Imaging prices at TriCities Hospital
Hopewell, VA · every code in this section with a posted price and a Medicare benchmark.
227 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) | $1,337 | $1,337 | 15.7× |
| Abdomen 2 views (74019) | $1,460 | $1,460 | 14.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,890 | $1,890 | 4.8× |
| Ankle 2 views (73600) | $995 | $995 | 11.7× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$2,237–$2,257 | $2,237–$2,257 | varies |
| Arthrogram Wrist (73115) | $2,109 | $2,109 | 6.2× |
| Bone age studies (77072) | $1,058 | $1,058 | 10.4× |
| Bone Imaging 3 Phase (78315) | $4,620 | $4,620 | 11.8× |
| Bone Imaging Limited Area (78300) | $2,879 | $2,879 | 7.4× |
| Bone Imaging Whole Body (78306) | $4,488 | $4,488 | 11.5× |
| Bone survey infant (77076) | $1,213 | $1,213 | 11.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,594 | $3,594 | 6.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $10,851 | $10,851 | 7.8× |
| Chest 1 view (71045) | $842 | $842 | 9.9× |
| Chest 2 views (71046) | $1,119 | $1,119 | 13.2× |
| Chest 3 views (71047) | $1,438 | $1,438 | 16.9× |
| Chest 4 or more views (71048) | $1,500 | $1,500 | 14.7× |
| Clavicle complete (73000) | $1,337 | $1,337 | 15.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $281 | $281 | 2.8× |
| Contrast X-Ray Of Elbow (73085) | $1,833 | $1,833 | 5.4× |
| Contrast X-Ray Of Knee Joint (73580) | $2,346 | $2,346 | 6.9× |
| CT abdomen and pelvis without and with contrast (74178) | $20,098 | $20,098 | 59.0× |
| CT abdomen and pelvis without contrast (74176) | $11,436 | $11,436 | 49.1× |
| CT abdomen w contrast (74160) | $8,436 | $8,436 | 49.3× |
| CT abdomen w wo contrast (74170) | $9,052 | $9,052 | 52.9× |
| CT abdomen w/o contrast (74150) | $4,962 | $4,962 | 48.6× |
| CT Angio Abdomen and Pelvis (74174) | $16,786 | $16,786 | 49.3× |
| CT Angio Chest (71275) | $9,406 | $9,406 | 55.0× |
| CT Angio Head (70496) | $8,705 | $8,705 | 50.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$7,904–$8,287 | $7,904–$8,287 | varies |
| CT Angio Neck (70498) | $9,235 | $9,235 | 54.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $6,800 | $6,800 | 39.7× |
| CT cervical spine w/ contrast (72126) | $6,764 | $6,764 | 19.9× |
| CT cervical spine w/o contrast (72125) | $6,632 | $6,632 | 65.0× |
| CT cervical spine w/wo cont (72127) | $6,182 | $6,182 | 36.1× |
| CT chest w contrast (71260) | $8,531 | $8,531 | 49.8× |
| CT chest w/wo contrast (71270) | $8,531 | $8,531 | 49.8× |
| CT head/brain with contrast (70460) | $7,344 | $7,344 | 42.9× |
| CT head/brain without and with contrast (70470) | $8,262 | $8,262 | 48.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,534 | $1,534 | 18.1× |
| CT iac w contrast (70481) | $8,262 | $8,262 | 48.3× |
| CT l-spine w&w/o contrast (72133) | $6,900 | $6,900 | 40.3× |
| CT lower ext w/o (73700) | $6,104 | $6,104 | 59.8× |
| CT lower extremity w/contrast material (73701) | $7,644 | $7,644 | 44.7× |
| CT lumbar spine w contrast (72132) | $7,028 | $7,028 | 20.6× |
| CT lumbar spine w/o contrast (72131) | $6,632 | $6,632 | 65.0× |
| CT maxillofacial w contrast (70487) | $8,789 | $8,789 | 51.4× |
| CT maxillofacial wo contrast (70486) | $7,156 | $7,156 | 70.2× |
| CT neck tissue combo (70492) | $8,789 | $8,789 | 51.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $9,844 | $9,844 | 57.5× |
| CT orbits w/o contrast (70480) | $4,972 | $4,972 | 48.7× |
| CT pelvis w&w/o contrast (72194) | $11,047 | $11,047 | 64.5× |
| CT pelvis w/o contrast (72192) | $6,479 | $6,479 | 63.5× |
| CT scan of leg combo (73702) | $7,470 | $7,470 | 43.6× |
| CT scans face/jaw combo (70488) | $8,789 | $8,789 | 51.4× |
| CT soft tissue neck w contrast (70491) | $8,137 | $8,137 | 47.5× |
| CT soft tissue neck w/o contrast (70490) | $5,843 | $5,843 | 57.3× |
