Imaging prices at Trinity Hospital Twin City
Dennison, OH · every code in this section with a posted price and a Medicare benchmark.
208 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) | $163.19 | $329 | 2.0× |
| Abdomen 2 views (74019) | $220.23 | $444 | 2.2× |
| Bone age studies (77072) | $62 | $125 | 0.6× |
| Bone Imaging 3 Phase (78315) | $1,086.24 | $2,190 | 2.9× |
| Bone Imaging Multiple Areas (78305) | $198.40 | $400 | 0.5× |
| Bone Imaging Whole Body (78306) | $936.45 | $1,888 | 2.5× |
| Bone marrow imaging limited area (78102) | $198.40 | $400 | 0.5× |
| Bone marrow imaging; multiple areas (78103) | $198.40 | $400 | 0.5× |
| Bone marrow imaging; whole body (78104) | $198.40 | $400 | 0.5× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $198.40 | $400 | 0.5× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) range across 2 matching MRF lines |
$501.96–$990.02 | $1,012–$1,996 | varies |
| Cat Scan Follow-Up Study (76380) | $455.83 | $919 | 5.5× |
| Chest 1 view (71045) | $123.51 | $249 | 1.5× |
| Chest 2 views (71046) | $160.21 | $323 | 1.9× |
| Chest 3 views (71047) | $203.86 | $411 | 2.5× |
| Chest 4 or more views (71048) | $218.24 | $440 | 2.2× |
| Cholecystography Oral Contrast (74290) | $145.33 | $293 | 0.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $143.35 | $289 | 1.4× |
| Contrast X-Ray Bladder (74430) | $577.35 | $1,164 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) | $1,914.07 | $3,859 | 5.8× |
| CT abdomen and pelvis without contrast (74176) | $1,276.21 | $2,573 | 5.7× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$997.46–$1,231.08 | $2,011–$2,482 | varies |
| CT abdomen w wo contrast (74170) | $1,539.09 | $3,103 | 9.3× |
| CT abdomen w/o contrast (74150) | $923.56 | $1,862 | 9.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,381.86 | $2,786 | 4.2× |
| CT Angio Chest (71275) | $1,383.35 | $2,789 | 8.3× |
| CT Angio Head (70496) | $1,066.90 | $2,151 | 6.4× |
| CT Angio Neck (70498) | $1,111.04 | $2,240 | 6.7× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$982.08–$2,720.56 | $1,980–$5,485 | varies |
| CT cervical spine w/o contrast (72125) | $982.08 | $1,980 | 9.9× |
| CT chest w contrast (71260) | $1,137.33 | $2,293 | 6.9× |
| CT chest w/wo contrast (71270) | $1,352.10 | $2,726 | 8.1× |
| CT head/brain without and with contrast (70470) | $1,327.30 | $2,676 | 8.0× |
| CT l-spine w&w/o contrast (72133) | $1,912.08 | $3,855 | 11.5× |
| CT lumbar spine w contrast (72132) | $1,615.97 | $3,258 | 4.9× |
| CT lumbar spine w/o contrast (72131) | $1,233.56 | $2,487 | 12.5× |
| CT maxillofacial w contrast (70487) | $952.32 | $1,920 | 5.7× |
| CT maxillofacial wo contrast (70486) | $800.05 | $1,613 | 8.1× |
| CT neck tissue combo (70492) | $1,292.08 | $2,605 | 7.8× |
| CT orbits w/o contrast (70480) | $728.13 | $1,468 | 7.4× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$604.13–$728.13 | $1,218–$1,468 | varies |
| CT scans face/jaw combo (70488) | $1,168.08 | $2,355 | 7.0× |
| CT soft tissue neck w contrast (70491) | $1,067.89 | $2,153 | 6.4× |
| CT soft tissue neck w/o contrast (70490) | $865.03 | $1,744 | 8.7× |
| CT thoracic spine w contrast (72129) | $1,211.73 | $2,443 | 7.3× |
| CT thoracic spine w/o contrast (72128) | $918.10 | $1,851 | 9.3× |
| CT thoracic spine w/wo cont (72130) | $1,423.03 | $2,869 | 8.6× |
| CT thorax w/o contrast (71250) | $895.28 | $1,805 | 9.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $974.15 | $1,964 | 5.9× |
| Cta Abdomen (74175) | $1,229.59 | $2,479 | 7.4× |
| Dxa Bone Density Axial (77080) | $289.67 | $584 | 2.9× |
| Dxa bone density study (77085) | $289.67 | $584 | 2.9× |
| Esophagram (74220) | $310 | $625 | 1.9× |
| Fluoroscopy up to 1 hr (76000) | $308.52 | $622 | 1.4× |
| Gastric emptying imaging study (78264) | $198.40 | $400 | 0.5× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $703.83 | $1,419 | 1.9× |
| Gated Heart, Multiple (78473) | $198.40 | $400 | 0.5× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $932.98 | $1,881 | 1.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,090.71 | $2,199 | 2.1× |
| Ht Musc Image Planar Mult (78454) | $2,621.36 | $5,285 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $2,175.96 | $4,387 | 1.8× |
| Hysterosalpingogram (74740) | $328.36 | $662 | 1.5× |
| Joint Survey Single View (77077) | $180.05 | $363 | 1.8× |
| K Flow/Funct Image Multiple (78709) | $248 | $500 | 0.5× |
| Kidney Imaging Morphol (78700) | $198.40 | $400 | 0.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $198.40 | $400 | 0.5× |
| Liver imaging static only (78201) | $248 | $500 | 0.5× |
| Liver imaging w/vascular flow (78202) | $248 | $500 | 0.5× |
| Lung Perf&Ventilat Diferentl (78598) | $697.38 | $1,406 | 1.4× |
