Imaging prices at The Women's Hospital

Newburgh, IN · 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) $186.42 $315.96 2.0×
Abdomen 2 views (74019) $305.29 $517.44 2.8×
Ankle 2 views (73600) $217.42 $368.50 2.4×
Bone Imaging 3 Phase (78315) $678.59 $1,150.15 1.6×
Bone survey infant (77076) $234.76 $397.89 2.1×
Chest 1 view (71045) $186.42 $315.96 2.0×
Chest 2 views (71046) $305.29 $517.44 3.3×
Chest 3 views (71047) $500.68 $848.61 5.4×
Clavicle complete (73000) $265.93 $450.72 2.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $345.03 $584.78 3.1×
Contrast Exam Abdominl Aorta (75625) $2,449.51 $4,151.70 0.7×
Contrast X-Ray Bladder (74430) $529.52 $897.49 1.4×
CT abdomen and pelvis without and with contrast (74178) $2,086.89 $3,537.10 5.7×
CT abdomen and pelvis without contrast (74176) $1,736.10 $2,942.54 6.9×
CT abdomen w contrast (74160) $1,636.02 $2,772.91 8.8×
CT abdomen w wo contrast (74170) $1,880.01 $3,186.45 10.1×
CT abdomen w/o contrast (74150) $1,067.89 $1,809.97 9.7×
CT Angio Abdomen and Pelvis (74174) $3,039.86 $5,152.29 8.2×
CT Angio Chest (71275) $2,071.93 $3,511.73 11.2×
CT Angio Head (70496) $2,028.55 $3,438.22 10.9×
CT angio hrt w/3d image (75574) $1,566.69 $2,655.39 4.2×
CT Angio Neck (70498) $1,900.34 $3,220.91 10.2×
CT cervical spine w/o contrast (72125) $1,268.94 $2,150.73 11.5×
CT chest w contrast (71260) $1,463 $2,479.65 7.9×
CT chest w/wo contrast (71270) $1,987.48 $3,368.60 10.7×
CT head/brain without and with contrast (70470) $1,484.43 $2,515.97 8.0×
CT heart contrast eval cardiac structure&morph (75572) $1,206.04 $2,044.13 3.3×
CT l-spine w&w/o contrast (72133) $2,145.23 $3,635.97 11.6×
CT lumbar spine w contrast (72132) $2,390.25 $4,051.27 6.5×
CT lumbar spine w/o contrast (72131) $1,393.53 $2,361.90 12.6×
CT maxillofacial wo contrast (70486) $1,204.28 $2,041.15 10.9×
CT orbits w/o contrast (70480) $1,413.75 $2,396.17 12.8×
CT pelvis w&w/o contrast (72194) $1,839.39 $3,117.61 9.9×
CT pelvis w/o contrast (72192) $1,689.52 $2,863.59 15.3×
CT soft tissue neck w contrast (70491) $1,505.48 $2,551.66 8.1×
CT thorax w/o contrast (71250) $1,581.32 $2,680.19 14.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,242.15 $2,105.33 6.7×
Cta Abdomen (74175) $1,988.86 $3,370.94 10.7×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $371.58 $629.78 3.4×
Doppler Echo Fetal Spectral Display Complete (76827)
range across 2 matching MRF lines
$400.97–$668 $679.60–$1,132.19 varies
Doppler Fetal Mid Cerebral Artery (76821)
range across 3 matching MRF lines
$318.65–$532.34 $540.07–$902.27 varies
Dxa Bone Density Axial (77080) $351.46 $595.68 3.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $197.71 $335.09 2.1×
Echo exam of fetal heart (76825)
range across 2 matching MRF lines
$450.32–$751.64 $763.24–$1,273.96 varies
Echo exam uterus (76831) $270.45 $458.38 1.1×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826)
range across 3 matching MRF lines
$448.63–$751.64 $760.38–$1,273.96 varies
Esophagram (74220) $353.41 $599 1.9×
Fetal Biophys Profile W/Nst (76818)
range across 2 matching MRF lines
$412.73–$824.93 $699.54–$1,398.17 varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819)
range across 2 matching MRF lines
$246.91–$493.87 $418.48–$837.06 varies
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $2,035.07 $3,449.26 8.1×
Fluoroscopy up to 1 hr (76000) $506.33 $858.18 2.0×
Foot 2 views (73620) $227.07 $384.86 2.5×
Forearm 2 views (73090) $256.72 $435.11 2.8×
