Imaging prices at Salem Township Hospital
Salem, IL · every code in this section with a posted price and a Medicare benchmark.
107 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) | $302.99 | $757.48 | 3.2× |
| Abdomen 2 views (74019) | $216.37 | $540.93 | 1.9× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$77.25–$154.50 | $193.12–$386.25 | varies |
| Bone age studies (77072) | $77.25 | $193.12 | 0.7× |
| Bone Imaging Whole Body (78306) | $1,096.58 | $2,741.46 | 2.6× |
| Chest 1 view (71045) | $221.52 | $553.80 | 2.4× |
| Chest 2 views (71046) | $319.66 | $799.14 | 3.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$68.17–$138.99 | $170.43–$347.47 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $593.95 | $1,484.88 | 5.3× |
| CT abdomen and pelvis without and with contrast (74178) | $4,363.92 | $10,909.80 | 11.7× |
| CT abdomen and pelvis without contrast (74176) | $3,661.42 | $9,153.56 | 14.3× |
| CT abdomen w contrast (74160) | $1,593.79 | $3,984.48 | 8.5× |
| CT abdomen w wo contrast (74170) | $1,648.90 | $4,122.24 | 8.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,398.51 | $5,996.28 | 6.4× |
| CT Angio Chest (71275) | $2,645.84 | $6,614.61 | 14.1× |
| CT Angio Head (70496) | $1,517.38 | $3,793.44 | 8.1× |
| CT Angio Neck (70498) | $1,572.80 | $3,932 | 8.4× |
| CT cervical spine w/o contrast (72125) | $2,459.20 | $6,148 | 22.0× |
| CT chest w contrast (71260) | $1,671.11 | $4,177.77 | 8.9× |
| CT chest w/wo contrast (71270) | $1,354.91 | $3,387.27 | 7.2× |
| CT l-spine w&w/o contrast (72133) | $1,895.02 | $4,737.55 | 10.1× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,545.01–$3,084.92 | $3,862.52–$7,712.30 | varies |
| CT lumbar spine w/o contrast (72131) | $1,313.38 | $3,283.45 | 11.7× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,290.12–$1,750.89 | $3,225.29–$4,377.22 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,067.79–$1,139.20 | $2,669.48–$2,847.99 | varies |
| CT pelvis w/o contrast (72192) | $1,078.77 | $2,696.93 | 9.6× |
| CT soft tissue neck w contrast (70491) | $1,381.20 | $3,453.01 | 7.3× |
| CT soft tissue neck w/o contrast (70490) | $975.35 | $2,438.38 | 8.7× |
| CT thoracic spine w/o contrast (72128) | $1,047.36 | $2,618.41 | 9.3× |
| CT thoracic spine w/wo cont (72130) | $1,674.62 | $4,186.55 | 8.9× |
| CT thorax w/o contrast (71250) | $1,782.88 | $4,457.20 | 15.9× |
| CT upper ext wo (73200) | $889.83 | $2,224.57 | 7.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,627.78 | $4,069.44 | 8.7× |
| Cta Abdomen (74175) | $1,676.48 | $4,191.20 | 8.9× |
| Dxa Bone Density Axial (77080) | $453.79 | $1,134.48 | 4.1× |
| Dxa bone density study (77085) | $680 | $1,700 | 6.1× |
| Esophagram (74220) | $364.59 | $911.47 | 1.9× |
| Fluoroscopy up to 1 hr (76000) | $384.60 | $961.51 | 1.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$86.01–$173.60 | $215.03–$434 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$94.88–$184.41 | $237.21–$461.02 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$77.25–$157.75 | $193.12–$394.38 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,164.58 | $2,911.44 | 2.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$399.50–$503.14 | $998.76–$1,257.84 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $534.24 | $1,335.61 | 0.9× |
| MRI abdomen w/o contrast (74181) | $1,252.93 | $3,132.32 | 4.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,504.23–$1,533.36 | $3,760.57–$3,833.40 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$884.28–$1,768.57 | $2,210.71–$4,421.42 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,197.16–$2,494.34 | $2,992.91–$6,235.85 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $2,219.38 | $5,548.44 | 5.9× |
| MRI pelvis w/o & w contrast (72197) | $2,057.28 | $5,143.19 | 5.5× |
| MRI pelvis w/o contrast (72195) | $1,513.30 | $3,783.26 | 5.9× |
| MRI thoracic spine w/o contrast (72146) | $1,647.01 | $4,117.52 | 6.4× |
| MRI, abdomen, combo (74183) | $2,170.38 | $5,425.94 | 5.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,222.37–$2,494.34 | $3,055.92–$6,235.85 | varies |
