565)
range across 2 matching MRF lines
$323.84–$327.36 $323.84–$327.36 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $434.72 $434.72 4.4×
X-ray nose-rectum child f.b. (76010)
range across 2 matching MRF lines
$267.20–$293.92 $267.20–$293.92 varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111)
range across 2 matching MRF lines
$271.70–$434.72 $271.70–$434.72 varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $434.72 $434.72 4.4×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $395.20 $395.20 4.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $293.92 $293.92 3.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $293.92 $293.92 3.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $434.72 $434.72 4.4×
X-ray thoracic spine 4 vw (72074)
range across 2 matching MRF lines
$395.20–$434.72 $395.20–$434.72 varies
X-Ray Tmj Unilat (70328) $293.92 $293.92 3.6×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,731.84 $1,731.84 5.3×
X-Rays Bone Survey Complete (77075) $3,872 $3,872 39.5×
Xr c-spine 4 or 5 views (72050) $434.72 $434.72 4.4×
Xr facial bones less than 3 views (70140) $293.92 $293.92 3.6×
Xr orbits complete 4 views (70200) $434.72 $434.72 4.4×

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.