| Lung Ventilat&Perfus Imaging (78582) | $721.19 | $1,454 | 1.4× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$198.40–$325.38 | $400–$656 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,910.10 | $3,851 | 5.8× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,090.21–$1,259.35 | $2,198–$2,539 | varies |
| MRA head with contrast (70545) | $1,498.42 | $3,021 | 4.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,910.10 | $3,851 | 5.8× |
| MRA neck w/o contrast (70547) | $1,259.35 | $2,539 | 5.6× |
| MRI abdomen w contrast (74182) | $2,031.12 | $4,095 | 6.2× |
| MRI abdomen w/o contrast (74181) | $1,286.63 | $2,594 | 5.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $902.72 | $1,820 | 4.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $811.46 | $1,636 | 3.6× |
| MRI cervical spine w contrast (72142) | $2,520.18 | $5,081 | 7.6× |
| MRI cervical spine w/o cont (72141) | $1,726.08 | $3,480 | 7.6× |
| MRI chest w/o contrast (71550) | $1,259.35 | $2,539 | 5.6× |
| MRI chest with contrast (71551) | $1,498.42 | $3,021 | 2.0× |
| MRI chest wo w contrast (71552) | $1,910.10 | $3,851 | 5.8× |
| MRI lumbar spine w contrast (72149) | $2,906.07 | $5,859 | 8.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,917.48 | $5,882 | 8.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,259.35 | $2,539 | 5.6× |
| MRI orbit face neck w contrast (70542) | $1,513.80 | $3,052 | 4.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,910.10 | $3,851 | 5.8× |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,236.53–$1,513.80 | $2,493–$3,052 | varies |
| MRI pelvis w/o & w contrast (72197) | $1,910.10 | $3,851 | 5.8× |
| MRI pelvis w/o contrast (72195) | $1,259.35 | $2,539 | 5.6× |
| MRI thoracic spine w/o contrast (72146) | $1,259.35 | $2,539 | 5.6× |
| MRI, abdomen, combo (74183) | $2,256.80 | $4,550 | 6.8× |
| MRI, dorsal spine combo (72157) | $1,910.10 | $3,851 | 5.8× |
| MRI, dorsal spine contrast (72147) | $1,513.80 | $3,052 | 4.6× |
| MRI, lumbar spine combo (72158) | $3,434.31 | $6,924 | 10.4× |
| Myelogram Lumbar (72265) | $413.67 | $834 | 0.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $525.27 | $1,059 | 1.4× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $637.36 | $1,285 | 1.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$1,913.57–$2,175.96 | $3,858–$4,387 | varies |
| Myocardial Spect Multiple Studies (78452) | $2,621.36 | $5,285 | 2.1× |
| Neck soft tissue (70360) | $168.64 | $340 | 2.0× |
| Nm myocard infarct spect (78469) | $749.46 | $1,511 | 1.5× |
| Parathyroid Planar Imaging (78070) | $532.21 | $1,073 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $198.40 | $400 | 0.5× |
| Pelvis 1 or 2 views (72170) | $169.64 | $342 | 1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $599.17 | $1,208 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $220.23 | $444 | 2.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $163.19 | $329 | 1.6× |
| Radex fingr minimum 2 views (73140) | $163.19 | $329 | 2.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $166.16 | $335 | 1.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $182.53 | $368 | 2.2× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $504.44 | $1,017 | 3.0× |
| Radex Spine 1 View Specify Level (72020) | $162.69 | $328 | 2.0× |
| Radex Sternum Minimum 2 Views (71120) | $162.69 | $328 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $166.16 | $335 | 2.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $342.24 | $690 | 3.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $162.69 | $328 | 1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $220.23 | $444 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $537.17 | $1,083 | 3.2× |
| Radiologic exam colon single contrast study (74270) | $338.77 | $683 | 2.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $254.45 | $513 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$114.08–$318.93 | $230–$643 | varies |
| Radiologic exam swallow function contrast study (74230) | $344.72 | $695 | 2.1× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$318.93–$477.16 | $643–$962 | varies |
| Radiologic examination femur 1 view (73551) | $124 | $250 | 1.5× |
| Radiologic examination femur minimum 2 views (73552) | $149.30 | $301 | 1.8× |
| Radiologic examination knee 1/2 views (73560) | $207.33 | $418 | 2.5× |
| Ribs bilateral 3 views (71110) | $245.52 | $495 | 2.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $198.40 | $400 | 0.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $694.40 | $1,400 | 1.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $694.40 | $1,400 | 1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $694.40 | $1,400 | 1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $694.40 | $1,400 | 0.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $60.52 | $122 | 2.6× |
