Imaging prices at Roane General Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $347.85 $579.75 3.5×
Acute gi blood loss imaging (78278) $1,003.05 $1,671.75 2.6×
Ankle 2 views (73600) $258.60 $431 3.1×
Bone &/Joint Imaging Limited Area (78300) $1,003.05 $1,671.75 2.6×
Bone &/Joint Imaging Multiple Areas (78305) $1,003.05 $1,671.75 2.6×
Bone &/joint imaging whole body (78306) $1,003.05 $1,671.75 2.6×
Bone age studies (77072) $347.85 $579.75 3.5×
Bone Imaging 3 Phase (78315) $1,003.05 $1,671.75 2.6×
Bone survey complete (77075) $347.85 $579.75 3.5×
Bowel imaging (78290) $1,003.05 $1,671.75 2.6×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,302 $2,170 2.5×
Brain Imaging Vascular Flow Only (78610) $1,302 $2,170 2.5×
Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) $1,003.05 $1,671.75 2.6×
Cervical spine 2 or 3 views (72040) $258.60 $431 3.1×
Chest 1 view (71045) $258.60 $431 3.1×
Chest xray 3 views (71047) $258.60 $431 3.1×
Clavicle complete (73000) $258.60 $431 3.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,197.30 $1,995.50 11.9×
CT abdomen and pelvis without and with contrast (74178) $2,708.85 $4,514.75 8.1×
CT abdomen and pelvis without contrast (74176) $2,361.60 $3,936 10.3×
CT abdomen w contrast (74160) $1,964.25 $3,273.75 11.7×
CT abdomen w wo contrast (74170) $1,964.25 $3,273.75 11.7×
CT abdomen w/o contrast (74150) $1,197.30 $1,995.50 11.9×
CT angio hrt w/3d image (75574) $1,530 $2,550 4.6×
CT c-spine w/contrast (72126) $4,049.25 $6,748.75 12.1×
CT c-spine w/o contrast (72125) $1,197.30 $1,995.50 11.9×
CT cervical spine w&w/o contrast (72127) $1,964.25 $3,273.75 11.7×
CT chest w contrast (71260) $1,964.25 $3,273.75 11.7×
CT chest w/wo contrast (71270) $1,964.25 $3,273.75 11.7×
CT head/brain with contrast (70460) $1,964.25 $3,273.75 11.7×
CT head/brain without and with contrast (70470) $1,964.25 $3,273.75 11.7×
CT heart w/o contrast quant eval coronary calcium (75571) $30 $50 0.4×
CT hrt w/3d image congen (75573) $1,964.25 $3,273.75 5.9×
CT iac w contrast (70481) $1,964.25 $3,273.75 11.7×
CT lower ext w/o (73700) $1,197.30 $1,995.50 11.9×
CT lower extremity w wo contrast (73702) $1,964.25 $3,273.75 11.7×
CT lower extremity w/contrast material (73701) $1,964.25 $3,273.75 11.7×
CT lumbar spine w & w/o contrast (72133) $1,964.25 $3,273.75 11.7×
CT lumbar spine w/contrast (72132) $4,049.25 $6,748.75 12.1×
CT lumbar spine w/o contrast (72131) $1,197.30 $1,995.50 11.9×
CT maxillofacial w contrast (70487) $1,964.25 $3,273.75 11.7×
CT maxillofacial w/wo contrast (70488) $1,964.25 $3,273.75 11.7×
CT maxillofacial wo contrast (70486) $1,197.30 $1,995.50 11.9×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,964.25 $3,273.75 11.7×
CT orbits w/o contrast (70480) $1,197.30 $1,995.50 11.9×
CT pelvis w/o contrast (72192) $1,197.30 $1,995.50 11.9×
CT pelvis w/wo contrast (72194) $1,964.25 $3,273.75 11.7×
CT scan of arm combo (73202) $1,964.25 $3,273.75 11.7×
CT soft tissue neck w contrast (70491) $1,964.25 $3,273.75 11.7×
CT soft tissue neck w/o & w/contrast material (70492) $1,964.25 $3,273.75 11.7×
CT soft tissue neck w/o contrast (70490) $1,197.30 $1,995.50 11.9×
CT thoracic spine w/contrast (72129) $1,964.25 $3,273.75 11.7×
CT thoracic spine w/o contrast (72128) $1,197.30 $1,995.50 11.9×
CT thoracic spine w/wo contrast (72130) $1,964.25 $3,273.75 11.7×
CT thorax w/o contrast (71250) $1,197.30 $1,995.50 11.9×
CT upper ext wo (73200) $1,197.30 $1,995.50 11.9×
CT upper extremity with contrast (73201) $4,049.25 $6,748.75 12.1×
Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) $1,964.25 $3,273.75 11.7×
Cta Abdomen (74175) $1,964.25 $3,273.75 11.7×
CTA abdomen pelvis (74174) $2,708.85 $4,514.75 8.1×
CTA chest (71275) $1,964.25 $3,273.75 11.7×
Cta Head (70496) $1,964.25 $3,273.75 11.7×
Cta Neck (70498) $1,964.25 $3,273.75 11.7×
Cta Pelvis (72191) $1,964.25 $3,273.75 11.7×
Diskography lumbar (72295) $58.05 $96.75 0.0×
Dxa bone density study 1/> sites axial skel (77080) $347.85 $579.75 3.5×
Dxa bone density study 1/>sites appendiclr skel (77081) $258.60 $431 3.1×
Facial bones min 3 views (70150) $347.85 $579.75 3.5×
Fetal biophysical profile non-stress testing (76818) $540.75 $901.25 5.4×
Fluoroscopy up to 1 hr (76000) $734.85 $1,224.75 3.2×
Foot 2 views (73620) $258.60 $431 3.1×
Forearm 2 views (73090) $258.60 $431 3.1×
Hand 2 views (73120) $347.85 $579.75 3.5×
Heart Infarct Image (78466) $1,003.05 $1,671.75 2.6×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,302 $2,170 2.5×
Hepatobiliary syst imaging including gallbladder (78226) $1,003.05 $1,671.75 2.6×
Kidney imaging morphology (78700) $1,003.05 $1,671.75 2.6×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,302 $2,170 2.5×
Kidney img morphology vascular flow 1 w/rx (78708) $1,302 $2,170 2.5×
Kidney Img Morphology Vascular Flow Multiple (78709) $1,302 $2,170 2.5×
Knee 3 views (73562) $258.60 $431 3.1×
Liver & spleen imaging static only (78215) $1,003.05 $1,671.75 2.6×
Liver imaging static only (78201) $1,302 $2,170 2.5×
Lung perf&ventilat diferentl (78598) $1,302 $2,170 2.5×
Lung ventilation imaging (78579) $1,003.05 $1,671.75 2.6×
Lymphoscintigraphy (78195) $1,302 $2,170 2.5×
Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) $7,105.35 $11,842.25 9.4×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) $3,657.45 $6,095.75 10.9×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) $3,657.45 $6,095.75 10.9×
MRA head w & w/o contrast (70546) $3,657.45 $6,095.75 10.9×
MRA head w/o contrast (70544) $2,285.25 $3,808.75 10.0×
MRA neck w contrast (70548) $3,657.45 $6,095.75 10.9×
Mra Neck W/O &W/Contrast Material (70549) $3,657.45 $6,095.75 10.9×
MRA neck w/o contrast (70547) $2,285.25 $3,808.75 10.0×
MRI abdomen w/o & w/contrast material (74183) $3,657.45 $6,095.75 10.9×
MRI abdomen w/o contrast (74181) $2,285.25 $3,808.75 10.0×
MRI any jt lower extrem w/contrast material (73722) $7,105.35 $11,842.25 9.4×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,657.45 $6,095.75 10.9×
MRI c-spine with contrast (72142) $3,657.45 $6,095.75 10.9×
MRI cervical spine w/o contrast (72141) $2,285.25 $3,808.75 10.0×
MRI chest w/o & w/contrast material (71552) $3,657.45 $6,095.75 10.9×
MRI chest w/o contrast (71550) $2,285.25 $3,808.75 10.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $3,657.45 $6,095.75 10.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,657.45 $6,095.75 10.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,285.25 $3,808.75 10.0×
MRI orbit face &/neck w/o contrast (70540) $2,285.25 $3,808.75 10.0×
MRI orbit face neck w contrast (70542) $3,657.45 $6,095.75 10.9×
MRI orbit/face/neck w&w/o cont (70543) $3,657.45 $6,095.75 10.9×
MRI pelvis w/contrast (72196) $3,657.45 $6,095.75 10.9×
MRI pelvis w/o & w/contrast material (72197) $3,657.45 $6,095.75 10.9×
MRI pelvis w/o contrast (72195) $2,285.25 $3,808.75 10.0×
MRI spinal canal cervical w/o & w/contr matrl (72156) $3,657.45 $6,095.75 10.9×
MRI spinal canal lumbar w/contrast material (72149) $3,657.45 $6,095.75 10.9×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $3,657.45 $6,095.75 10.9×
