Imaging prices at Sweetwater Hospital Association

Sweetwater, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $141.75 $315 1.8×
Abdomen 2 views (74019) $141.75 $315 1.5×
Acute Gastrointestinal Blood Loss Imaging (78278) $488.57 $1,085.70 1.3×
Acute venous thrombosis imaging, peptide Non-Facility (78456) $488.57 $1,085.70 0.4×
Angiography extremity bilateral rs&i (75716) $233.89 $519.75 0.1×
Arthrogram ankle (73615) $141.75 $315 0.4×
Arthrogram hip (73525) $321.77 $715.05 1.0×
Arthrogram Wrist (73115) $141.75 $315 0.4×
Bone age studies (77072) $141.75 $315 1.5×
Bone Imaging 3 Phase (78315) $488.57 $1,085.70 1.3×
Bone Imaging Limited Area (78300) $488.57 $1,085.70 1.3×
Bone Imaging Multiple Areas (78305) $488.57 $1,085.70 1.3×
Bone Imaging Whole Body (78306) $488.57 $1,085.70 1.3×
Brain Image W/Flow < 4 Views (78601) $488.57 $1,085.70 1.3×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $488.57 $1,085.70 1.0×
Brain Imaging Minimum 4 Static Views (78605) $488.57 $1,085.70 1.0×
Chest 1 view (71045) $141.75 $315 1.8×
Chest 2 views (71046) $141.75 $315 1.8×
Chest 4 or more views (71048) $283.50 $630 3.0×
Cholecystography Oral Contrast (74290) $141.75 $315 0.9×
Clavicle complete (73000) $141.75 $315 1.8×
Contrast X-Ray Bladder (74430) $141.75 $315 0.4×
Contrast X-Ray Of Elbow (73085) $141.75 $315 0.4×
Contrast X-Ray Of Knee Joint (73580) $160.65 $357 0.5×
CT abdomen and pelvis without and with contrast (74178) $945 $2,100 3.0×
CT abdomen and pelvis without contrast (74176) $945 $2,100 4.4×
CT abdomen w contrast (74160) $945 $2,100 5.9×
CT abdomen w wo contrast (74170) $945 $2,100 5.9×
CT abdomen w/o contrast (74150) $945 $2,100 10.0×
CT Angio Abdomen and Pelvis (74174) $945 $2,100 3.0×
CT Angio Chest (71275) $945 $2,100 5.9×
CT Angio Head (70496) $945 $2,100 5.9×
CT angio hrt w/3d image (75574) $945 $2,100 3.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $945 $2,100 5.9×
CT Angio Neck (70498) $945 $2,100 5.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $945 $2,100 5.9×
CT bone density (77078) $945 $2,100 12.0×
CT cervical spine w/o contrast (72125) $945 $2,100 10.0×
CT cervical spine w/wo cont (72127) $945 $2,100 5.9×
CT chest w contrast (71260) $945 $2,100 5.9×
CT chest w/wo contrast (71270) $945 $2,100 5.9×
CT head/brain with contrast (70460) $945 $2,100 5.9×
CT head/brain without and with contrast (70470) $945 $2,100 5.9×
CT heart contrast eval cardiac structure&morph (75572) $945 $2,100 3.0×
CT heart no contrast quant eval coronry calcium (75571) $189 $420 2.4×
CT lower ext w/o (73700) $945 $2,100 10.0×
CT lower extremity w/contrast material (73701) $945 $2,100 5.9×
CT lumbar spine w contrast (72132) $945 $2,100 3.0×
CT lumbar spine w/o contrast (72131) $945 $2,100 10.0×
CT maxillofacial wo contrast (70486) $945 $2,100 10.0×
CT neck tissue combo (70492) $945 $2,100 5.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $945 $2,100 5.9×
CT orbits w/o contrast (70480) $945 $2,100 10.0×
CT pelvis w&w/o contrast (72194) $945 $2,100 5.9×
CT pelvis w/o contrast (72192) $945 $2,100 10.0×
CT scan of leg combo (73702) $945 $2,100 5.9×
CT scans face/jaw combo (70488) $945 $2,100 5.9×
CT soft tissue neck w contrast (70491) $945 $2,100 5.9×
CT soft tissue neck w/o contrast (70490) $945 $2,100 10.0×
CT thoracic spine w/o contrast (72128) $945 $2,100 10.0×
CT thorax w/o contrast (71250) $945 $2,100 10.0×
CT upper ext wo (73200) $945 $2,100 10.0×
CT upper extremity with contrast (73201) $945 $2,100 3.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $945 $2,100 5.9×