| Shoulder 1 view (73020) | $114.08 | $230 | 1.4× |
| Skull less than 4 views (70250) | $192.95 | $389 | 2.0× |
| Spleen Imaging (78185) | $198.40 | $400 | 0.5× |
| Sternoclavicular joints (71130) | $162.69 | $328 | 2.0× |
| Testicular Imaging W/Flow (78761) | $341.75 | $689 | 0.9× |
| Thoracic spine 2 views (72070) | $190.47 | $384 | 1.9× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$192.45–$228.66 | $388–$461 | varies |
| Thoracolumbar 2 views (72080) | $162.69 | $328 | 2.0× |
| Thyroid Imaging With Vascular Flow (78013) | $198.40 | $400 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $198.40 | $400 | 0.5× |
| Ultrasound Breast Limited (76642) | $249.49 | $503 | 3.0× |
| Ultrasound Exam Aaa Screen (76706) | $184.02 | $371 | 1.9× |
| Ultrasound, abdomen limited (76705) | $441.94 | $891 | 4.5× |
| Upper gi w/o kub (74240) | $367.54 | $741 | 2.2× |
| Urethrocystogram voiding (74455) | $577.35 | $1,164 | 2.6× |
| Us bone density measurement (76977) | $157.73 | $318 | 1.6× |
| Us breast unilateral complete (76641) | $304.55 | $614 | 3.1× |
| Us chest (76604) | $232.13 | $468 | 2.3× |
| Us exam, pelvic, limited (76857) | $434 | $875 | 4.4× |
| Us head (76506) | $251.48 | $507 | 2.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$159.22–$178.07 | $321–$359 | varies |
| Us ob detailed single fetus (76811) | $548.58 | $1,106 | 2.4× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$219.73–$251.48 | $443–$507 | varies |
| Us ob transvaginal (76817) | $219.73 | $443 | 2.2× |
| Us pelvic non ob complete (76856) | $434 | $875 | 4.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $312.48 | $630 | 3.2× |
| Us retroperitoneal complete (76770) | $458.80 | $925 | 4.6× |
| Us retroperitoneal limited (76775) | $234.12 | $472 | 2.4× |
| Us scrotum and contents (76870) | $458.80 | $925 | 4.6× |
| Us thyroid (76536) | $456.32 | $920 | 4.6× |
| Us transrectal (76872) | $346.71 | $699 | 3.5× |
| Vascular Flow Imaging (78445) | $198.40 | $400 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $736.07 | $1,484 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $736.07 | $1,484 | 0.5× |
| Venous thrombosis imaging (78457) | $248 | $500 | 0.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $198.40 | $400 | 0.5× |
| Vertebral fracture assessment via dxa (77086) | $128.96 | $260 | 1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $162.69 | $328 | 2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $172.61 | $348 | 2.1× |
| X-Ray Exam Breast Specimen (76098) | $417.64 | $842 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $147.81 | $298 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $246.02 | $496 | 2.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $278.26 | $561 | 2.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $155.75 | $314 | 1.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $199.89 | $403 | 2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $259.41 | $523 | 2.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $295.62 | $596 | 3.0× |
| X-Ray Exam L-S Spine Bending (72114) | $399.78 | $806 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $222.71 | $449 | 2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $353.65 | $713 | 3.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $81.84 | $165 | 0.8× |
| X-ray eye for foreign body (70030) | $147.32 | $297 | 1.8× |
| X-ray IV pyelogram (ivp) (74400) | $577.35 | $1,164 | 3.5× |
| X-ray IV pyelogram+tomography (74415) | $577.35 | $1,164 | 3.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$52.08–$162.69 | $105–$328 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $244.04 | $492 | 3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $254.45 | $513 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $162.69 | $328 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $81.84 | $165 | 0.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $277.27 | $559 | 2.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $235.60 | $475 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $231.14 | $466 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $163.19 | $329 | 2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $305.04 | $615 | 3.1× |
| X-ray thoracic spine 4 vw (72074) | $258.92 | $522 | 2.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $298.60 | $602 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $381.92 | $770 | 3.9× |
| Xr c-spine 4 or 5 views (72050) | $297.11 | $599 | 3.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $126.98 | $256 | 1.3× |
| Xr orbits complete 4 views (70200) | $166.16 | $335 | 1.7× |
| Xr Tomogram Single Plane (76100) | $265.86 | $536 | 2.7× |
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.