Imaging prices at Vandalia Health Mon Preston Memorial Hospital
Kingwood, WV · every code in this section with a posted price and a Medicare benchmark.
212 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $90.25 | $180.50 | 1.1× |
| Abdomen 2 views (74019) | $132.12 | $264.25 | 1.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,012.62 | $2,025.25 | 2.6× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$91.25–$181 | $182.50–$362 | varies |
| Bone age studies (77072) | $78.62 | $157.25 | 0.8× |
| Bone Imaging 3 Phase (78315) | $1,010.50 | $2,021 | 2.6× |
| Bone Imaging Limited Area (78300) | $525 | $1,050 | 1.4× |
| Bone Imaging Whole Body (78306) | $795.75 | $1,591.50 | 2.1× |
| Bone survey infant (77076) | $283.38 | $566.75 | 2.8× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$84.88–$130.12 | $169.75–$260.25 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$110.12–$142.38 | $220.25–$284.75 | varies |
| Chest 3 views (71047) | $110.12 | $220.25 | 1.3× |
| Chest 4 or more views (71048) | $173.75 | $347.50 | 1.7× |
| Clavicle complete (73000) | $92.25 | $184.50 | 1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $99 | $198 | 1.0× |
| Contrast X-Ray Bladder (74430) | $241.88 | $483.75 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) | $2,929.12 | $5,858.25 | 8.8× |
| CT abdomen and pelvis without contrast (74176) | $1,874.62 | $3,749.25 | 8.2× |
| CT abdomen w contrast (74160) | $1,204 | $2,408 | 7.2× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,204–$1,542 | $2,408–$3,084 | varies |
| CT abdomen w/o contrast (74150) | $937.75 | $1,875.50 | 9.4× |
| CT Angio Abdomen and Pelvis (74174) | $2,779.62 | $5,559.25 | 8.3× |
| CT Angio Chest (71275) | $1,991.62 | $3,983.25 | 11.8× |
| CT Angio Head (70496) | $2,779.62 | $5,559.25 | 16.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,771.38 | $3,542.75 | 10.5× |
| CT Angio Neck (70498) | $1,730.62 | $3,461.25 | 10.3× |
| CT cervical spine w/o contrast (72125) | $973.88 | $1,947.75 | 9.7× |
| CT chest w contrast (71260) | $1,160.88 | $2,321.75 | 6.9× |
| CT chest w/wo contrast (71270) | $1,433 | $2,866 | 8.5× |
| CT head/brain with contrast (70460) | $957.62 | $1,915.25 | 5.7× |
| CT head/brain without and with contrast (70470) | $1,162.25 | $2,324.50 | 6.9× |
| CT iac w contrast (70481) | $1,208.12 | $2,416.25 | 7.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$894–$1,787.12 | $1,788–$3,574.25 | varies |
| CT lower extremity w/contrast material (73701) | $1,069.62 | $2,139.25 | 6.4× |
| CT lumbar spine w/o contrast (72131) | $971.75 | $1,943.50 | 9.7× |
| CT maxillofacial w contrast (70487) | $1,095.25 | $2,190.50 | 6.5× |
| CT maxillofacial wo contrast (70486) | $909.12 | $1,818.25 | 9.1× |
| CT neck tissue combo (70492) | $1,317.75 | $2,635.50 | 7.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,403.88 | $2,807.75 | 8.3× |
| CT orbits w/o contrast (70480) | $1,035.50 | $2,071 | 10.3× |
| CT pelvis w&w/o contrast (72194) | $1,107.12 | $2,214.25 | 6.6× |
| CT pelvis w/o contrast (72192) | $937.75 | $1,875.50 | 9.4× |
| CT scan of leg combo (73702) | $1,354.38 | $2,708.75 | 8.0× |
| CT scans face/jaw combo (70488) | $1,336.25 | $2,672.50 | 7.9× |
| CT soft tissue neck w contrast (70491) | $1,087.12 | $2,174.25 | 6.5× |
| CT soft tissue neck w/o contrast (70490) | $911.50 | $1,823 | 9.1× |
| CT thoracic spine w/o contrast (72128) | $972.88 | $1,945.75 | 9.7× |
| CT thorax w/o contrast (71250) | $972.88 | $1,945.75 | 9.7× |
| CT upper ext wo (73200) | $894 | $1,788 | 8.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,342.62 | $2,685.25 | 8.0× |
| CT upper extremity with contrast (73201) | $1,064.50 | $2,129 | 3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,339.38–$2,186.62 | $2,678.75–$4,373.25 | varies |