Cta Abdomen (74175) $945 $2,100 5.9×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $945 $2,100 3.0×
CTA pelvis (72191) $945 $2,100 5.9×
Doppler Echo Fetal Spectral Display Complete (76827) $992.25 $2,205 10.5×
Dxa Bone Density Axial (77080) $113.40 $252 1.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $37.80 $84 0.5×
Echo exam of fetal heart (76825)
range across 2 matching MRF lines		 $297.68–$992.25 $661.50–$2,205 varies
Echo exam uterus (76831) $236.25 $525 1.1×
Esophagram (74220) $141.75 $315 0.9×
Fetal Biophys Profile W/Nst (76818) $236.25 $525 2.5×
Fluoroscopy up to 1 hr (76000) $141.75 $315 0.7×
Forearm 2 views (73090) $141.75 $315 1.8×
Gastric emptying imaging study (78264) $488.57 $1,085.70 1.3×
Gated Heart Planar Single (78472) $488.57 $1,085.70 1.3×
Hepatobil Syst Image W/Drug (78227) $661.50 $1,470 1.3×
Hepatobiliary System Imaging (78226) $488.57 $1,085.70 1.3×
Ht Musc Image Planar Mult (78454) $602.44 $1,338.75 0.5×
Ht Muscle Image Spect Sing (78451) $488.57 $1,085.70 0.4×
Hysterosalpingogram (74740) $141.75 $315 0.7×
K Flow/Funct Image Multiple (78709) $488.57 $1,085.70 1.0×
K Flow/Funct Image W/Drug (78708) $488.57 $1,085.70 1.0×
K Flow/Funct Image W/O Drug (78707) $488.57 $1,085.70 1.0×
Knee 3 Views (73562) $141.75 $315 1.8×
Liver & Spleen Imaging Static Only (78215) $488.57 $1,085.70 1.3×
Liver imaging static only (78201) $488.57 $1,085.70 1.0×
Lung perfusion differential (78597) $488.57 $1,085.70 1.3×
Lung Ventilat&Perfus Imaging (78582) $488.57 $1,085.70 1.0×
Lung Ventilation Imaging (78579) $488.57 $1,085.70 1.3×
Lymph System Imaging (78195) $472.50 $1,050 1.0×
Magnetic Image Jaw Joint (70336) $992.25 $2,205 4.6×
Mammary ductogram or galactogram single (77053) $141.75 $315 0.7×
Meckels Divert Exam (78290) $488.57 $1,085.70 1.3×
Mra Head W/O & W/Contrast Material (70546) $992.25 $2,205 3.1×
MRA head w/o contrast (70544) $992.25 $2,205 4.6×
MRA head with contrast (70545) $992.25 $2,205 3.1×
MRA neck w contrast (70548) $992.25 $2,205 3.1×
Mra Neck W/O &W/Contrast Material (70549) $992.25 $2,205 3.1×
MRA neck w/o contrast (70547) $992.25 $2,205 4.6×
MRI abdomen w contrast (74182) $992.25 $2,205 3.1×
MRI abdomen w/o contrast (74181) $992.25 $2,205 4.6×
MRI any jt lower extrem w/contrast material (73722) $992.25 $2,205 1.4×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $992.25 $2,205 3.1×
MRI any jt upper extremity w/contrast matrl (73222) $992.25 $2,205 1.4×
MRI Breast W/O Contrast Bilateral (77047) $992.25 $2,205 4.6×
MRI Breast Without Contrast Material Unilateral (77046) $992.25 $2,205 4.6×
MRI cervical spine w contrast (72142) $992.25 $2,205 3.1×
MRI cervical spine w/o cont (72141) $992.25 $2,205 4.6×
MRI chest w/o contrast (71550) $992.25 $2,205 4.6×
MRI chest with contrast (71551) $992.25 $2,205 1.4×
MRI chest wo w contrast (71552) $992.25 $2,205 3.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $992.25 $2,205 3.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $992.25 $2,205 3.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $992.25 $2,205 4.6×
MRI lumbar spine w contrast (72149) $992.25 $2,205 3.1×
Mri Neck Spine W/O & W/Dye (72156) $992.25 $2,205 3.1×
MRI orbit face &/neck w/o contrast (70540) $992.25 $2,205 4.6×
MRI orbit face neck w contrast (70542) $992.25 $2,205 3.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $992.25 $2,205 3.1×
MRI pelvis w contrast (72196) $992.25 $2,205 3.1×
MRI pelvis w/o & w contrast (72197) $992.25 $2,205 3.1×
