Imaging prices at Summers County ARH Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $230.40 $384 2.8×
Abdomen 2 views (74019) $304.20 $507 3.0×
Ankle 2 views (73600)
range across 3 matching MRF lines
$210.60–$420.60 $351–$701 varies
Bone age studies (77072) $230.40 $384 2.3×
Bone Imaging 3 Phase (78315) $1,170 $1,950 3.1×
Bone Imaging Whole Body (78306) $1,268.40 $2,114 3.3×
Chest 1 view (71045) $213.60 $356 2.6×
Chest 2 views (71046) $251.40 $419 3.0×
Chest 4 or more views (71048) $295.20 $492 2.9×
Clavicle complete (73000)
range across 3 matching MRF lines
$230.40–$462 $384–$770 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,773 $2,955 17.7×
CT abdomen and pelvis without and with contrast (74178) $4,948.20 $8,247 14.8×
CT abdomen and pelvis without contrast (74176) $3,231 $5,385 14.1×
CT abdomen w contrast (74160) $1,892.40 $3,154 11.2×
CT abdomen w wo contrast (74170) $2,256.60 $3,761 13.4×
CT abdomen w/o contrast (74150) $1,533 $2,555 15.3×
CT Angio Abdomen and Pelvis (74174) $4,842 $8,070 14.5×
CT Angio Chest (71275) $2,693.40 $4,489 16.0×
CT Angio Head (70496) $2,098.20 $3,497 12.5×
CT Angio Neck (70498) $2,098.20 $3,497 12.5×
CT cervical spine w/ contrast (72126) $2,272.80 $3,788 6.8×
CT cervical spine w/o contrast (72125) $1,969.80 $3,283 19.6×
CT chest w contrast (71260) $2,422.80 $4,038 14.4×
CT chest w/wo contrast (71270) $2,899.80 $4,833 17.2×
CT head/brain with contrast (70460) $1,577.40 $2,629 9.4×
CT head/brain without and with contrast (70470) $2,240.40 $3,734 13.3×
CT l-spine w&w/o contrast (72133) $2,693.40 $4,489 16.0×
CT lower ext w/o (73700)
range across 3 matching MRF lines
$1,463.40–$2,926.20 $2,439–$4,877 varies
CT lower extremity w/contrast material (73701) $1,846.80 $3,078 11.0×
CT lumbar spine w contrast (72132) $2,272.80 $3,788 6.8×
CT lumbar spine w/o contrast (72131) $1,869 $3,115 18.6×
CT maxillofacial w contrast (70487) $1,846.80 $3,078 11.0×
CT maxillofacial wo contrast (70486) $1,463.40 $2,439 14.6×
CT neck tissue combo (70492) $2,098.20 $3,497 12.5×
CT orbits w/o contrast (70480) $1,463.40 $2,439 14.6×
CT pelvis w&w/o contrast (72194) $2,693.40 $4,489 16.0×
CT pelvis w/o contrast (72192) $1,700.40 $2,834 17.0×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$2,098.20–$4,195.20 $3,497–$6,992 varies
CT scans face/jaw combo (70488) $2,098.20 $3,497 12.5×
CT soft tissue neck w contrast (70491) $1,846.80 $3,078 11.0×
CT soft tissue neck w/o contrast (70490) $1,463.40 $2,439 14.6×
CT thoracic spine w/o contrast (72128) $2,010 $3,350 20.0×
CT thoracic spine w/wo cont (72130) $2,693.40 $4,489 16.0×
CT thorax w/o contrast (71250) $1,773 $2,955 17.7×
CT upper ext wo (73200) $1,463.40 $2,439 14.6×
CT upper extremity w/o & w/contrast material (73202) $2,098.20 $3,497 12.5×
CT upper extremity with contrast (73201) $1,846.80 $3,078 5.5×
Dxa Bone Density Axial (77080) $544.80 $908 5.4×
Esophagram (74220) $549.60 $916 3.3×
Fluoroscopy up to 1 hr (76000) $374.40 $624 1.6×
Foot 2 views (73620)
range across 3 matching MRF lines
$209.40–$418.20 $349–$697 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$220.80–$440.40 $368–$734 varies
Gastric emptying imaging study (78264) $1,293 $2,155 3.4×
Hand 2 views (73120) $192.60 $321 1.9×
Hepatobil Syst Image W/Drug (78227) $1,268.40 $2,114 2.4×
Hepatobiliary System Imaging (78226) $664.20 $1,107 1.7×
Knee 3 Views (73562)
range across 3 matching MRF lines
$243.60–$488.40 $406–$814 varies
Mra Head W/O & W/Contrast Material (70546) $2,418.60 $4,031 7.2×
MRA head w/o contrast (70544) $2,485.20 $4,142 10.9×
MRI abdomen w/o contrast (74181) $2,386.20 $3,977 10.4×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,277.20 $5,462 9.8×
MRI cervical spine w/o cont (72141) $2,866.80 $4,778 12.5×
MRI chest w/o contrast (71550) $3,010.20 $5,017 13.2×
MRI chest wo w contrast (71552) $3,205.20 $5,342 9.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,866.80 $4,778 8.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,277.20 $5,462 9.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,033.40 $3,389 8.9×
Mri Neck Spine W/O & W/Dye (72156) $4,568.40 $7,614 13.7×
MRI orbit face &/neck w/o contrast (70540) $3,010.20 $5,017 13.2×
MRI pelvis w/o & w contrast (72197) $3,010.20 $5,017 9.0×
MRI pelvis w/o contrast (72195) $2,866.80 $4,778 12.5×
MRI thoracic spine w/o contrast (72146) $3,205.20 $5,342 14.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,167.80 $3,613 9.5×
Mri Uppr Extremity W/O&W/Dye (73220) $3,010.20 $5,017 9.0×
MRI, abdomen, combo (74183) $2,505 $4,175 7.5×
MRI, dorsal spine combo (72157) $4,568.40 $7,614 13.7×
MRI, joint upper extrem (73221) $2,866.80 $4,778 12.5×
MRI, joint upper extrem combo (73223) $3,010.20 $5,017 9.0×
MRI, lumbar spine combo (72158) $3,754.80 $6,258 11.2×
Myocardial Spect Multiple Studies (78452) $2,353.20 $3,922 1.9×
Neck soft tissue (70360) $210.60 $351 2.5×
