Imaging prices at Shriners Children's Greenville

Greenville, SC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $260.60 $260.60 3.1×
Abdomen 2 views (74019) $312.50 $312.50 3.1×
Ankle 2 views (73600) $325.70 $325.70 3.9×
Arthrogram ankle (73615) $1,539 $1,539 4.6×
Arthrogram hip (73525) $1,539 $1,539 4.6×
Arthrogram Wrist (73115) $1,539 $1,539 4.6×
Bone age studies (77072) $260.60 $260.60 2.6×
Bone Imaging 3 Phase (78315) $797.32 $797.32 2.1×
Bone Imaging Limited Area (78300) $1,200.30 $1,200.30 3.1×
Bone Imaging Multiple Areas (78305) $1,333.60 $1,333.60 3.5×
Bone Imaging Whole Body (78306) $1,467 $1,467 3.8×
Bone survey infant (77076) $436.30 $436.30 4.4×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $2,406.47 $2,406.47 4.6×
Cat Scan Follow-Up Study (76380) $403.90 $403.90 4.9×
Chest 1 view (71045) $260.60 $260.60 3.1×
Chest 2 views (71046) $312.50 $312.50 3.8×
Chest 4 or more views (71048) $450.10 $450.10 4.5×
Clavicle complete (73000) $260.60 $260.60 3.1×
Contrast X-Ray Bladder (74430) $1,035.70 $1,035.70 3.1×
Contrast X-Ray Of Elbow (73085) $1,539 $1,539 4.6×
Contrast X-Ray Of Knee Joint (73580) $1,539 $1,539 4.6×
Contrast Xray Throat/Cerv Esopha (74210) $495.40 $495.40 3.0×
CT abdomen and pelvis without and with contrast (74178) $3,293.10 $3,293.10 9.9×
CT abdomen and pelvis without contrast (74176) $2,321.20 $2,321.20 10.2×
CT abdomen w contrast (74160) $1,723 $1,723 10.3×
CT abdomen w wo contrast (74170) $1,934.60 $1,934.60 11.5×
CT abdomen w/o contrast (74150) $1,131.50 $1,131.50 11.3×
CT Angio Chest (71275) $1,975 $1,975 11.8×
CT Angio Head (70496) $1,975 $1,975 11.8×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,975 $1,975 11.8×
CT Angio Neck (70498) $1,975 $1,975 11.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,975 $1,975 11.8×
CT cervical spine w/ contrast (72126) $5,169 $5,169 15.5×
CT cervical spine w/o contrast (72125) $3,394.60 $3,394.60 34.0×
CT cervical spine w/wo cont (72127) $5,803.90 $5,803.90 34.6×
CT chest w contrast (71260) $1,723 $1,723 10.3×
CT chest w/wo contrast (71270) $1,934.60 $1,934.60 11.5×
CT head/brain with contrast (70460) $1,723 $1,723 10.3×
CT head/brain without and with contrast (70470) $1,934.60 $1,934.60 11.5×
CT iac w contrast (70481) $1,723 $1,723 10.3×
CT l-spine w&w/o contrast (72133) $5,803.90 $5,803.90 34.6×
CT lower ext w/o (73700) $1,131.50 $1,131.50 11.3×
CT lower extremity w/contrast material (73701) $1,723 $1,723 10.3×
CT lumbar spine w contrast (72132) $5,169 $5,169 15.5×
CT lumbar spine w/o contrast (72131) $3,394.60 $3,394.60 34.0×
CT maxillofacial w contrast (70487) $1,723 $1,723 10.3×
CT maxillofacial wo contrast (70486) $1,131.50 $1,131.50 11.3×
CT neck tissue combo (70492) $1,934.60 $1,934.60 11.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,934.60 $1,934.60 11.5×
CT orbits w/o contrast (70480) $1,131.50 $1,131.50 11.3×
CT pelvis w&w/o contrast (72194) $1,934.60 $1,934.60 11.5×
CT pelvis w/o contrast (72192) $1,131.50 $1,131.50 11.3×
CT scan of leg combo (73702) $1,934.60 $1,934.60 11.5×
CT scans face/jaw combo (70488) $1,934.60 $1,934.60 11.5×
CT soft tissue neck w contrast (70491) $1,723 $1,723 10.3×
CT soft tissue neck w/o contrast (70490) $1,131.50 $1,131.50 11.3×
CT thoracic spine w contrast (72129) $5,169 $5,169 30.8×
CT thoracic spine w/o contrast (72128) $3,394.60 $3,394.60 34.0×
