Imaging prices at Washington Regional Medical Center
Plymouth, NC · every code in this section with a posted price and a Medicare benchmark.
179 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) | $178.50 | $357 | 2.1× |
| Abdomen 2 views (74019) | $190 | $380 | 1.9× |
| Ankle 2 views (73600) | $108 | $216 | 1.3× |
| Bone age studies (77072) | $91.50 | $183 | 0.9× |
| Bone Imaging 3 Phase (78315) | $713.50 | $1,427 | 1.9× |
| Bone Imaging Limited Area (78300) | $313 | $626 | 0.8× |
| Bone Imaging Multiple Areas (78305) | $561 | $1,122 | 1.5× |
| Bone Imaging Whole Body (78306) | $842 | $1,684 | 2.2× |
| Bone survey infant (77076) | $259 | $518 | 2.6× |
| Cat Scan Follow-Up Study (76380) | $335.50 | $671 | 4.0× |
| Chest 1 view (71045) | $222.50 | $445 | 2.7× |
| Chest 2 views (71046) | $254.50 | $509 | 3.1× |
| Cholecystography Oral Contrast (74290) | $131.50 | $263 | 0.8× |
| Clavicle complete (73000) | $120 | $240 | 1.4× |
| Contrast X-Ray Bladder (74430) | $170 | $340 | 0.5× |
| Contrast Xray Throat/Cerv Esopha (74210) | $142.50 | $285 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,808 | $5,616 | 8.4× |
| CT abdomen and pelvis without contrast (74176) | $2,340 | $4,680 | 10.3× |
| CT abdomen w contrast (74160) | $1,263.50 | $2,527 | 7.5× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,351.50–$1,459.50 | $2,703–$2,919 | varies |
| CT abdomen w/o contrast (74150) | $1,146.50 | $2,293 | 11.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,793.50 | $5,587 | 8.4× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$146.50–$1,459.50 | $293–$2,919 | varies |
| CT Angio Head (70496) | $1,459.50 | $2,919 | 8.7× |
| CT Angio Neck (70498) | $1,251.50 | $2,503 | 7.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,245.50 | $2,491 | 7.4× |
| CT cervical spine w/o contrast (72125) | $1,231 | $2,462 | 12.3× |
| CT chest w contrast (71260) | $1,293 | $2,586 | 7.7× |
| CT chest w/wo contrast (71270) | $1,351.50 | $2,703 | 8.1× |
| CT head/brain with contrast (70460) | $1,082.50 | $2,165 | 6.5× |
| CT head/brain without and with contrast (70470) | $1,097 | $2,194 | 6.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $149.50 | $299 | 1.8× |
| CT l-spine w&w/o contrast (72133) | $1,009 | $2,018 | 6.0× |
| CT lower ext w/o (73700) | $766.50 | $1,533 | 7.7× |
| CT lower extremity w/contrast material (73701) | $883.50 | $1,767 | 5.3× |
| CT lumbar spine w contrast (72132) | $994.50 | $1,989 | 3.0× |
| CT lumbar spine w/o contrast (72131) | $994.50 | $1,989 | 10.0× |
| CT maxillofacial w contrast (70487) | $825 | $1,650 | 4.9× |
| CT maxillofacial wo contrast (70486) | $777.50 | $1,555 | 7.8× |
| CT neck tissue combo (70492) | $1,199.50 | $2,399 | 7.2× |
| CT orbits w/o contrast (70480) | $708.50 | $1,417 | 7.1× |
| CT pelvis w&w/o contrast (72194) | $1,415.50 | $2,831 | 8.4× |
| CT pelvis w/o contrast (72192) | $1,146.50 | $2,293 | 11.5× |
| CT scan of leg combo (73702) | $1,767 | $3,534 | 10.5× |
| CT scans face/jaw combo (70488) | $868.50 | $1,737 | 5.2× |
| CT soft tissue neck w contrast (70491) | $1,170 | $2,340 | 7.0× |
| CT soft tissue neck w/o contrast (70490) | $877.50 | $1,755 | 8.8× |
| CT thoracic spine w/o contrast (72128) | $763 | $1,526 | 7.6× |
| CT thorax w/o contrast (71250) | $1,117.50 | $2,235 | 11.2× |
| CT upper ext wo (73200) | $564.14 | $1,128.27 | 5.6× |
| CT upper extremity w/o & w/contrast material (73202) | $839 | $1,678 | 5.0× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$166.78–$273.64 | $333.57–$547.29 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,123 | $2,246 | 6.7× |
| Cta Abdomen (74175) | $1,459.50 | $2,919 | 8.7× |
| CTA pelvis (72191) | $1,459.50 | $2,919 | 8.7× |
| Dxa Bone Density Axial (77080) | $137.50 | $275 | 1.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $113 | $226 | 1.4× |
| Echo exam of fetal heart (76825) | $900 | $1,800 | 1.7× |
| Esophagram (74220) | $310 | $620 | 1.8× |
| Fetal Biophys Profile W/Nst (76818) | $278 | $556 | 2.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $112.50 | $225 | 1.1× |