| Cta Abdomen (74175) | $1,831.62 | $3,663.25 | 10.9× |
| Dxa Bone Density Axial (77080) | $316 | $632 | 3.2× |
| Esophagram (74220) | $273.25 | $546.50 | 1.6× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$288.38–$316.25 | $576.75–$632.50 | varies |
| Foot 2 views (73620) | $90.25 | $180.50 | 1.1× |
| Forearm 2 views (73090) | $92.25 | $184.50 | 1.1× |
| Gastric emptying imaging study (78264) | $493.62 | $987.25 | 1.3× |
| Gated Heart Planar Single (78472) | $895.62 | $1,791.25 | 2.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$39–$91.25 | $78–$182.50 | varies |
| Heart first pass single,planar (78481) | $815.88 | $1,631.75 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $905.88 | $1,811.75 | 1.7× |
| Hepatobiliary System Imaging (78226) | $861 | $1,722 | 2.2× |
| Ht Muscle Image Spect Sing (78451) | $1,008 | $2,016 | 0.8× |
| Hysterosalpingogram (74740) | $317.88 | $635.75 | 1.4× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$56.12–$91.62 | $112.25–$183.25 | varies |
| K Flow/Funct Image Multiple (78709) | $1,164.50 | $2,329 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $694.25 | $1,388.50 | 1.3× |
| K Flow/Funct Image W/O Drug (78707) | $785.75 | $1,571.50 | 1.5× |
| Knee 3 Views (73562) | $112.38 | $224.75 | 1.3× |
| Liver & Spleen Imaging Static Only (78215) | $572.62 | $1,145.25 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $167.50 | $335 | 0.3× |
| Lung Ventilation Imaging (78579) | $95.62 | $191.25 | 0.2× |
| Magnetic Image Jaw Joint (70336) | $1,744 | $3,488 | 7.6× |
| Mra Head W/O & W/Contrast Material (70546) | $2,630.38 | $5,260.75 | 7.9× |
| MRA head w/o contrast (70544) | $1,763.12 | $3,526.25 | 7.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,768.62 | $5,537.25 | 8.3× |
| MRA neck w/o contrast (70547) | $1,931 | $3,862 | 8.4× |
| MRI abdomen w/o contrast (74181) | $1,740.50 | $3,481 | 7.6× |
| MRI any jt lower extrem w/contrast material (73722) | $2,033.75 | $4,067.50 | 2.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,063.12 | $6,126.25 | 9.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,022.25 | $4,044.50 | 2.7× |
| MRI cervical spine w contrast (72142) | $2,174.38 | $4,348.75 | 6.5× |
| MRI cervical spine w/o cont (72141) | $1,777.75 | $3,555.50 | 7.8× |
| MRI chest w/o contrast (71550) | $1,985.88 | $3,971.75 | 8.7× |
| MRI chest wo w contrast (71552) | $3,370.75 | $6,741.50 | 10.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,091.12 | $4,182.25 | 6.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,151 | $6,302 | 9.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,831.62–$2,747.62 | $3,663.25–$5,495.25 | varies |
| MRI lumbar spine w contrast (72149) | $1,975.50 | $3,951 | 5.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,192.50 | $6,385 | 9.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,825.25 | $3,650.50 | 8.0× |
| MRI orbit face neck w contrast (70542) | $2,084 | $4,168 | 6.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,137.38 | $6,274.75 | 9.4× |
| MRI pelvis w/o & w contrast (72197) | $3,175 | $6,350 | 9.5× |
| MRI pelvis w/o contrast (72195) | $1,864.62 | $3,729.25 | 8.1× |
| MRI thoracic spine w/o contrast (72146) | $1,862.75 | $3,725.50 | 8.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,091.12 | $4,182.25 | 6.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,855.62–$2,091.12 | $3,711.25–$4,182.25 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,091.12 | $4,182.25 | 6.2× |
| MRI, abdomen, combo (74183) | $2,826.50 | $5,653 | 8.4× |
| MRI, dorsal spine combo (72157) | $3,093.50 | $6,187 | 9.2× |
| MRI, dorsal spine contrast (72147) | $2,046 | $4,092 | 6.1× |
| MRI, joint upper extrem (73221) | $1,787.12 | $3,574.25 | 7.8× |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,063.12–$4,594.62 | $6,126.25–$9,189.25 | varies |