MRI spinal canal thoracic w/contrast matrl (72147) $3,657.45 $6,095.75 10.9×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $3,657.45 $6,095.75 10.9×
MRI temporomandibular joint (70336) $2,285.25 $3,808.75 10.0×
MRI thoracic spine w/o contrast (72146) $2,285.25 $3,808.75 10.0×
MRI up ext w/o contrast (73218) $2,285.25 $3,808.75 10.0×
MRI upper ext joint w/o contrast (73221) $2,285.25 $3,808.75 10.0×
MRI, joint upper extrem combo (73223) $3,657.45 $6,095.75 10.9×
Myocardial Spect Multiple Studies (78452) $3,476.55 $5,794.25 2.8×
Myocardial spect single study at rest or stress (78451) $3,476.55 $5,794.25 2.8×
N-invas est c ffr sw aly CTA (75580) $2,250 $3,750 2.7×
Neck soft tissue (70360) $258.60 $431 3.1×
Nm gastric emptying study (78264) $1,003.05 $1,671.75 2.6×
Nm gastroesophageal reflux study (78262) $1,003.05 $1,671.75 2.6×
Nm kidney scan w/flow (78701) $1,003.05 $1,671.75 2.6×
Parathyroid Planar Imaging (78070) $1,003.05 $1,671.75 2.6×
Pelvis 1 or 2 views (72170) $347.85 $579.75 3.5×
PET image w/CT, skull-thigh (78815) $4,138.20 $6,897 3.0×
PET imaging CT for attenuation limited area (78814) $4,138.20 $6,897 3.0×
PET imaging for CT attenuation whole body (78816) $4,138.20 $6,897 3.0×
Pet Imaging Limited Area Chest Head/Neck (78811) $3,687.75 $6,146.25 3.0×
PET whole body (78813) $4,138.20 $6,897 3.0×
Positron emission tomography (PET) imaging; skull base to mid-thigh Non-Facility (78812) $4,138.20 $6,897 3.0×
Pulmonary Perfusion Imaging Particulate (78580) $1,003.05 $1,671.75 2.6×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,302 $2,170 2.5×
Quan&charac c atherosclerotc plaq asses sev c ds (75577) $1,425 $2,375 1.6×
Radex Ankle Compl Minimum 3 Views (73610) $258.60 $431 3.1×
Radex Calcaneus Minimum 2 Views (73650) $258.60 $431 3.1×
Radex Elbw Compl Minimum 3 Views (73080) $258.60 $431 3.1×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $258.60 $431 3.1×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $347.85 $579.75 3.5×
Radex fingr minimum 2 views (73140) $258.60 $431 3.1×
Radex Foot Compl Minimum 3 Views (73630) $258.60 $431 3.1×
Radex Hand Minimum 3 Views (73130) $258.60 $431 3.1×
Radex Hip Unilateral With Pelvis 1 View (73501) $258.60 $431 3.1×
Radex Hips Bilateral With Pelvis 2 Views (73521) $347.85 $579.75 3.5×
Radex Humerus Minimum 2 Views (73060) $258.60 $431 3.1×
Radex Kne 1/2 Views (73560) $258.60 $431 3.1×
Radex Kne Compl 4/More Views (73564) $347.85 $579.75 3.5×
Radex Mndbl Compl Minimum 4 Views (70110) $347.85 $579.75 3.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $258.60 $431 3.1×
Radex Sho Compl Minimum 2 Views (73030) $258.60 $431 3.1×
Radex Sinuses Paransl < 3 Views (70210) $258.60 $431 3.1×
Radex Spine Lumbosacral Only Bending 2/3 Views (72120) $347.85 $579.75 3.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $258.60 $431 3.1×
Radex Toe Minimum 2 Views (73660) $258.60 $431 3.1×
Radex upper extremity infant minimum 2 views (73092) $347.85 $579.75 3.5×
Radex Wrst Compl Minimum 3 Views (73110) $258.60 $431 3.1×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $258.60 $431 3.1×
Radiologic exam chest 2 views (71046) $258.60 $431 3.1×
Radiologic examination femur 1 view (73551) $258.60 $431 3.1×
Radiologic examination tibia & fibula 2 views (73590) $258.60 $431 3.1×
Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) $347.85 $579.75 3.5×
Radiologic examination, mastoids; less than 3 views per side Non-Facility (70120) $347.85 $579.75 3.5×
Radiological examination surgical specimen (76098) $1,542.60 $2,571 2.9×