CT thoracic spine w/wo cont (72130) $5,803.90 $5,803.90 34.6×
CT thorax w/o contrast (71250) $1,131.50 $1,131.50 11.3×
CT upper ext wo (73200) $1,131.50 $1,131.50 11.3×
CT upper extremity w/o & w/contrast material (73202) $1,934.60 $1,934.60 11.5×
CT upper extremity with contrast (73201) $1,723 $1,723 5.2×
Cta Abdomen (74175) $1,975 $1,975 11.8×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,700.17 $1,700.17 5.1×
CTA pelvis (72191) $1,975 $1,975 11.8×
Dxa Bone Density Axial (77080) $420.60 $420.60 4.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $168.80 $168.80 2.0×
Esophagram (74220) $507.80 $507.80 3.0×
Fluoroscopy up to 1 hr (76000) $133 $133 0.6×
Foot 2 views (73620)
range across 2 matching MRF lines
$325.70–$651.40 $325.70–$651.40 varies
Forearm 2 views (73090) $325.70 $325.70 3.9×
Hand 2 views (73120) $325.70 $325.70 3.3×
Infant hip ultrasound with hip movement (dynamic) (76885) $434.90 $434.90 5.2×
Infant hip ultrasound, limited static exam (76886) $362.30 $362.30 4.4×
Knee 3 Views (73562) $325.70 $325.70 3.9×
Magnetic Image Jaw Joint (70336) $2,027.50 $2,027.50 8.9×
Mra Head W/O & W/Contrast Material (70546) $747.70 $747.70 2.2×
MRA head w/o contrast (70544) $459.10 $459.10 2.0×
MRA head with contrast (70545) $2,399.40 $2,399.40 7.2×
MRA neck w contrast (70548) $2,399.40 $2,399.40 7.2×
Mra Neck W/O &W/Contrast Material (70549) $3,030 $3,030 9.1×
MRA neck w/o contrast (70547) $1,978 $1,978 8.7×
MRI abdomen w contrast (74182) $2,459.40 $2,459.40 7.4×
MRI abdomen w/o contrast (74181) $2,027.50 $2,027.50 8.9×
MRI any jt lower extrem w/contrast material (73722) $2,459.40 $2,459.40 3.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,105.80 $3,105.80 9.3×
MRI any jt upper extremity w/contrast matrl (73222) $2,459.40 $2,459.40 3.3×
MRI cervical spine w contrast (72142) $7,026.90 $7,026.90 21.1×
MRI cervical spine w/o cont (72141) $5,792.90 $5,792.90 25.4×
MRI chest w/o contrast (71550) $2,027.50 $2,027.50 8.9×
MRI chest with contrast (71551) $2,459.40 $2,459.40 3.3×
MRI chest wo w contrast (71552) $3,105.80 $3,105.80 9.3×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,459.40 $2,459.40 7.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,105.80 $3,105.80 9.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,027.50 $2,027.50 8.9×
MRI lumbar spine w contrast (72149) $6,855.50 $6,855.50 20.6×
Mri Neck Spine W/O & W/Dye (72156) $8,873.70 $8,873.70 26.6×
MRI orbit face &/neck w/o contrast (70540) $2,027.50 $2,027.50 8.9×
MRI orbit face neck w contrast (70542) $2,459.40 $2,459.40 7.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,105.80 $3,105.80 9.3×
MRI pelvis w contrast (72196) $2,459.40 $2,459.40 7.4×
MRI pelvis w/o & w contrast (72197) $3,105.80 $3,105.80 9.3×
MRI pelvis w/o contrast (72195) $2,027.50 $2,027.50 8.9×
MRI thoracic spine w/o contrast (72146) $5,651.60 $5,651.60 24.8×
MRI upper extremity oth than jt w/contr matrl (73219) $2,459.40 $2,459.40 7.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,027.50 $2,027.50 8.9×
Mri Uppr Extremity W/O&W/Dye (73220) $3,105.80 $3,105.80 9.3×
MRI, abdomen, combo (74183) $3,105.80 $3,105.80 9.3×
MRI, dorsal spine combo (72157) $8,657.30 $8,657.30 26.0×
MRI, dorsal spine contrast (72147) $6,855.50 $6,855.50 20.6×
MRI, joint upper extrem (73221) $2,027.50 $2,027.50 8.9×
