Imaging prices at Pocahontas Memorial Hospital

Buckeye, WV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $184.10 $263 2.2×
Abdomen 2 views (74019) $214.20 $306 2.1×
Ankle 2 views (73600) $141.40 $202 1.7×
Bone age studies (77072) $184.10 $263 1.8×
Chest 1 view (71045) $178.50 $255 2.1×
Chest 2 views (71046) $192.50 $275 2.3×
Chest 3 views (71047) $210 $300 2.5×
Chest 4 or more views (71048) $228.90 $327 2.3×
Clavicle complete (73000) $184.10 $263 2.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $184.80 $264 1.8×
CT abdomen and pelvis without and with contrast (74178) $2,793.70 $3,991 8.3×
CT abdomen and pelvis without contrast (74176) $1,802.50 $2,575 7.9×
CT abdomen w contrast (74160) $1,262.10 $1,803 7.5×
CT abdomen w wo contrast (74170) $1,514.10 $2,163 9.0×
CT abdomen w/o contrast (74150) $980 $1,400 9.8×
CT Angio Chest (71275) $1,262.10 $1,803 7.5×
CT Angio Head (70496) $1,260 $1,800 7.5×
CT Angio Neck (70498) $1,260 $1,800 7.5×
CT cervical spine w/o contrast (72125) $916.30 $1,309 9.1×
CT cervical spine w/wo cont (72127) $1,204.70 $1,721 7.2×
CT chest w contrast (71260)
range across 2 matching MRF lines
$1,262.10–$1,367.10 $1,803–$1,953 varies
CT chest w/wo contrast (71270) $1,514.10 $2,163 9.0×
CT head/brain without and with contrast (70470) $1,297.80 $1,854 7.7×
CT iac w contrast (70481) $1,096.20 $1,566 6.5×
CT l-spine w&w/o contrast (72133) $1,204.70 $1,721 7.2×
CT lower ext w/o (73700) $931 $1,330 9.3×
CT lower extremity w/contrast material (73701) $1,096.20 $1,566 6.5×
CT lumbar spine w contrast (72132) $1,096.20 $1,566 3.3×
CT lumbar spine w/o contrast (72131) $973.70 $1,391 9.7×
CT maxillofacial w contrast (70487) $1,096.20 $1,566 6.5×
CT maxillofacial wo contrast (70486) $931 $1,330 9.3×
CT neck tissue combo (70492) $1,262.10 $1,803 7.5×
CT orbits w/o contrast (70480) $931 $1,330 9.3×
CT pelvis w/o contrast (72192) $973.70 $1,391 9.7×
CT scan of leg combo (73702) $1,384.60 $1,978 8.2×
CT soft tissue neck w contrast (70491) $1,204.70 $1,721 7.2×
CT soft tissue neck w/o contrast (70490) $1,096.20 $1,566 10.9×
CT thoracic spine w/o contrast (72128) $916.30 $1,309 9.1×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$1,096.20–$1,201.20 $1,566–$1,716 varies
CT upper ext wo (73200) $931 $1,330 9.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,260 $1,800 7.5×
Cta Abdomen (74175) $1,262.10 $1,803 7.5×
Dxa Bone Density Axial (77080) $288.40 $412 2.9×
Foot 2 views (73620) $141.40 $202 1.7×
Forearm 2 views (73090) $140 $200 1.7×
Hand 2 views (73120) $137.20 $196 1.4×
Knee 3 Views (73562) $199.50 $285 2.4×
MRI abdomen w/o contrast (74181) $1,297.80 $1,854 5.7×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,960 $2,800 5.9×
MRI cervical spine w/o cont (72141) $1,470 $2,100 6.4×
MRI chest wo w contrast (71552) $1,802.50 $2,575 5.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,470 $2,100 6.4×
Mri Neck Spine W/O & W/Dye (72156) $1,802.50 $2,575 5.4×
MRI pelvis w/o & w contrast (72197) $1,960 $2,800 5.9×
MRI pelvis w/o contrast (72195) $1,297.80 $1,854 5.7×
MRI thoracic spine w/o contrast (72146) $1,470 $2,100 6.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,081.50 $1,545 4.7×
MRI, abdomen, combo (74183) $1,960 $2,800 5.9×
MRI, joint upper extrem (73221) $1,470 $2,100 6.4×
MRI, lumbar spine combo (72158) $1,960 $2,800 5.9×
Neck soft tissue (70360) $184.10 $263 2.2×