Ribs bilateral 3 views (71110) $347.85 $579.75 3.5×
Scapula (73010) $347.85 $579.75 3.5×
Screening Digital Breast Tomosynthesis Bi (77063) $93.90 $156.50 4.0×
Shoulder 1 view (73020) $258.60 $431 3.1×
Spine thoracic 3 views (72072) $347.85 $579.75 3.5×
Spleen imaging only (78185) $1,003.05 $1,671.75 2.6×
Testicular Imaging With Vascular Flow (78761) $1,003.05 $1,671.75 2.6×
Thoracolumbar 2 views (72080) $258.60 $431 3.1×
Thyroid imaging w/blood flow (78013) $1,003.05 $1,671.75 2.6×
Thyroid uptake measurement (78012) $1,003.05 $1,671.75 2.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,003.05 $1,671.75 2.6×
Ultrasound breast complete (76641) $540.75 $901.25 5.4×
Ultrasound Exam Aaa Screen (76706) $540.75 $901.25 5.4×
Ultrasound, abdomen limited (76705) $540.75 $901.25 5.4×
Us breast unilateral limited (76642) $501.08 $835.12 6.0×
Us chest (76604) $540.75 $901.25 5.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $540.75 $901.25 5.4×
Us ob limited (76815) $540.75 $901.25 5.4×
Us ob transvaginal (76817) $540.75 $901.25 5.4×
Us pelvic non ob complete (76856) $540.75 $901.25 5.4×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $540.75 $901.25 5.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $540.75 $901.25 5.4×
Us pg uter r-t img f-up tabdl appr pr fetus (76816) $540.75 $901.25 5.4×
Us retroperitoneal limited (76775) $540.75 $901.25 5.4×
Us scrotum and contents (76870) $540.75 $901.25 5.4×
Us soft tissue head/neck (76536) $540.75 $901.25 5.4×
Vertebral fracture assessment via dxa (77086) $258.60 $431 3.1×
Wrist 2 views (73100) $258.60 $431 3.1×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $347.85 $579.75 3.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $258.60 $431 3.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $258.60 $431 3.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $258.60 $431 3.1×
X-ray exam of femur 2/> (73552) $258.60 $431 3.1×
X-ray eye for foreign body (70030) $258.60 $431 3.1×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $258.60 $431 3.1×
X-ray IV pyelogram (ivp) (74400) $570.45 $950.75 3.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $258.60 $431 3.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $258.60 $431 3.1×
X-ray leg, infant (73592) $258.60 $431 3.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $347.85 $579.75 3.5×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $347.85 $579.75 3.5×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $347.85 $579.75 3.5×
X-ray retrograde pyelogram (74420) $1,175.85 $1,959.75 3.5×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $258.60 $431 3.1×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $347.85 $579.75 3.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $347.85 $579.75 3.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $347.85 $579.75 3.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $258.60 $431 3.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $258.60 $431 3.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $347.85 $579.75 3.5×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $347.85 $579.75 3.5×
X-Ray Spine One View - Xr Spine (72020) $258.60 $431 3.1×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $258.60 $431 3.1×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $258.60 $431 3.1×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $347.85 $579.75 3.5×
Xr c-spine 4 or 5 views (72050) $347.85 $579.75 3.5×
Xr c-spine 6 or more views (72052) $347.85 $579.75 3.5×
Xr chest 4+ views (71048) $347.85 $579.75 3.5×