| MRI, lumbar spine combo (72158) | $3,158.50 | $6,317 | 9.4× |
| Myocardial Spect Multiple Studies (78452) | $1,736.62 | $3,473.25 | 1.4× |
| Neck soft tissue (70360) | $88.88 | $177.75 | 1.1× |
| Parathyroid Planar Imaging (78070) | $519.12 | $1,038.25 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $847.88 | $1,695.75 | 2.2× |
| Pelvis 1 or 2 views (72170) | $91.25 | $182.50 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $661.38 | $1,322.75 | 1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $158 | $316 | 1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $72.38 | $144.75 | 0.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $102.88 | $205.75 | 1.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $88.88 | $177.75 | 1.1× |
| Radex elbow complete minimum 3 views (73080) | $112.38 | $224.75 | 1.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $143.62 | $287.25 | 1.4× |
| Radex fingr minimum 2 views (73140) | $90.25 | $180.50 | 1.1× |
| Radex foot complete minimum 3 views (73630) | $102.88 | $205.75 | 1.2× |
| Radex Hand Minimum 3 Views (73130) | $102.88 | $205.75 | 1.2× |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$92.25–$184.12 | $184.50–$368.25 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $349.38 | $698.75 | 3.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $103.75 | $207.50 | 1.2× |
| Radex Ribs Unilateral 2 Views (71100) | $110.12 | $220.25 | 1.3× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$102.88–$204.25 | $205.75–$408.50 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $103.75 | $207.50 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $80.12 | $160.25 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $115.12 | $230.25 | 1.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $197.12 | $394.25 | 2.4× |
| Radex Toe Minimum 2 Views (73660) | $87.25 | $174.50 | 1.0× |
| Radex upper extremity infant minimum 2 views (73092) | $92.25 | $184.50 | 0.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $108.62 | $217.25 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $129.12 | $258.25 | 1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $132.12 | $264.25 | 1.3× |
| Radiologic exam colon double contrast study (74280) | $601.75 | $1,203.50 | 3.6× |
| Radiologic exam colon single contrast study (74270) | $441 | $882 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) | $127.88 | $255.75 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $310.50 | $621 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $286.88 | $573.75 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$386.88–$417.38 | $773.75–$834.75 | varies |
| Radiologic examination femur 1 view (73551) | $91.75 | $183.50 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $99.88 | $199.75 | 1.2× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$96.62–$191.62 | $193.25–$383.25 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$93.38–$186.50 | $186.75–$373 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $156.38 | $312.75 | 0.3× |
| Ribs bilateral 3 views (71110) | $141.75 | $283.50 | 1.4× |
| Scapula (73010) range across 3 matching MRF lines |
$96.62–$191.62 | $193.25–$383.25 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $101.12 | $202.25 | 4.3× |
| Sella turcica (70240) | $93.38 | $186.75 | 1.1× |
| Shoulder 1 view (73020) | $81.50 | $163 | 1.0× |
| Shoulder Arthrography (73040) | $180.62 | $361.25 | 0.5× |
| Skull less than 4 views (70250) | $120.12 | $240.25 | 1.2× |
| Sternoclavicular joints (71130) | $126.38 | $252.75 | 1.5× |
| Thoracic spine 2 views (72070) | $116 | $232 | 1.2× |
| Thoracic spine 3 views (72072) | $130 | $260 | 1.3× |