| CT thoracic spine w contrast (72129) | $6,104 | $6,104 | 35.7× |
| CT thoracic spine w/o contrast (72128) | $6,632 | $6,632 | 65.0× |
| CT thoracic spine w/wo cont (72130) | $6,498 | $6,498 | 38.0× |
| CT thorax w/o contrast (71250) | $8,531 | $8,531 | 83.6× |
| CT upper ext wo (73200) | $5,446 | $5,446 | 53.4× |
| CT upper extremity w/o & w/contrast material (73202) | $6,360 | $6,360 | 37.2× |
| CT upper extremity with contrast (73201) | $6,360 | $6,360 | 18.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $11,512 | $11,512 | 67.3× |
| Cta Abdomen (74175) | $9,498 | $9,498 | 55.5× |
| CTA pelvis (72191) | $11,488 | $11,488 | 67.1× |
| Dxa Bone Density Axial (77080) | $2,456 | $2,456 | 24.1× |
| Esophagram (74220) | $1,648 | $1,648 | 9.6× |
| Fluoroscopy up to 1 hr (76000) | $2,993 | $2,993 | 12.9× |
| Foot 2 views (73620) | $1,033 | $1,033 | 12.2× |
| Forearm 2 views (73090) | $1,058 | $1,058 | 12.5× |
| Gastric emptying imaging study (78264) | $3,087 | $3,087 | 7.9× |
| Hand 2 views (73120) | $1,033 | $1,033 | 10.1× |
| Hepatobil Syst Image W/Drug (78227) | $3,087 | $3,087 | 5.8× |
| Hepatobiliary System Imaging (78226) | $3,087 | $3,087 | 7.9× |
| Ht Muscle Image Spect Sing (78451) | $7,174 | $7,174 | 5.7× |
| Joint Survey Single View (77077) | $901 | $901 | 8.8× |
| K Flow/Funct Image W/Drug (78708) | $3,977 | $3,977 | 7.5× |
| K Flow/Funct Image W/O Drug (78707) | $3,977 | $3,977 | 7.5× |
| Knee 3 Views (73562) | $1,119 | $1,119 | 13.2× |
| Lung Ventilat&Perfus Imaging (78582) | $6,261 | $6,261 | 11.8× |
| Lymph System Imaging (78195) | $3,731 | $3,731 | 7.0× |
| Magnetic Image Jaw Joint (70336) | $7,584 | $7,584 | 32.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $63 | $63 | 2.2× |
| MRA head w/o contrast (70544) | $3,914 | $3,914 | 16.8× |
| MRA neck w contrast (70548) | $3,914 | $3,914 | 11.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,044 | $4,044 | 11.9× |
| MRA neck w/o contrast (70547) | $3,914 | $3,914 | 16.8× |
| MRI abdomen w contrast (74182) | $7,584 | $7,584 | 22.3× |
| MRI abdomen w/o contrast (74181) | $7,584 | $7,584 | 32.6× |
| MRI any jt lower extrem w/contrast material (73722) | $7,584 | $7,584 | 9.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $7,824 | $7,824 | 23.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,584 | $7,584 | 9.9× |
| MRI cervical spine w contrast (72142) | $7,811 | $7,811 | 22.9× |
| MRI cervical spine w/o cont (72141) | $7,811 | $7,811 | 33.6× |
| MRI chest w/o contrast (71550) | $7,584 | $7,584 | 32.6× |
| MRI chest wo w contrast (71552) | $7,824 | $7,824 | 23.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $7,584 | $7,584 | 22.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,824 | $7,824 | 23.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $7,584 | $7,584 | 32.6× |
| MRI lumbar spine w contrast (72149) | $7,811 | $7,811 | 22.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,058 | $8,058 | 23.7× |
| MRI orbit face &/neck w/o contrast (70540) | $7,584 | $7,584 | 32.6× |
| MRI orbit face neck w contrast (70542) | $7,584 | $7,584 | 22.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,824 | $7,824 | 23.0× |
| MRI pelvis w/o & w contrast (72197) | $7,824 | $7,824 | 23.0× |
| MRI pelvis w/o contrast (72195) | $7,584 | $7,584 | 32.6× |
| MRI thoracic spine w/o contrast (72146) | $7,811 | $7,811 | 33.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$7,584–$9,775 | $7,584–$9,775 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $7,584 | $7,584 | 32.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,824 | $7,824 | 23.0× |
| MRI, abdomen, combo (74183) | $7,824 | $7,824 | 23.0× |
| MRI, dorsal spine combo (72157) | $8,058 | $8,058 | 23.7× |
| MRI, joint upper extrem (73221) | $7,584 | $7,584 | 32.6× |
| MRI, joint upper extrem combo (73223) | $7,824 | $7,824 | 23.0× |