Gastroesophageal Reflux Exam (78262) $1,074.67 $1,821.46 2.5×
Hand 2 views (73120) $214.51 $363.57 1.9×
Hepatobil Syst Image W/Drug (78227) $1,447.89 $2,454.04 2.5×
Hepatobiliary System Imaging (78226) $1,272.07 $2,156.04 3.0×
Infant hip ultrasound with hip movement (dynamic) (76885) $367.85 $623.47 4.0×
Infant hip ultrasound, limited static exam (76886) $367.85 $623.47 4.0×
K Flow/Funct Image W/Drug (78708) $2,276.31 $3,858.14 4.0×
Knee 3 Views (73562) $257.94 $437.17 2.8×
Lung Ventilat&Perfus Imaging (78582) $1,462.35 $2,478.55 2.5×
Lymph System Imaging (78195) $1,356.33 $2,298.85 2.4×
Mammary ductogram or galactogram multiple (77054) $593.09 $1,005.23 2.3×
Mammary ductogram or galactogram single (77053) $461.30 $781.86 1.8×
Mra Head W/O & W/Contrast Material (70546) $2,714.10 $4,600.16 7.4×
MRA head w/o contrast (70544) $1,779.20 $3,015.59 7.0×
MRA head with contrast (70545) $2,124.98 $3,601.66 5.8×
MRA neck w contrast (70548) $2,182.57 $3,699.27 5.9×
MRA neck w/o contrast (70547) $1,793.79 $3,040.32 7.1×
MRI abdomen w/o contrast (74181) $2,347.22 $3,978.33 9.3×
MRI cervical spine w/o cont (72141) $2,373.68 $4,023.18 9.4×
MRI chest w/o contrast (71550) $1,896.37 $3,214.18 7.5×
MRI chest wo w contrast (71552) $2,918.13 $4,945.98 7.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,467.21 $4,181.70 6.7×
Mri Neck Spine W/O & W/Dye (72156) $2,928.90 $4,964.23 7.9×
MRI orbit face &/neck w/o contrast (70540) $2,625.66 $4,450.26 10.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,958.89 $5,015.06 8.0×
MRI pelvis w/o & w contrast (72197) $2,839.26 $4,812.29 7.7×
MRI pelvis w/o contrast (72195) $2,683.22 $4,547.83 10.6×
MRI thoracic spine w/o contrast (72146) $2,373.68 $4,023.18 9.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,448.99 $4,150.83 9.7×
MRI, abdomen, combo (74183) $2,887.28 $4,893.68 7.8×
MRI, lumbar spine combo (72158) $3,281.71 $5,562.21 8.9×
Myocardial Spect Multiple Studies (78452) $3,160.79 $5,357.26 2.3×
Ob us nuchal meas 1 gest (76813) $428.01 $725.43 3.9×
Panoramic X-ray of jaws (70355) $210.63 $357 2.3×
Pelvis 1 or 2 views (72170) $238.19 $403.71 2.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $500.68 $848.61 4.5×
Radex Ankle Complete Minimum 3 Views (73610) $266.56 $451.79 2.9×
Radex fingr minimum 2 views (73140) $197.25 $334.32 2.1×
Radex foot complete minimum 3 views (73630) $290.04 $491.59 3.2×
Radex Hand Minimum 3 Views (73130) $235.47 $399.09 2.6×
Radex lower extremity infant minimum 2 views (73592) $99.27 $168.25 1.1×
Radex Ribs Unilateral 2 Views (71100) $262.63 $445.12 2.9×
Radex shoulder complete minimum 2 views (73030) $276 $467.79 3.0×
Radex Spine 1 View Specify Level (72020) $99.56 $168.73 1.1×
Radex Toe Minimum 2 Views (73660) $197.86 $335.34 2.1×
Radex upper extremity infant minimum 2 views (73092) $99.27 $168.25 0.9×
Radex Wrist Complete Minimum 3 Views (73110) $115.84 $196.33 1.3×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $313.41 $531.20 2.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $500.68 $848.61 4.5×
Radiologic exam colon double contrast study (74280) $786.01 $1,332.22 4.2×
Radiologic exam colon single contrast study (74270) $477.35 $809.06 2.6×
Radiologic Exam Small Int Single Contrast Study (74250) $544.86 $923.48 2.9×
Radiologic exam swallow function contrast study (74230) $243.17 $412.15 1.3×
Radiologic exam upr gi trc double contrast study (74246) $569.47 $965.19 3.1×
Radiologic examination femur 1 view (73551) $99.27 $168.25 1.1×