| Thoracolumbar 2 views (72080) | $141.38 | $282.75 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $695.38 | $1,390.75 | 1.8× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$142.88–$447.12 | $285.75–$894.25 | varies |
| Ultrasound Exam Aaa Screen (76706) | $438.62 | $877.25 | 4.4× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$222.50–$328.62 | $445–$657.25 | varies |
| Unlisted us procedure (76999) | $185.88 | $371.75 | 2.2× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$342.75–$360.12 | $685.50–$720.25 | varies |
| Urethrocystogram voiding (74455) | $295.75 | $591.50 | 1.3× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$280.75–$649.50 | $561.50–$1,299 | varies |
| Us chest (76604) | $280.75 | $561.50 | 2.8× |
| Us exam, pelvic, limited (76857) | $323.38 | $646.75 | 3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $381.12 | $762.25 | 3.8× |
| Us ob detailed single fetus (76811) | $732.38 | $1,464.75 | 3.2× |
| Us ob limited 1 or more fetuses (76815) | $301.75 | $603.50 | 3.0× |
| Us ob transvaginal (76817) | $332 | $664 | 3.3× |
| Us pelvic non ob complete (76856) | $378.38 | $756.75 | 3.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $406.50 | $813 | 4.1× |
| Us retroperitoneal complete (76770) | $422.38 | $844.75 | 4.2× |
| Us retroperitoneal limited (76775) | $331 | $662 | 3.3× |
| Us scrotum and contents (76870) | $373.50 | $747 | 3.7× |
| Us thyroid (76536) | $343.50 | $687 | 3.4× |
| Us transrectal (76872) | $372.50 | $745 | 3.7× |
| Wrist 2 views (73100) | $93.38 | $186.75 | 1.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $121.50 | $243 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) | $159.88 | $319.75 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $91.25 | $182.50 | 1.1× |
| X-Ray Exam Breast Specimen (76098) | $59 | $118 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $150.62 | $301.25 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$158.62–$224.25 | $317.25–$448.50 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $166.50 | $333 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $202 | $404 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $209.88 | $419.75 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $132.12 | $264.25 | 1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $164.25 | $328.50 | 1.6× |
| X-Ray Exam L-S Spine Bending (72114) | $230.62 | $461.25 | 2.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $121.50 | $243 | 1.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $216.50 | $433 | 2.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $132.12 | $264.25 | 1.3× |
| X-ray eye for foreign body (70030) | $181 | $362 | 2.2× |
| X-ray humerus (73060) | $100.62 | $201.25 | 1.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $100.62 | $201.25 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $98.50 | $197 | 1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $127.88 | $255.75 | 1.3× |
| X-ray nose-rectum child f.b. (76010) | $95.38 | $190.75 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $173.75 | $347.50 | 1.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $118 | $236 | 1.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $97.38 | $194.75 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $102.88 | $205.75 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $136.25 | $272.50 | 1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $166.50 | $333 | 1.7× |
| X-Rays Bone Length Studies (77073) | $136.25 | $272.50 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $224.25 | $448.50 | 2.2× |
| Xr c-spine 4 or 5 views (72050) | $172.62 | $345.25 | 1.7× |
| Xr facial bones less than 3 views (70140) | $106 | $212 | 1.3× |
| Xr orbits complete 4 views (70200) | $53.62 | $107.25 | 0.5× |
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.