Imaging prices at TriStar Ashland City Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $1,705.89 $1,705.89 17.0×
Ankle 2 views (73600) $1,787.16 $1,787.16 21.4×
Bone age studies (77072) $1,436.16 $1,436.16 14.3×
Cervical spine 2 or 3 views (72040) $1,647.26 $1,647.26 19.7×
Chest 1 view (71045) $1,223.47 $1,223.47 14.7×
Clavicle complete (73000) $1,787.16 $1,787.16 21.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $599.13 $599.13 6.0×
CT abdomen and pelvis without and with contrast (74178) $22,435.33 $22,435.33 67.0×
CT abdomen and pelvis without contrast (74176) $18,859.39 $18,859.39 82.4×
CT abdomen w contrast (74160) $10,032.50 $10,032.50 59.6×
CT abdomen w wo contrast (74170) $11,362.99 $11,362.99 67.5×
CT abdomen w/o contrast (74150) $8,785.96 $8,785.96 87.6×
CT angiography upper extremity lt (73206) $11,834.94 $11,834.94 70.3×
CT c-spine w/o contrast (72125) $10,964.70 $10,964.70 109.3×
CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) $12,106.01 $12,106.01 71.9×
CT cervical spine with contrast (72126) $10,152.49 $10,152.49 30.3×
CT chest w/wo contrast (71270) $12,467.43 $12,467.43 74.1×
CT chest with contrast (71260) $9,909.77 $9,909.77 58.9×
CT head/brain with contrast (70460) $9,175.71 $9,175.71 54.5×
CT head/brain without and with contrast (70470) $12,310.28 $12,310.28 73.2×
CT heart no contrast quant eval coronry calcium (75571) $960.60 $960.60 11.5×
CT iac w contrast (70481) $9,728.92 $9,728.92 57.8×
CT lower ext w/o (73700) $9,397.40 $9,397.40 93.7×
CT lower extremity w wo contrast (73702) $459.15 $459.15 2.7×
CT lower extremity with contrast (73701) $9,397.40 $9,397.40 55.8×
CT lumbar spine w & w/o contrast (72133) $11,362.99 $11,362.99 67.5×
CT lumbar spine w/o contrast (72131) $11,987.34 $11,987.34 119.5×
CT lumbar spine with contrast (72132) $12,279.50 $12,279.50 36.7×
CT maxillofacial w contrast (70487) $9,909.77 $9,909.77 58.9×
CT maxillofacial w/o contrast (70486) $9,728.92 $9,728.92 97.0×
CT maxillofacial w/wo contrast (70488) $806.40 $806.40 4.8×
CT neck soft tissue w contrast (70491) $9,909.77 $9,909.77 58.9×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $806.40 $806.40 4.8×
CT orbits w/o contrast (70480) $9,728.92 $9,728.92 97.0×
CT pelvis w/o contrast (72192) $8,953.88 $8,953.88 89.3×
CT soft tissue neck w/o & w/contrast material (70492) $9,424.89 $9,424.89 56.0×
CT soft tissue neck w/o contrast (70490) $9,728.92 $9,728.92 97.0×
CT thoracic spine w/contrast (72129) $10,964.70 $10,964.70 65.2×
CT thoracic spine w/o contrast (72128) $10,964.70 $10,964.70 109.3×
CT thorax w/o contrast (71250) $9,728.92 $9,728.92 97.0×
CT upper extremity w/o & w/contrast material (73202) $9,397.40 $9,397.40 55.8×
CT upper extremity w/o contrast rt (73200) $9,397.40 $9,397.40 93.7×
CT upper extremity with contrast (73201) $8,701.29 $8,701.29 26.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $16,299.59 $16,299.59 96.9×
Cta Abdomen (74175) $13,896.95 $13,896.95 82.6×
CTA abdomen pelvis (74174) $14,062.70 $14,062.70 42.0×
CTA chest (71275) $13,896.95 $13,896.95 82.6×
Cta Head (70496) $14,863.58 $14,863.58 88.3×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $29,884.33 $29,884.33 89.3×
CTA lwr ext w&w/o contrast (73706) $6,147.04 $6,147.04 36.5×
Cta Neck (70498) $15,020.75 $15,020.75 89.3×
Foot 2 views (73620) $1,787.16 $1,787.16 21.4×
Forearm 2 views (73090) $1,787.16 $1,787.16 21.4×
Hand 2 views (73120) $1,787.16 $1,787.16 17.8×
Hand 3 views (73130) $1,963.17 $1,963.17 23.5×
Humerus Min 2 Views Left (73060) $1,787.16 $1,787.16 21.4×
Knee 3 views (73562) $1,963.17 $1,963.17 23.5×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $68.58 $68.58 2.5×
MRA head w & w/o contrast (70546) $18,797.98 $18,797.98 56.2×
MRA head w/o contrast (70544) $11,471.75 $11,471.75 50.1×
MRI abdomen w/o & w/contrast material (74183) $18,321.12 $18,321.12 54.7×
MRI abdomen w/o contrast (74181) $14,820.96 $14,820.96 64.7×
MRI any jnt lwr ext with con lt (73722) $13,543.40 $13,543.40 18.0×
MRI cervical spine w/o contrast (72141) $11,471.75 $11,471.75 50.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $11,631.42 $11,631.42 50.8×
MRI orbit face &/neck w/o contrast (70540) $13,277.49 $13,277.49 58.0×
MRI orbit/face/neck w&w/o cont (70543) $16,814.10 $16,814.10 50.2×
MRI pelvis w/o & w/contrast material (72197) $18,321.12 $18,321.12 54.7×
MRI pelvis w/o contrast (72195) $676.82 $676.82 3.0×
MRI scan of leg joint before and after contrast (73723) $18,159.23 $18,159.23 54.3×
MRI spinal canal cervical w/o & w/contr matrl (72156) $19,117.39 $19,117.39 57.1×
MRI spinal canal lumbar w/contrast material (72149) $1,607.09 $1,607.09 4.8×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $18,638.31 $18,638.31 55.7×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $19,751.80 $19,751.80 59.0×