| MRI, lumbar spine combo (72158) | $2,251.01 | $5,627.53 | 6.0× |
| Myocardial Spect Multiple Studies (78452) | $2,968.38 | $7,420.96 | 2.1× |
| Neck soft tissue (70360) | $93.15 | $232.87 | 1.0× |
| Pelvis 1 or 2 views (72170) | $194.44 | $486.09 | 1.7× |
| PET image w/CT, full body (78816) | $3,667.20 | $9,168 | 2.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,492.80 | $8,732 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $316.87 | $792.18 | 2.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$373.06–$401.91 | $932.64–$1,004.78 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$117.36–$218.94 | $293.39–$547.34 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$82.66–$165.20 | $206.65–$413 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$366.10–$420.14 | $915.24–$1,050.36 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$401.27–$423.31 | $1,003.17–$1,058.27 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$121.29–$127.34 | $303.22–$318.36 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$391.06–$455.82 | $977.65–$1,139.54 | varies |
| Radex Sternum Minimum 2 Views (71120) | $122.69 | $306.73 | 1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$111.08–$187.87 | $277.69–$469.68 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$150.65–$286.96 | $376.62–$717.41 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $143.48 | $358.70 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $524.92 | $1,312.31 | 2.8× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$93.94–$184 | $234.84–$460 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$78.88–$154.50 | $197.19–$386.25 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$98.63–$187.87 | $246.57–$469.68 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $104.40 | $261 | 4.5× |
| Thoracic spine 2 views (72070) | $92.63 | $231.57 | 0.8× |
| Thoracic spine 3 views (72072) | $298.14 | $745.34 | 2.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$121.10–$230.68 | $302.76–$576.70 | varies |
| Ultrasound, abdomen limited (76705) | $590.89 | $1,477.23 | 5.3× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$168.57–$301.48 | $421.43–$753.70 | varies |
| Us chest (76604) | $319.91 | $799.78 | 2.9× |
| Us exam, pelvic, limited (76857) | $366.25 | $915.62 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$99.09–$198.18 | $247.72–$495.45 | varies |
| Us pelvic non ob complete (76856) | $744.05 | $1,860.13 | 6.6× |
| Us retroperitoneal complete (76770) | $525.95 | $1,314.87 | 4.7× |
| Us retroperitoneal limited (76775) | $431.14 | $1,077.85 | 3.8× |
| Us scrotum and contents (76870) | $497.51 | $1,243.78 | 4.4× |
| Us thyroid (76536) | $681.62 | $1,704.04 | 6.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$84.03–$171.46 | $210.07–$428.66 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$73.33–$149.63 | $183.32–$374.07 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $351.71 | $879.28 | 3.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $452.15 | $1,130.38 | 4.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $279.50 | $698.74 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $575.04 | $1,437.61 | 5.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $105.36 | $263.40 | 1.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $482.43 | $1,206.08 | 4.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $158.97 | $397.43 | 1.4× |
| X-ray eye for foreign body (70030) | $229.02 | $572.56 | 2.5× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$98.63–$191.69 | $246.57–$479.22 | varies |
| X-ray IV pyelogram (ivp) (74400) | $521.24 | $1,303.10 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $266.17 | $665.43 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $212.88 | $532.20 | 1.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $147.07 | $367.67 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $251.26 | $628.16 | 2.7× |
| Xr c-spine 4 or 5 views (72050) | $393.45 | $983.62 | 3.5× |
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.