MRI, joint upper extrem combo (73223) $3,105.80 $3,105.80 9.3×
MRI, lumbar spine combo (72158) $8,657.30 $8,657.30 26.0×
Myelograpy 2/more regions rs&i (72270) $3,390.50 $3,390.50 4.5×
Neck soft tissue (70360) $260.60 $260.60 3.1×
Nonvascular Shunt X-Ray (75809) $428.80 $428.80 4.3×
Panoramic X-ray of jaws (70355) $260.60 $260.60 3.1×
Pelvis 1 or 2 views (72170) $260.60 $260.60 2.6×
PET whole body (78813) $6,876.90 $6,876.90 5.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $436.30 $436.30 4.4×
Radex Ankle Complete Minimum 3 Views (73610) $407 $407 4.9×
Radex Calcaneus Minimum 2 Views (73650) $325.70 $325.70 3.9×
Radex elbow complete minimum 3 views (73080) $407 $407 4.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $312.50 $312.50 3.1×
Radex fingr minimum 2 views (73140) $325.70 $325.70 3.9×
Radex foot complete minimum 3 views (73630) $407 $407 4.9×
Radex Hand Minimum 3 Views (73130) $407 $407 4.9×
Radex lower extremity infant minimum 2 views (73592) $256.60 $256.60 3.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $375.10 $375.10 4.5×
Radex Ribs Unilateral 2 Views (71100) $325.70 $325.70 3.9×
Radex shoulder complete minimum 2 views (73030) $325.70 $325.70 3.9×
Radex Sinuses Paransl < 3 Views (70210) $260.60 $260.60 3.1×
Radex Spine 1 View Specify Level (72020) $260.60 $260.60 3.1×
Radex Sternum Minimum 2 Views (71120) $312.50 $312.50 3.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $312.50 $312.50 3.8×
Radex Toe Minimum 2 Views (73660) $390.70 $390.70 4.7×
Radex upper extremity infant minimum 2 views (73092) $256.60 $256.60 2.6×
Radex Wrist Complete Minimum 3 Views (73110) $407 $407 4.9×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $543.60 $543.60 5.4×
Radiolog exam mandible compl minimum 4 views (70110) $312.50 $312.50 3.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $375.10 $375.10 3.8×
Radiologic exam colon single contrast study (74270) $507.80 $507.80 3.0×
Radiologic exam knee complete 4/more views (73564) $407 $407 4.1×
Radiologic exam pelvis compl minimum 3 views (72190) $312.50 $312.50 3.1×
Radiologic Exam Small Int Single Contrast Study (74250) $507.80 $507.80 3.0×
Radiologic exam swallow function contrast study (74230) $507.80 $507.80 3.0×
Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) $209.70 $209.70 0.9×
Radiologic examination femur 1 view (73551)
range across 2 matching MRF lines
$113.70–$227.40 $113.70–$227.40 varies
Radiologic examination femur minimum 2 views (73552) $134.70 $134.70 1.6×
Radiologic examination knee 1/2 views (73560) $260.60 $260.60 3.1×
Radiologic Examination Osseous Survey Limited (77074) $436.30 $436.30 4.4×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$325.70–$651.40 $325.70–$651.40 varies
Radiologic examination, teeth; single view Non-Facility (70300) $174.90 $174.90 2.1×
Ribs bilateral 3 views (71110) $488.40 $488.40 4.9×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,316 $2,316 4.5×
Scapula (73010) $260.60 $260.60 2.6×
Shoulder 1 view (73020) $260.60 $260.60 3.1×
Shoulder Arthrography (73040) $1,539 $1,539 4.6×
Skull less than 4 views (70250) $260.60 $260.60 2.6×
Speech evaluation, complex (70371) $330.10 $330.10 1.4×
Sternoclavicular joints (71130) $375.10 $375.10 4.5×
Thoracic spine 2 views (72070) $254.20 $254.20 2.5×
Thoracic spine 3 views (72072) $312.50 $312.50 3.1×
Thoracolumbar 2 views (72080) $312.50 $312.50 3.8×