| MRI, lumbar spine combo (72158) | $8,058 | $8,058 | 23.7× |
| Myocardial Spect Multiple Studies (78452) | $11,632 | $11,632 | 9.2× |
| Neck soft tissue (70360) | $1,058 | $1,058 | 12.5× |
| Nonvascular Shunt X-Ray (75809) | $1,600 | $1,600 | 15.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $7,765 | $7,765 | 19.9× |
| Pelvis 1 or 2 views (72170) | $1,337 | $1,337 | 13.1× |
| PET image w/CT, full body (78816) | $11,795 | $11,795 | 8.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $11,795 | $11,795 | 8.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,162 | $4,162 | 10.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,648 | $1,648 | 16.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,278 | $1,278 | 15.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $1,058 | $1,058 | 12.5× |
| Radex elbow complete minimum 3 views (73080) | $1,083 | $1,083 | 12.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,278 | $1,278 | 12.5× |
| Radex fingr minimum 2 views (73140) | $1,119 | $1,119 | 13.2× |
| Radex foot complete minimum 3 views (73630) | $1,119 | $1,119 | 13.2× |
| Radex Hand Minimum 3 Views (73130) | $1,187 | $1,187 | 14.0× |
| Radex lower extremity infant minimum 2 views (73592) | $1,083 | $1,083 | 12.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,278 | $1,278 | 15.1× |
| Radex Ribs Unilateral 2 Views (71100) | $1,377 | $1,377 | 16.2× |
| Radex shoulder complete minimum 2 views (73030) | $1,900 | $1,900 | 22.4× |
| Radex Spine 1 View Specify Level (72020) | $930 | $930 | 11.0× |
| Radex Sternum Minimum 2 Views (71120) | $1,438 | $1,438 | 16.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,721 | $1,721 | 20.3× |
| Radex Toe Minimum 2 Views (73660) | $1,058 | $1,058 | 12.5× |
| Radex upper extremity infant minimum 2 views (73092) | $1,083 | $1,083 | 10.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,083 | $1,083 | 12.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,596 | $1,596 | 15.6× |
| Radiologic exam colon double contrast study (74280) | $3,768 | $3,768 | 22.0× |
| Radiologic exam colon single contrast study (74270) | $3,299 | $3,299 | 19.3× |
| Radiologic exam knee complete 4/more views (73564) | $1,278 | $1,278 | 12.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,438 | $1,438 | 14.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,364 | $2,364 | 13.8× |
| Radiologic exam swallow function contrast study (74230) | $1,648 | $1,648 | 9.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,840 | $3,840 | 22.4× |
| Radiologic examination femur 1 view (73551) | $706 | $706 | 8.3× |
| Radiologic examination femur minimum 2 views (73552) | $1,408 | $1,408 | 16.6× |
| Radiologic examination knee 1/2 views (73560) | $995 | $995 | 11.7× |
| Radiologic Examination Osseous Survey Limited (77074) | $3,074 | $3,074 | 30.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,083 | $1,083 | 12.8× |
| Ribs bilateral 3 views (71110) | $1,460 | $1,460 | 14.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,562 | $1,562 | 4.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,869 | $4,869 | 9.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,751 | $4,751 | 9.0× |
| Scapula (73010) | $1,337 | $1,337 | 13.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $43 | $43 | 1.8× |
| Shoulder 1 view (73020) | $1,033 | $1,033 | 12.2× |
| Shoulder Arthrography (73040) | $2,349 | $2,349 | 6.9× |
| Skull less than 4 views (70250) | $1,337 | $1,337 | 13.1× |
| Thoracic spine 2 views (72070) | $1,596 | $1,596 | 15.6× |
| Thoracic spine 3 views (72072) | $1,900 | $1,900 | 18.6× |
| Thoracolumbar 2 views (72080) | $1,738 | $1,738 | 20.5× |
| Thyroid Uptake Measurement (78012) | $3,884 | $3,884 | 10.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,348 | $5,348 | 13.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,880–$3,756 | $1,880–$3,756 | varies |