MRI pelvis w/o contrast (72195) $992.25 $2,205 4.6×
MRI thoracic spine w/o contrast (72146) $992.25 $2,205 4.6×
MRI upper extremity oth than jt w/contr matrl (73219) $992.25 $2,205 3.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $992.25 $2,205 4.6×
Mri Uppr Extremity W/O&W/Dye (73220) $992.25 $2,205 3.1×
MRI, abdomen, combo (74183) $992.25 $2,205 3.1×
MRI, dorsal spine combo (72157) $992.25 $2,205 3.1×
MRI, dorsal spine contrast (72147) $992.25 $2,205 3.1×
MRI, joint upper extrem (73221) $992.25 $2,205 4.6×
MRI, joint upper extrem combo (73223) $992.25 $2,205 3.1×
MRI, lumbar spine combo (72158) $992.25 $2,205 3.1×
Myelogram cervical (72240) $310.43 $689.85 0.4×
Myelogram Lumbar (72265) $310.43 $689.85 0.4×
Myelography thoracic (72255) $310.43 $689.85 0.4×
Myelograpy 2/more regions rs&i (72270) $310.43 $689.85 0.4×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $240.98 $535.50 0.7×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $488.57 $1,085.70 0.4×
Myocardial Spect Multiple Studies (78452)
range across 3 matching MRF lines		 $649.69–$855 $1,443.75–$1,900 varies
Neck soft tissue (70360) $141.75 $315 1.8×
Ophthalmic us dx quantitative a-scan only (76511) $236.25 $525 2.5×
Parathyroid Planar Imaging (78070) $488.57 $1,085.70 1.3×
Pelvis 1 or 2 views (72170) $141.75 $315 1.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $141.75 $315 1.5×
Radex abscess/fistula/sinus tract rs&i (76080) $141.75 $315 0.3×
Radex Ankle Complete Minimum 3 Views (73610) $141.75 $315 1.8×
Radex Calcaneus Minimum 2 Views (73650) $141.75 $315 1.8×
Radex elbow complete minimum 3 views (73080) $141.75 $315 1.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $141.75 $315 1.5×
Radex fingr minimum 2 views (73140) $141.75 $315 1.8×
Radex foot complete minimum 3 views (73630) $141.75 $315 1.8×
Radex Hand Minimum 3 Views (73130) $141.75 $315 1.8×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $141.75 $315 1.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $141.75 $315 1.8×
Radex Ribs Unilateral 2 Views (71100) $141.75 $315 1.8×
Radex shoulder complete minimum 2 views (73030) $141.75 $315 1.8×
Radex Spine 1 View Specify Level (72020) $141.75 $315 1.8×
Radex Sternum Minimum 2 Views (71120) $141.75 $315 1.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $141.75 $315 1.8×
Radex Toe Minimum 2 Views (73660) $141.75 $315 1.8×
Radex Wrist Complete Minimum 3 Views (73110) $141.75 $315 1.8×
Radiolog exam mandible compl minimum 4 views (70110) $141.75 $315 1.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $141.75 $315 1.5×
Radiologic exam colon double contrast study (74280) $278.78 $619.50 1.8×
Radiologic exam colon single contrast study (74270) $203.18 $451.50 1.3×
Radiologic Exam Esophagus Double Contrast Study (74221) $141.75 $315 0.9×
Radiologic exam knee complete 4/more views (73564) $141.75 $315 1.5×
Radiologic Exam Small Int Single Contrast Study (74250) $141.75 $315 0.9×
Radiologic exam swallow function contrast study (74230) $141.75 $315 0.9×
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines		 $179.55–$240.98 $399–$535.50 varies
Radiologic examination femur minimum 2 views (73552) $141.75 $315 1.8×
Radiologic examination knee 1/2 views (73560) $141.75 $315 1.8×
Radiologic examination tibia & fibula 2 views (73590) $141.75 $315 1.8×
Ribs bilateral 3 views (71110) $141.75 $315 1.5×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,762.40 $3,916.44 3.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $488.57 $1,085.70 1.0×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $488.57 $1,085.70 0.4×