Pelvis 1 or 2 views (72170) $230.40 $384 2.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $529.20 $882 5.3×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$251.40–$502.80 $419–$838 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$220.80–$440.40 $368–$734 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$260.40–$519.60 $434–$866 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $336.60 $561 3.4×
Radex fingr minimum 2 views (73140) $186.60 $311 2.2×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$238.20–$476.40 $397–$794 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$231.60–$463.20 $386–$772 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $230.40 $384 2.8×
Radex Ribs Unilateral 2 Views (71100) $300 $500 3.6×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$230.40–$462 $384–$770 varies
Radex Sinuses Paransl < 3 Views (70210) $230.40 $384 2.8×
Radex Spine 1 View Specify Level (72020) $230.40 $384 2.8×
Radex Sternum Minimum 2 Views (71120) $230.40 $384 2.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $374.40 $624 4.5×
Radex Toe Minimum 2 Views (73660) $172.80 $288 2.1×
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$255–$511.20 $425–$852 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $668.40 $1,114 6.7×
Radiolog exam mandible compl minimum 4 views (70110) $374.40 $624 3.7×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $307.80 $513 3.1×
Radiologic exam colon double contrast study (74280) $910.20 $1,517 5.4×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$280.80–$562.80 $468–$938 varies
Radiologic Exam Small Int Single Contrast Study (74250) $445.20 $742 2.6×
Radiologic exam swallow function contrast study (74230) $553.20 $922 3.3×
Radiologic exam upr gi trc double contrast study (74246) $1,225.20 $2,042 7.3×
Radiologic examination femur 1 view (73551) $117 $195 1.4×
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$230.40–$462 $384–$770 varies
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$218.40–$436.80 $364–$728 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$238.20–$476.40 $397–$794 varies
Ribs bilateral 3 views (71110) $454.20 $757 4.5×
Scapula (73010) $230.40 $384 2.3×
Shoulder 1 view (73020) $199.80 $333 2.4×
Skull less than 4 views (70250) $230.40 $384 2.3×
Thoracic spine 2 views (72070) $315 $525 3.1×
Thoracic spine 3 views (72072) $352.20 $587 3.5×
Ultrasound Exam Aaa Screen (76706) $405 $675 4.0×
Ultrasound, abdomen limited (76705) $519 $865 5.2×
Upper gi w/o kub (74240) $1,149 $1,915 6.8×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$359.40–$718.20 $599–$1,197 varies
Us chest (76604) $898.80 $1,498 9.0×
Us complete joint (76881) $230.40 $384 2.3×
Us exam, pelvic, limited (76857) $637.20 $1,062 6.4×
Us kidney transplant (76776) $289.20 $482 2.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$149.40–$299.40 $249–$499 varies
Us ob limited 1 or more fetuses (76815) $643.20 $1,072 6.4×
Us pelvic non ob complete (76856) $715.80 $1,193 7.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $809.40 $1,349 8.1×
Us retroperitoneal limited (76775)
range across 3 matching MRF lines
$137.40–$275.40 $229–$459 varies
Us scrotum and contents (76870) $809.40 $1,349 8.1×
Us thyroid (76536) $643.20 $1,072 6.4×
Wrist 2 views (73100) $209.40 $349 2.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $304.20 $507 3.6×
X-Ray Bend Only L-S Spine (72120) $366 $610 3.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $199.20 $332 2.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $462 $770 4.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $234 $390 2.8×
X-Ray Exam Hip Uni 4/> Views (73503) $243 $405 2.4×
X-Ray Exam Hips Bi 2 Views (73521) $452.40 $754 4.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $446.40 $744 4.5×
X-Ray Exam L-S Spine Bending (72114) $648 $1,080 6.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $260.40 $434 3.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $454.20 $757 4.5×
X-Ray Exam Unilat Ribs/Chest (71101) $364.80 $608 3.6×
X-ray humerus (73060)
range across 3 matching MRF lines
$230.40–$462 $384–$770 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $230.40 $384 2.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $427.20 $712 5.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $265.80 $443 2.7×
X-ray nose-rectum child f.b. (76010) $230.40 $384 2.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $519 $865 5.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $333 $555 3.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $161.40 $269 1.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $260.40 $434 3.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $373.80 $623 4.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $374.40 $624 3.7×
X-Rays Bone Length Studies (77073) $320.40 $534 3.2×
Xr c-spine 4 or 5 views (72050) $339 $565 3.4×
Xr facial bones less than 3 views (70140) $230.40 $384 2.8×

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.