Ultrasound, abdomen limited (76705) $564.40 $564.40 5.7×
Unlisted Dx Radiographic Procedure (76499) $260.60 $260.60 3.1×
Unlisted fluoroscopic procedure (76496) $496.30 $496.30 6.0×
Unlisted us procedure (76999) $362.30 $362.30 4.4×
Upper gi w/o kub (74240) $821.10 $821.10 4.9×
Urethrocystogram voiding (74455) $1,035.70 $1,035.70 4.5×
Us chest (76604) $362.30 $362.30 3.6×
Us complete joint (76881) $564.40 $564.40 5.7×
Us exam, pelvic, limited (76857) $547.90 $547.90 5.5×
Us head (76506) $362.30 $362.30 3.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $564.40 $564.40 5.7×
Us pelvic non ob complete (76856) $547.90 $547.90 5.5×
Us retroperitoneal complete (76770) $677.20 $677.20 6.8×
Us retroperitoneal limited (76775) $564.40 $564.40 5.7×
Us scrotum and contents (76870) $548.40 $548.40 5.5×
Us spinal canal and contents (76800) $564.40 $564.40 5.7×
Us thyroid (76536) $564.40 $564.40 5.7×
Vertebral fracture assessment via dxa (77086) $260.60 $260.60 3.1×
Wrist 2 views (73100) $325.70 $325.70 3.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $260.60 $260.60 3.1×
X-Ray Bend Only L-S Spine (72120) $543.60 $543.60 5.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $325.70 $325.70 3.9×
X-Ray Exam Entire Spi 1 Vw (72081) $260.60 $260.60 3.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $270.50 $270.50 2.7×
X-Ray Exam Entire Spi 4/5 Vw (72083) $293.60 $293.60 2.9×
X-Ray Exam Hip Uni 1 View (73501) $120 $120 1.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $176.40 $176.40 2.1×
X-Ray Exam Hip Uni 4/> Views (73503) $218.20 $218.20 2.2×
X-Ray Exam Hips Bi 2 Views (73521) $166.20 $166.20 1.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $197.40 $197.40 2.0×
X-Ray Exam Hips Bi 5/> Views (73523) $237 $237 2.4×
X-Ray Exam L-S Spine Bending (72114) $480 $480 4.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $260.60 $260.60 3.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $480 $480 4.8×
X-Ray Exam Unilat Ribs/Chest (71101) $407 $407 4.1×
X-ray eye for foreign body (70030) $403.90 $403.90 4.9×
X-ray head for orthodontia (70350) $260.60 $260.60 3.1×
X-ray humerus (73060) $325.70 $325.70 3.9×
X-ray IV pyelogram (ivp) (74400) $995.60 $995.60 5.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $260.60 $260.60 3.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $508.60 $508.60 6.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $260.60 $260.60 2.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $508.60 $508.60 5.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $312.50 $312.50 3.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $260.60 $260.60 2.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $312.50 $312.50 3.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $312.50 $312.50 3.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $436.30 $436.30 4.4×
X-Ray Stress View (77071) $260.60 $260.60 3.1×
X-ray thoracic spine 4 vw (72074) $375.10 $375.10 3.8×
X-Ray Tmj Unilat (70328) $260.60 $260.60 3.1×
X-Rays Bone Length Studies (77073) $256.60 $256.60 2.6×
X-Rays Bone Survey Complete (77075) $523.90 $523.90 5.2×
Xr c-spine 4 or 5 views (72050) $436.30 $436.30 4.4×
Xr facial bones less than 3 views (70140) $260.60 $260.60 3.1×
Xr orbits complete 4 views (70200) $543.60 $543.60 5.4×

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.