Scapula (73010) $141.75 $315 1.5×
Screening Digital Breast Tomosynthesis Bi (77063) $42.53 $94.50 1.8×
Sella turcica (70240) $141.75 $315 1.8×
Shoulder 1 view (73020) $141.75 $315 1.8×
Shoulder Arthrography (73040) $141.75 $315 0.4×
Skull less than 4 views (70250) $141.75 $315 1.5×
Thoracic spine 2 views (72070) $141.75 $315 1.5×
Thyroid Imaging With Vascular Flow (78013) $488.57 $1,085.70 1.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $488.57 $1,085.70 1.3×
Ultrasound Breast Limited (76642) $236.25 $525 3.0×
Ultrasound Exam Aaa Screen (76706) $236.25 $525 2.5×
Ultrasound, abdomen limited (76705) $236.25 $525 2.5×
Upper gi w/o kub (74240)
range across 2 matching MRF lines		 $63.79–$155.45 $141.75–$345.45 varies
Ureteral Reflux Study (78740) $488.57 $1,085.70 1.3×
Urethrocystogram voiding (74455) $141.75 $315 0.7×
Us breast unilateral complete (76641) $236.25 $525 2.5×
Us chest (76604) $236.25 $525 2.5×
Us exam, pelvic, limited (76857) $236.25 $525 2.5×
Us head (76506) $236.25 $525 2.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $236.25 $525 2.5×
Us ob limited 1 or more fetuses (76815) $236.25 $525 2.5×
Us ob transvaginal (76817) $236.25 $525 2.5×
Us pelvic non ob complete (76856) $236.25 $525 2.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines		 $163.80–$236.25 $364–$525 varies
Us preg uterus real time f/u trnsabdl per fetus (76816) $236.25 $525 2.5×
Us retroperitoneal complete (76770) $236.25 $525 2.5×
Us scrotum and contents (76870) $236.25 $525 2.5×
Us spinal canal and contents (76800) $236.25 $525 2.5×
Us thyroid (76536) $236.25 $525 2.5×
Us transrectal (76872) $236.25 $525 2.5×
Vascular Flow Imaging (78445) $488.57 $1,085.70 1.3×
Venography caval inferior serialography rs&i (75825) $414.86 $921.90 0.1×
Venography extremity unilateral rs&i (75820) $146.48 $325.50 0.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $141.75 $315 1.8×
X-Ray Bend Only L-S Spine (72120) $141.75 $315 1.5×
X-Ray Exam Breast Specimen (76098) $141.75 $315 0.3×
X-Ray Exam Entire Spi 4/5 Vw (72083) $141.75 $315 1.5×
X-Ray Exam Hip Uni 1 View (73501) $141.75 $315 1.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $141.75 $315 1.8×
X-Ray Exam Hips Bi 2 Views (73521) $141.75 $315 1.5×
X-Ray Exam L-S Spine Bending (72114) $141.75 $315 1.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $141.75 $315 1.8×
X-Ray Exam Neck Spine 6/>Vws (72052) $141.75 $315 1.5×
X-Ray Exam Unilat Ribs/Chest (71101) $144 $320 1.5×
X-ray humerus (73060) $141.75 $315 1.8×
X-ray IV pyelogram (ivp) (74400) $148.37 $329.70 0.9×
X-ray IV pyelogram+tomography (74415) $186.64 $414.75 1.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $141.75 $315 1.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $141.75 $315 1.5×
X-ray nose-rectum child f.b. (76010) $118.80 $264 1.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $141.75 $315 1.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $141.75 $315 1.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $141.75 $315 1.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $141.75 $315 1.5×
X-Ray Urinary Tract Exam With Contrast Material (74420) $170.10 $378 0.5×
X-Rays Bone Survey Complete (77075) $179.55 $399 1.9×
Xr c-spine 4 or 5 views (72050) $141.75 $315 1.5×
Xr orbits complete 4 views (70200) $141.75 $315 1.5×
Xr Tomogram Single Plane (76100) $945 $2,100 10.0×

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.