Imaging prices at Vandalia Health Webster Memorial Hospital

Webster Springs, WV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $3,501,558.20 $5,002,226 34914.3×
Ankle 2 views (73600) $3,505,034.40 $5,007,192 41986.5×
Bone &/joint imaging whole body (78306) $4,030,647.60 $5,758,068 10510.7×
Bone age studies (77072) $3,500,002.10 $5,000,003 34898.8×
Bone Imaging 3 Phase (78315) $4,030,651.10 $5,758,073 10510.7×
Cervical spine 2 or 3 views (72040) $3,501,407 $5,002,010 41943.1×
Chest 1 view (71045) $3,501,731.10 $5,002,473 41946.9×
Clavicle complete (73000) $3,505,086.90 $5,007,267 41987.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $3,640,002.10 $5,200,003 36294.8×
CT abdomen and pelvis without and with contrast (74178) $3,649,924.60 $5,214,178 10906.4×
CT abdomen and pelvis without contrast (74176) $3,649,923.20 $5,214,176 15946.9×
CT abdomen w contrast (74160) $3,647,105 $5,210,150 21676.7×
CT abdomen w wo contrast (74170) $3,648,858.50 $5,212,655 21687.1×
CT abdomen w/o contrast (74150) $3,648,162 $5,211,660 36376.1×
CT c-spine w/o contrast (72125) $3,647,182 $5,210,260 36366.4×
CT chest w contrast (71260) $3,647,168 $5,210,240 21677.1×
CT chest w/wo contrast (71270) $3,647,175 $5,210,250 21677.1×
CT head/brain with contrast (70460) $3,647,238 $5,210,340 21677.5×
CT head/brain without and with contrast (70470) $3,647,903 $5,211,290 21681.4×
CT iac w contrast (70481) $3,647,259 $5,210,370 21677.6×
CT lower ext w/o (73700) $3,647,791.35 $5,211,130.50 36372.4×
CT lower extremity w wo contrast (73702) $3,649,594.90 $5,213,707 21691.5×
CT lower extremity w/contrast material (73701) $3,647,084.35 $5,210,120.50 21676.6×
CT lumbar spine w & w/o contrast (72133) $3,651,993.10 $5,217,133 21705.8×
CT lumbar spine w/o contrast (72131) $3,647,889 $5,211,270 36373.4×
CT maxillofacial w contrast (70487) $3,647,231 $5,210,330 21677.5×
CT maxillofacial w/wo contrast (70488) $3,647,341.60 $5,210,488 21678.1×
CT maxillofacial wo contrast (70486) $3,647,910 $5,211,300 36373.6×
CT orbits w/o contrast (70480) $3,577,301 $5,110,430 35669.6×
CT pelvis w/o contrast (72192) $3,648,148 $5,211,640 36376.0×
CT pelvis w/wo contrast (72194) $3,648,491 $5,212,130 21684.9×
CT scan of arm combo (73202) $3,647,147 $5,210,210 21677.0×
CT soft tissue neck w contrast (70491) $3,648,599.50 $5,212,285 21685.6×
CT soft tissue neck w/o contrast (70490) $3,648,247.05 $5,211,781.50 36377.0×
CT thoracic spine w/o contrast (72128) $3,647,861 $5,211,230 36373.1×
CT thorax w/o contrast (71250) $3,647,840 $5,211,200 36372.9×
CT upper ext wo (73200) $3,647,777.35 $5,211,110.50 36372.3×
CT upper extremity with contrast (73201) $3,647,070.35 $5,210,100.50 10897.8×
Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) $3,640,004.20 $5,200,006 21634.5×
Cta Abdomen (74175) $3,654,002.10 $5,220,003 21717.7×
CTA abdomen pelvis (74174) $3,654,002.80 $5,220,004 10918.6×
CTA chest (71275) $3,647,002.45 $5,210,003.50 21676.1×
Cta Head (70496) $3,647,347.20 $5,210,496 21678.1×
Cta Neck (70498) $3,654,000.70 $5,220,001 21717.7×
Dxa bone density study 1/> sites axial skel (77080) $3,504,956 $5,007,080 34948.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $3,504,956.70 $5,007,081 41985.6×
Dxa bone density study axial skeleton (77085) $3,504,959.50 $5,007,085 34948.2×
Facial bones min 3 views (70150) $3,501,962.80 $5,002,804 34918.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $3,589,376.70 $5,127,681 35790.0×
Foot 2 views (73620) $3,506,624.10 $5,009,463 42005.6×
Forearm 2 views (73090) $3,505,103.70 $5,007,291 41987.3×
Hand 2 views (73120) $3,506,642.30 $5,009,489 34965.0×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $4,030,475.40 $5,757,822 7738.3×
Hepatobiliary syst imaging including gallbladder (78226) $4,030,758.90 $5,758,227 10511.0×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $4,031,094.20 $5,758,706 7739.5×
Kidney img morphology vascular flow 1 w/rx (78708) $4,031,095.95 $5,758,708.50 7739.5×
Knee 3 views (73562) $3,505,185.60 $5,007,408 41988.3×