| Foot 2 views (73620) | $108 | $216 | 1.3× |
| Forearm 2 views (73090) | $142.50 | $285 | 1.7× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$105.50–$137.50 | $211–$275 | varies |
| Knee 3 Views (73562) | $159 | $318 | 1.9× |
| MRI abdomen w contrast (74182) | $1,183 | $2,366 | 3.5× |
| MRI abdomen w/o contrast (74181) | $109.50 | $219 | 0.5× |
| MRI bone marrow blood supply (77084) | $1,067 | $2,134 | 4.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $799.50 | $1,599 | 3.5× |
| MRI cervical spine w/o cont (72141) | $140.50 | $281 | 0.6× |
| MRI chest w/o contrast (71550) | $109.50 | $219 | 0.5× |
| MRI chest wo w contrast (71552) | $109.50 | $219 | 0.3× |
| MRI orbit face &/neck w/o contrast (70540) | $222.50 | $445 | 1.0× |
| MRI orbit face neck w contrast (70542) | $254.50 | $509 | 0.8× |
| MRI pelvis w contrast (72196) | $140.50 | $281 | 0.4× |
| MRI pelvis w/o contrast (72195) | $114.50 | $229 | 0.5× |
| MRI thoracic spine w/o contrast (72146) | $146.50 | $293 | 0.6× |
| MRI, abdomen, combo (74183) | $1,515.50 | $3,031 | 4.5× |
| MRI, dorsal spine contrast (72147) | $1,459.50 | $2,919 | 4.4× |
| Neck soft tissue (70360) | $113.50 | $227 | 1.4× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $127.50 | $255 | 1.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $150 | $300 | 1.5× |
| Pelvis 1 or 2 views (72170) | $140.50 | $281 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $357 | $714 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $147.50 | $295 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $135 | $270 | 1.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $114.50 | $229 | 1.4× |
| Radex elbow complete minimum 3 views (73080) | $150.50 | $301 | 1.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $154 | $308 | 1.5× |
| Radex fingr minimum 2 views (73140) | $121 | $242 | 1.5× |
| Radex foot complete minimum 3 views (73630) | $183.50 | $367 | 2.2× |
| Radex Hand Minimum 3 Views (73130) | $121.50 | $243 | 1.5× |
| Radex lower extremity infant minimum 2 views (73592) | $99.50 | $199 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $128 | $256 | 1.5× |
| Radex Ribs Unilateral 2 Views (71100) | $137.50 | $275 | 1.7× |
| Radex shoulder complete minimum 2 views (73030) | $155 | $310 | 1.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $92.50 | $185 | 1.1× |
| Radex Spine 1 View Specify Level (72020) | $109.50 | $219 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $140.50 | $281 | 1.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $121.50 | $243 | 1.5× |
| Radex Toe Minimum 2 Views (73660) | $114.50 | $229 | 1.4× |
| Radex upper extremity infant minimum 2 views (73092) | $87 | $174 | 0.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $137.50 | $275 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $149 | $298 | 1.5× |
| Radiologic exam colon double contrast study (74280) | $500 | $1,000 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) | $147.50 | $295 | 1.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $146.50 | $293 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $318 | $636 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $245.50 | $491 | 1.5× |
| Radiologic examination femur 1 view (73551) | $108 | $216 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) | $121 | $242 | 1.5× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$108–$121 | $216–$242 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $137 | $274 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $140.50 | $281 | 1.7× |
| Ribs bilateral 3 views (71110) | $364 | $728 | 3.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,041.50 | $2,083 | 2.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,041.50 | $2,083 | 2.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $762 | $1,524 | 1.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,492.50 | $2,985 | 2.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,922.50 | $3,845 | 1.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,848 | $5,696 | 2.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,507 | $3,014 | 1.2× |