| Ultrasound Elastography Parenchyma (76981) | $1,011 | $1,011 | 9.9× |
| Ultrasound Exam Aaa Screen (76706) | $968 | $968 | 9.5× |
| Ultrasound, abdomen limited (76705) | $1,606 | $1,606 | 15.7× |
| Upper gi w/o kub (74240) | $3,840 | $3,840 | 22.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,880–$3,756 | $1,880–$3,756 | varies |
| Us chest (76604) | $1,612 | $1,612 | 15.8× |
| Us complete joint (76881) | $1,377 | $1,377 | 13.5× |
| Us exam, pelvic, limited (76857) | $1,578 | $1,578 | 15.5× |
| Us kidney transplant (76776) | $764 | $764 | 7.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,183 | $1,183 | 11.6× |
| Us ob limited 1 or more fetuses (76815) | $2,557 | $2,557 | 25.1× |
| Us ob transvaginal (76817) | $1,838 | $1,838 | 18.0× |
| Us pelvic non ob complete (76856) | $2,198 | $2,198 | 21.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,633 | $1,633 | 16.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,715 | $1,715 | 16.8× |
| Us retroperitoneal complete (76770) | $2,437 | $2,437 | 23.9× |
| Us retroperitoneal limited (76775) | $1,474 | $1,474 | 14.5× |
| Us scrotum and contents (76870) | $1,775 | $1,775 | 17.4× |
| Us thyroid (76536) | $1,339 | $1,339 | 13.1× |
| Venography caval inferior serialography rs&i (75825) | $6,799 | $6,799 | 2.2× |
| Venography extremity bilateral rs&i (75822) | $3,405 | $3,405 | 2.2× |
| Venography extremity unilateral rs&i (75820) | $3,874 | $3,874 | 2.5× |
| Wrist 2 views (73100) | $995 | $995 | 11.7× |
| X-Ray Bend Only L-S Spine (72120) | $1,521 | $1,521 | 14.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,033 | $1,033 | 12.2× |
| X-Ray Exam Breast Specimen (76098) | $1,002 | $1,002 | 1.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $380 | $380 | 4.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $624 | $624 | 6.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $877 | $877 | 10.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,278 | $1,278 | 15.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,749 | $1,749 | 17.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,550 | $2,550 | 25.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $5,157 | $5,157 | 50.6× |
| X-Ray Exam L-S Spine Bending (72114) | $2,264 | $2,264 | 22.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,337 | $1,337 | 15.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,862 | $1,862 | 18.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,460 | $1,460 | 14.3× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$1,026–$2,235 | $1,026–$2,235 | varies |
| X-ray humerus (73060) | $1,329 | $1,329 | 15.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,337 | $1,337 | 15.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,083 | $1,083 | 12.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,648 | $1,648 | 16.2× |
| X-ray nose-rectum child f.b. (76010) | $995 | $995 | 11.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,596 | $1,596 | 15.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,377 | $1,377 | 13.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $967 | $967 | 9.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,377 | $1,377 | 16.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,563 | $1,563 | 18.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,065 | $2,065 | 20.2× |
| X-ray thoracic spine 4 vw (72074) | $1,964 | $1,964 | 19.3× |
| X-Ray Tmj Unilat (70328) | $1,058 | $1,058 | 12.5× |
| X-Rays Bone Length Studies (77073) | $1,594 | $1,594 | 15.6× |
| X-Rays Bone Survey Complete (77075) | $3,075 | $3,075 | 30.1× |
| Xr c-spine 4 or 5 views (72050) | $1,721 | $1,721 | 16.9× |
| Xr facial bones less than 3 views (70140) | $842 | $842 | 9.9× |
| Xr orbits complete 4 views (70200) | $1,438 | $1,438 | 14.1× |
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.