Liver & spleen imaging static only (78215) $4,030,750.50 $5,758,215 10511.0×
Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) $3,714,281.90 $5,306,117 4939.3×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s) Non-Facility (73219) $3,717,188.65 $5,310,269.50 11107.4×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) $3,715,756.45 $5,308,223.50 11103.1×
MRA head w & w/o contrast (70546) $3,710,382.20 $5,300,546 11087.0×
MRA head w/o contrast (70544) $3,710,380.80 $5,300,544 16211.0×
MRA head with contrast (70545) $3,710,381.50 $5,300,545 11087.0×
MRA neck w contrast (70548) $3,710,383.60 $5,300,548 11087.0×
Mra Neck W/O &W/Contrast Material (70549) $3,710,384.30 $5,300,549 11087.0×
MRA neck w/o contrast (70547) $3,710,382.90 $5,300,547 16211.0×
MRI abdomen w contrast (74182) $3,714,279.80 $5,306,114 11098.7×
MRI abdomen w/o & w/contrast material (74183) $3,713,580.50 $5,305,115 11096.6×
MRI abdomen w/o contrast (74181) $3,714,279.10 $5,306,113 16228.1×
MRI any jt lower extrem w/contrast material (73722) $3,713,230.85 $5,304,615.50 4937.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,717,081.90 $5,310,117 11107.0×
MRI c-spine with contrast (72142) $3,711,499.40 $5,302,142 11090.4×
MRI cervical spine w/o contrast (72141) $3,711,498.70 $5,302,141 16215.9×
MRI chest w/o & w/contrast material (71552) $3,711,086.40 $5,301,552 11089.1×
MRI chest w/o contrast (71550) $3,711,085 $5,301,550 16214.1×
MRI chest with contrast (71551) $3,711,085.70 $5,301,551 4935.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $3,715,678.05 $5,308,111.50 11102.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,712,181.20 $5,303,116 11092.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,715,058.55 $5,307,226.50 16231.5×
MRI orbit face &/neck w/o contrast (70540) $3,710,378 $5,300,540 16211.0×
MRI orbit/face/neck w&w/o cont (70543) $3,710,380.10 $5,300,543 11087.0×
MRI pelvis w/contrast (72196) $3,711,537.20 $5,302,196 11090.5×
MRI pelvis w/o & w/contrast material (72197) $3,711,537.90 $5,302,197 11090.5×
MRI pelvis w/o contrast (72195) $3,711,536.50 $5,302,195 16216.1×
MRI spinal canal cervical w/o & w/contr matrl (72156) $3,711,509.20 $5,302,156 11090.4×
MRI spinal canal lumbar w/contrast material (72149) $3,711,504.30 $5,302,149 11090.4×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $3,711,510.60 $5,302,158 11090.4×
MRI spinal canal thoracic w/contrast matrl (72147) $3,711,502.90 $5,302,147 11090.4×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $3,711,509.90 $5,302,157 11090.4×
MRI temporomandibular joint (70336) $3,710,235.20 $5,300,336 16210.4×
MRI thoracic spine w/o contrast (72146) $3,711,502.20 $5,302,146 16215.9×
MRI up ext w/o contrast (73218) $3,717,188.65 $5,310,269.50 16240.8×
MRI upper ext joint w/o contrast (73221) $3,718,789.55 $5,312,556.50 16247.8×
MRI, joint upper extrem combo (73223) $3,714,979.10 $5,307,113 11100.8×
Myocardial Spect Multiple Studies (78452) $4,030,917.80 $5,758,454 3245.8×
Neck soft tissue (70360) $3,500,252 $5,000,360 41929.2×
Nm gastric emptying study (78264) $4,030,784.80 $5,758,264 10511.1×
Nonvascular shunt X-ray (75809) $3,504,066.30 $5,005,809 34939.3×
Osseous survey limited (77074) $3,504,951.80 $5,007,074 34948.2×
Parathyroid Planar Imaging (78070) $4,030,649 $5,758,070 10510.7×
Pelvis 1 or 2 views (72170) $3,501,696.80 $5,002,424 34915.7×
Radex Ankle Compl Minimum 3 Views (73610) $3,505,150.60 $5,007,358 41987.9×
Radex Calcaneus Minimum 2 Views (73650) $3,503,147.90 $5,004,497 41963.9×
Radex Elbw Compl Minimum 3 Views (73080) $3,505,092.50 $5,007,275 41987.2×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $3,500,077 $5,000,110 41927.1×
Radex fingr minimum 2 views (73140) $3,505,098.10 $5,007,283 41987.3×
Radex Foot Compl Minimum 3 Views (73630) $3,505,161.80 $5,007,374 41988.0×
Radex Hand Minimum 3 Views (73130) $3,505,116.30 $5,007,309 41987.5×
Radex Hip Unilateral With Pelvis 1 View (73501) $3,507,342.30 $5,010,489 42014.2×
Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) $3,500,000.70 $5,000,001 34898.8×