Radiologic examination femur minimum 2 views (73552) $99.27 $168.25 1.1×
Radiologic examination knee 1/2 views (73560) $225.67 $382.48 2.5×
Radiologic examination tibia & fibula 2 views (73590) $235.86 $399.75 2.6×
Ribs bilateral 3 views (71110) $343.64 $582.43 3.1×
Scapula (73010) $251.94 $427.01 2.3×
Screening Digital Breast Tomosynthesis Bi (77063) $24.50 $41.51 1.0×
Shoulder 1 view (73020) $201.95 $342.28 2.2×
Skull less than 4 views (70250) $215.53 $365.30 1.9×
Tbs technical calculation only (77091) $156.33 $264.96 1.7×
Thoracic spine 3 views (72072) $312.89 $530.31 2.8×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines
$295.71–$591.41 $501.19–$1,002.38 varies
Ultrasound, abdomen limited (76705) $461.80 $782.71 4.2×
Umbilical-artery Doppler (OB) (76820)
range across 2 matching MRF lines
$312.78–$522.47 $530.12–$885.54 varies
Upper gi w/o kub (74240) $223.43 $378.69 1.2×
Urethrocystogram voiding (74455) $439.62 $745.11 1.7×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$359.07–$716.71 $608.58–$1,214.75 varies
Us chest (76604) $193.57 $328.07 1.8×
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$438.58–$731.27 $743.34–$1,239.44 varies
Us head (76506) $415.17 $703.67 3.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $295.71 $501.19 2.7×
Us ob detailed single fetus (76811)
range across 2 matching MRF lines
$491.55–$983.84 $833.13–$1,667.52 varies
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$212.84–$355.91 $360.73–$603.23 varies
Us ob transvaginal (76817)
range across 2 matching MRF lines
$132.45–$369.26 $224.49–$625.85 varies
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$438.58–$731.27 $743.34–$1,239.44 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines
$428.01–$825.67 $725.43–$1,399.43 varies
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines
$178.70–$298.33 $302.87–$505.63 varies
Us retroperitoneal complete (76770)
range across 2 matching MRF lines
$355.03–$591.67 $601.73–$1,002.83 varies
Us retroperitoneal limited (76775) $491.55 $833.13 4.4×
Us scrotum and contents (76870) $470.02 $796.63 4.2×
Us spinal canal and contents (76800) $317.13 $537.50 2.9×
Us thyroid (76536) $582.44 $987.17 5.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $223.08 $378.10 2.4×
X-Ray Exam Breast Specimen (76098) $329.50 $558.47 0.6×
X-Ray Exam Entire Spi 1 Vw (72081) $99.27 $168.25 1.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $164.40 $278.63 1.5×
X-Ray Exam Entire Spi 4/5 Vw (72083) $313.41 $531.20 2.8×
X-Ray Exam Hip Uni 1 View (73501) $99.27 $168.25 1.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $99.27 $168.25 1.1×
X-Ray Exam Hip Uni 4/> Views (73503) $164.40 $278.63 1.5×
X-Ray Exam Hips Bi 2 Views (73521) $164.40 $278.63 1.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $164.40 $278.63 1.5×
X-Ray Exam Hips Bi 5/> Views (73523) $313.41 $531.20 2.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $262.05 $444.15 2.8×
X-Ray Exam Unilat Ribs/Chest (71101) $310.88 $526.91 2.8×
X-ray humerus (73060) $256.72 $435.11 2.8×
X-ray IV pyelogram (ivp) (74400) $418.83 $709.88 2.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $294.05 $498.38 2.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $216.07 $366.22 2.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $393.59 $667.10 3.6×
X-Rays Bone Length Studies (77073) $294.82 $499.69 2.7×
X-Rays Bone Survey Complete (77075) $246.08 $417.08 2.2×

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.