Pelvis 1 or 2 views (72170) $184.10 $263 1.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $243.60 $348 2.4×
Radex Ankle Complete Minimum 3 Views (73610) $169.40 $242 2.0×
Radex Calcaneus Minimum 2 Views (73650) $169.40 $242 2.0×
Radex elbow complete minimum 3 views (73080) $169.40 $242 2.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $184.10 $263 1.8×
Radex fingr minimum 2 views (73140) $166.60 $238 2.0×
Radex foot complete minimum 3 views (73630) $169.40 $242 2.0×
Radex Hand Minimum 3 Views (73130) $166.60 $238 2.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $184.10 $263 2.2×
Radex Ribs Unilateral 2 Views (71100) $210 $300 2.5×
Radex shoulder complete minimum 2 views (73030) $184.10 $263 2.2×
Radex Sternum Minimum 2 Views (71120) $141.40 $202 1.7×
Radex Toe Minimum 2 Views (73660) $141.40 $202 1.7×
Radex Wrist Complete Minimum 3 Views (73110) $166.60 $238 2.0×
Radiolog exam mandible compl minimum 4 views (70110) $184.10 $263 1.8×
Radiologic exam knee complete 4/more views (73564) $198.80 $284 2.0×
Radiologic exam pelvis compl minimum 3 views (72190) $184.10 $263 1.8×
Radiologic examination femur minimum 2 views (73552) $169.40 $242 2.0×
Radiologic examination knee 1/2 views (73560) $141.40 $202 1.7×
Radiologic examination tibia & fibula 2 views (73590) $169.40 $242 2.0×
Scapula (73010) $184.10 $263 1.8×
Screening Digital Breast Tomosynthesis Bi (77063) $46.90 $67 2.0×
Shoulder 1 view (73020) $141.40 $202 1.7×
Skull less than 4 views (70250) $184.10 $263 1.8×
Thoracic spine 2 views (72070) $184.10 $263 1.8×
Thoracic spine 3 views (72072) $213.50 $305 2.1×
Ultrasound Exam Aaa Screen (76706) $497.70 $711 5.0×
Ultrasound, abdomen limited (76705) $380.10 $543 3.8×
Us breast unilateral complete (76641) $280.70 $401 2.8×
Us chest (76604) $346.50 $495 3.5×
Us exam, pelvic, limited (76857) $377.30 $539 3.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $377.30 $539 3.8×
Us pelvic non ob complete (76856) $427 $610 4.3×
Us retroperitoneal complete (76770) $497.70 $711 5.0×
Us retroperitoneal limited (76775) $408.80 $584 4.1×
Us scrotum and contents (76870) $377.30 $539 3.8×
Us thyroid (76536) $369.60 $528 3.7×
Wrist 2 views (73100) $137.20 $196 1.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $140.70 $201 1.7×
X-Ray Exam Entire Spi 1 Vw (72081) $184.10 $263 2.2×
X-Ray Exam Hip Uni 1 View (73501) $137.20 $196 1.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $184.10 $263 2.2×
X-Ray Exam Hips Bi 2 Views (73521) $180.60 $258 1.8×
X-Ray Exam L-S Spine Bending (72114) $283.50 $405 2.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $185.50 $265 2.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $280.70 $401 2.8×
X-ray humerus (73060) $184.10 $263 2.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $141.40 $202 1.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $184.10 $263 2.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $213.50 $305 2.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $184.10 $263 1.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $184.10 $263 2.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $184.10 $263 2.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $255.50 $365 2.5×
Xr c-spine 4 or 5 views (72050) $245 $350 2.4×
Xr facial bones less than 3 views (70140) $141.40 $202 1.7×

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.