MRI thoracic spine w/o contrast (72146) $11,471.75 $11,471.75 50.1×
MRI upper ext joint w/o contrast (73221) $10,997.04 $10,997.04 48.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $13,224.01 $13,224.01 57.8×
Neck soft tissue (70360) $753.65 $753.65 9.0×
Osseous survey infant (77076) $1,780.40 $1,780.40 17.8×
Pelvis 1 or 2 views (72170) $1,067.32 $1,067.32 10.6×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $999.97 $999.97 3.0×
Radex hips bilateral with pelvis 2 views (73521) $1,941.44 $1,941.44 19.4×
Radiolog exam mandible compl minimum 4 views (70110) $2,071.47 $2,071.47 20.7×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $1,266.94 $1,266.94 15.2×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $1,421.27 $1,421.27 17.0×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $2,154.34 $2,154.34 25.8×
Scapula complete (73010) $1,787.16 $1,787.16 17.8×
Spine thoracic 3 views (72072) $1,814.24 $1,814.24 18.1×
Ultrasound, abdomen limited (76705) $2,315.56 $2,315.56 23.1×
Upper Extremity Infant (73092) $1,026.70 $1,026.70 10.2×
Us abdl aorta screen aaa (76706) $2,458.96 $2,458.96 24.5×
Us chest (76604) $1,590.12 $1,590.12 15.9×
Us compl joint r-t w/image documentation (76881) $1,966.33 $1,966.33 19.6×
Us ob transvaginal (76817) $2,521.31 $2,521.31 25.1×
Us pelvic non ob complete (76856) $3,034.74 $3,034.74 30.3×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $1,313.66 $1,313.66 13.1×
Us pregnancy ltd (76815) $1,881.13 $1,881.13 18.8×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $2,396.62 $2,396.62 23.9×
Us retroperitoneal complete (76770) $3,756.01 $3,756.01 37.4×
Us retroperitoneal limited (76775) $2,458.96 $2,458.96 24.5×
Us scrotum and contents (76870) $2,835.21 $2,835.21 28.3×
Us soft tissue head/neck (76536) $2,315.56 $2,315.56 23.1×
Us xtr non-vasc lmtd (76882) $1,409.29 $1,409.29 14.1×
Wrist 2 views (73100) $1,787.16 $1,787.16 21.4×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $2,649.17 $2,649.17 26.4×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $1,963.17 $1,963.17 23.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $1,787.16 $1,787.16 21.4×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $1,963.17 $1,963.17 23.5×
X-ray exam hip uni 1 view (73501) $1,941.44 $1,941.44 23.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $2,154.34 $2,154.34 25.8×
X-ray exam hip uni 4/> views (73503) $2,367.21 $2,367.21 23.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $2,154.34 $2,154.34 21.5×
X-ray exam of femur 1 (73551) $1,941.44 $1,941.44 23.3×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $1,787.16 $1,787.16 17.8×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $1,963.17 $1,963.17 23.5×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $1,787.16 $1,787.16 21.4×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $1,026.70 $1,026.70 12.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $2,804.87 $2,804.87 28.0×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $2,640.13 $2,640.13 26.3×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $961.27 $961.27 11.5×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $1,498.29 $1,498.29 14.9×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $1,608.89 $1,608.89 16.0×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $1,787.16 $1,787.16 21.4×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $2,479.93 $2,479.93 24.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $2,752.96 $2,752.96 27.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $1,963.17 $1,963.17 19.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $1,326.82 $1,326.82 15.9×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $1,978.96 $1,978.96 23.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $2,145.94 $2,145.94 21.4×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $3,294.52 $3,294.52 32.8×
X-Ray Spine One View - Xr Spine (72020) $1,218.50 $1,218.50 14.6×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $1,326.82 $1,326.82 15.9×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $2,640.13 $2,640.13 26.3×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $999.60 $999.60 12.0×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $1,963.17 $1,963.17 23.5×
Xr c-spine 6 or more views (72052) $2,062.48 $2,062.48 20.6×
Xr finger(s) 2+ views (73140) $823.63 $823.63 9.9×
Xr shoulder 1 view (73020) $1,489.31 $1,489.31 17.8×
Xr spine cervical 4 or 5 views (72050) $1,717.21 $1,717.21 17.1×
Xr tibia/fibula 2 views (73590) $1,978.96 $1,978.96 23.7×
Xray knee 1 or 2 views rt (73560) $1,787.16 $1,787.16 21.4×