Radex Hips Bilateral With Pelvis 2 Views (73521) $3,504,746.70 $5,006,781 34946.1×
Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) $3,500,001.40 $5,000,002 34898.8×
Radex Humerus Minimum 2 Views (73060) $3,505,121.90 $5,007,317 41987.6×
Radex Kne 1/2 Views (73560) $3,503,780 $5,005,400 41971.5×
Radex Kne Compl 4/More Views (73564) $3,505,187 $5,007,410 34950.5×
Radex Mndbl Compl Minimum 4 Views (70110) $3,501,470.70 $5,002,101 34913.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $3,501,483.30 $5,002,119 41944.0×
Radex Sho Compl Minimum 2 Views (73030) $3,505,341 $5,007,630 41990.2×
Radex Sinuses Paransl < 3 Views (70210) $3,501,488.90 $5,002,127 41944.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $3,500,231 $5,000,330 41929.0×
Radex Toe Minimum 2 Views (73660) $3,505,353.60 $5,007,648 41990.3×
Radex Wrst Compl Minimum 3 Views (73110) $3,505,138.70 $5,007,341 41987.8×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $3,501,749.30 $5,002,499 41947.2×
Radiologic exam chest 2 views (71046) $3,504,543.70 $5,006,491 41980.6×
Radiologic examination tibia & fibula 2 views (73590) $3,505,191.20 $5,007,416 41988.4×
Ribs bilateral 3 views (71110) $3,501,220.10 $5,001,743 34911.0×
Scapula (73010) $3,505,127.50 $5,007,325 34949.9×
Shoulder 1 view (73020) $3,505,133.10 $5,007,333 41987.7×
Spine thoracic 3 views (72072) $3,501,450.40 $5,002,072 34913.3×
Thyroid uptake measurement (78012) $4,030,608.40 $5,758,012 10510.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $4,030,609.80 $5,758,014 10510.6×
Tmj unilateral (70328) $3,500,229.60 $5,000,328 41929.0×
Ultrasound Exam Aaa Screen (76706) $3,570,272.30 $5,100,389 35599.5×
Ultrasound, abdomen limited (76705) $3,574,574.50 $5,106,535 35642.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $3,575,002.20 $5,107,146 35646.6×
Us ob limited (76815) $3,574,627 $5,106,610 35642.9×
Us pelvic non ob complete (76856) $3,574,650.80 $5,106,644 35643.1×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $3,575,499.90 $5,107,857 35651.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $3,573,890.60 $5,105,558 35635.6×
Us retroperitoneal complete (76770) $3,574,610.20 $5,106,586 35642.7×
Us retroperitoneal limited (76775) $3,574,659.20 $5,106,656 35643.2×
Us scrotum and contents (76870) $3,580,371.90 $5,114,817 35700.2×
Us soft tissue head/neck (76536) $3,574,668.30 $5,106,669 35643.3×
Vertebral fracture assessment via dxa (77086) $3,504,960.20 $5,007,086 41985.6×
Wrist 2 views (73100) $3,505,364.10 $5,007,663 41990.5×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $3,503,829.70 $5,005,471 34937.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $3,505,635 $5,008,050 41993.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $3,503,549 $5,005,070 41968.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $3,502,465.40 $5,003,522 34923.4×
X-ray exam of femur 2/> (73552) $3,505,156.20 $5,007,366 41988.0×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $3,501,465.10 $5,002,093 41943.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $3,501,435.70 $5,002,051 34913.1×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $3,504,714.50 $5,006,735 41982.7×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $3,505,208 $5,007,440 34950.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $3,501,719.90 $5,002,457 34915.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $3,501,541.40 $5,002,202 34914.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $3,501,453.90 $5,002,077 41943.6×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $3,501,818.60 $5,002,598 34916.9×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $3,501,725.50 $5,002,465 41946.9×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $3,501,425.20 $5,002,036 34913.0×
Xr c-spine 4 or 5 views (72050) $3,570,719.95 $5,101,028.50 35603.9×
Xr c-spine 6 or more views (72052) $3,501,419.60 $5,002,028 34912.9×
Xr chest 4+ views (71048) $3,528,733.60 $5,041,048 35185.3×
Xr myelogram posterior fossa (70010) $3,500,007 $5,000,010 10458.4×