| Scapula (73010) | $134.50 | $269 | 1.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$187.50–$292.50 | $375–$585 | varies |
| Sella turcica (70240) | $66 | $132 | 0.8× |
| Shoulder 1 view (73020) | $137.50 | $275 | 1.7× |
| Skull less than 4 views (70250) | $128 | $256 | 1.3× |
| Sternoclavicular joints (71130) | $131.50 | $263 | 1.6× |
| Thoracic spine 2 views (72070) | $166.78 | $333.57 | 1.7× |
| Thoracic spine 3 views (72072) | $175.50 | $351 | 1.8× |
| Ultrasound Breast Limited (76642) | $261 | $522 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $461.50 | $923 | 4.6× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$143.50–$351 | $287–$702 | varies |
| Urethrocystogram voiding (74455) | $259 | $518 | 1.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$138–$300 | $276–$600 | varies |
| Us chest (76604) | $127.50 | $255 | 1.3× |
| Us complete joint (76881) | $217.50 | $435 | 2.2× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$135–$305.50 | $270–$611 | varies |
| Us kidney transplant (76776) | $305 | $610 | 3.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$75–$125 | $150–$250 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$277.50–$409.50 | $555–$819 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$336–$512 | $672–$1,024 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$189.50–$409.50 | $379–$819 | varies |
| Us pelvic non ob complete (76856) | $512 | $1,024 | 5.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$336–$394.50 | $672–$789 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $277.50 | $555 | 2.8× |
| Us retroperitoneal complete (76770) | $185.50 | $371 | 1.9× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$157.50–$305 | $315–$610 | varies |
| Us scrotum and contents (76870) | $281 | $562 | 2.8× |
| Us thyroid (76536) range across 2 matching MRF lines |
$150–$300 | $300–$600 | varies |
| Us transrectal (76872) | $217.50 | $435 | 2.2× |
| Venography extremity unilateral rs&i (75820) | $329.50 | $659 | 0.2× |
| Wrist 2 views (73100) | $133.50 | $267 | 1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $107.50 | $215 | 1.3× |
| X-Ray Bend Only L-S Spine (72120) | $304 | $608 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $120 | $240 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $123.92 | $247.83 | 1.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $293 | $586 | 3.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $339.50 | $679 | 3.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $164 | $328 | 2.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $251 | $502 | 2.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $182 | $364 | 1.8× |
| X-ray eye for foreign body (70030) | $150 | $300 | 1.8× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$109–$140.50 | $218–$281 | varies |
| X-ray IV pyelogram (ivp) (74400) | $305 | $610 | 1.8× |
| X-ray IV pyelogram+tomography (74415) | $292.50 | $585 | 1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $199 | $398 | 2.0× |
| X-ray nose-rectum child f.b. (76010) | $67 | $134 | 0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $374.50 | $749 | 3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $114.50 | $229 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$70.50–$140.50 | $141–$281 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $94.50 | $189 | 1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $131.50 | $263 | 1.3× |
| X-ray thoracic spine 4 vw (72074) | $16.78 | $33.57 | 0.2× |
| X-Rays Bone Survey Complete (77075) | $215.50 | $431 | 2.2× |
| Xr c-spine 4 or 5 views (72050) | $245.50 | $491 | 2.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $149 | $298 | 1.5× |
| Xr orbits complete 4 views (70200) | $192.50 | $385 | 1.9× |
| Xr Tomogram Single Plane (76100) | $127 | $254 | 1.3× |
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.