Imaging prices at West Tennessee Healthcare Henry County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $269 $269 3.4×
Abdomen 2 views (74019) $408 $408 4.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,158 $1,158 3.2×
Angiography extremity bilateral rs&i (75716) $6,346 $6,346 2.2×
Angiography extremity unilateral rs&i (75710)
range across 3 matching MRF lines		 $3,267–$6,238 $3,267–$6,238 varies
Ankle 2 views (73600) $254 $254 3.2×
Aortography thoracic serialography rs&i (75605) $4,181 $4,181 0.8×
Artery X-Rays Abdomen (75726) $3,296 $3,296 0.7×
Basic radiation dosimetry calculation (77300) $356 $356 2.9×
Bone age studies (77072) $198 $198 2.1×
Bone Imaging 3 Phase (78315) $1,809 $1,809 5.0×
Bone Imaging Limited Area (78300) $1,132 $1,132 3.1×
Bone Imaging Whole Body (78306) $1,760 $1,760 4.9×
Bone survey infant (77076) $315 $315 3.3×
Brachytx isodose complex (77318) $2,219 $2,219 6.5×
Cardiovasc nucl exam unlisted (78499) $1,367 $1,367 3.8×
Cat Scan Follow-Up Study (76380)
range across 2 matching MRF lines		 $1,283–$1,358 $1,283–$1,358 varies
Chest 1 view (71045) $254 $254 3.2×
Chest 2 views (71046) $346 $346 4.4×
Chest 3 views (71047) $386 $386 4.9×
Chest 4 or more views (71048) $397 $397 4.2×
Clavicle complete (73000) $243 $243 3.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $550 $550 5.8×
Continuing medical physics consltj pr wk (77336) $356 $356 2.9×
Contrast Exam Abdominl Aorta (75625) $6,058 $6,058 2.1×
Contrast X-Ray Bladder (74430) $796 $796 2.5×
CT abdomen and pelvis without and with contrast (74178) $4,547 $4,547 14.4×
CT abdomen and pelvis without contrast (74176) $3,751 $3,751 17.3×
CT abdomen w contrast (74160) $2,013 $2,013 12.6×
CT abdomen w wo contrast (74170) $2,273 $2,273 14.3×
CT abdomen w/o contrast (74150) $2,013 $2,013 21.2×
CT Angio Abdomen and Pelvis (74174) $3,811 $3,811 12.0×
CT Angio Chest (71275) $1,906 $1,906 12.0×
CT Angio Head (70496) $1,906 $1,906 12.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,906 $1,906 12.0×
CT Angio Neck (70498) $1,906 $1,906 12.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,906 $1,906 12.0×
CT cervical spine w/ contrast (72126) $2,013 $2,013 6.4×
CT cervical spine w/o contrast (72125) $1,821 $1,821 19.2×
CT cervical spine w/wo cont (72127) $2,273 $2,273 14.3×
CT chest w contrast (71260) $1,906 $1,906 12.0×
CT chest w/wo contrast (71270) $2,190 $2,190 13.8×
CT head/brain with contrast (70460) $1,916 $1,916 12.0×
CT head/brain without and with contrast (70470) $2,190 $2,190 13.8×
CT heart no contrast quant eval coronry calcium (75571) $99 $99 1.3×
CT iac w contrast (70481) $1,366 $1,366 8.6×
CT l-spine w&w/o contrast (72133) $2,273 $2,273 14.3×
CT lower ext w/o (73700) $1,489 $1,489 15.7×
CT lower extremity w/contrast material (73701) $1,591 $1,591 10.0×
CT lumbar spine w contrast (72132) $1,966 $1,966 6.2×
CT lumbar spine w/o contrast (72131) $1,966 $1,966 20.7×
CT maxillofacial w contrast (70487) $1,841 $1,841 11.6×
CT maxillofacial wo contrast (70486) $1,841 $1,841 19.4×
CT neck tissue combo (70492) $1,821 $1,821 11.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,867 $1,867 11.7×
CT orbits w/o contrast (70480) $1,366 $1,366 14.4×
CT pelvis w&w/o contrast (72194) $2,098 $2,098 13.2×
CT pelvis w/o contrast (72192) $1,922 $1,922 20.3×
CT scan of leg combo (73702) $1,898 $1,898 11.9×
CT scans face/jaw combo (70488) $2,190 $2,190 13.8×
CT soft tissue neck w contrast (70491) $1,547 $1,547 9.7×
CT soft tissue neck w/o contrast (70490) $1,547 $1,547 16.3×
CT thoracic spine w contrast (72129) $1,906 $1,906 12.0×
CT thoracic spine w/o contrast (72128) $1,821 $1,821 19.2×
CT thoracic spine w/wo cont (72130) $2,273 $2,273 14.3×
CT thorax w/o contrast (71250) $1,906 $1,906 20.1×
CT upper ext wo (73200) $1,489 $1,489 15.7×
CT upper extremity w/o & w/contrast material (73202) $1,873 $1,873 11.8×
CT upper extremity with contrast (73201) $1,591 $1,591 5.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,561 $2,561 16.1×
Cta Abdomen (74175) $1,906 $1,906 12.0×
CTA pelvis (72191) $1,906 $1,906 12.0×
Dxa Bone Density Axial (77080) $583 $583 6.1×
Echo exam uterus (76831) $743 $743 3.4×
Echograp Trans R Pros Study (76873) $759 $759 8.0×
Esophagram (74220) $401 $401 2.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $373 $373 3.9×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines		 $335–$347 $335–$347 varies
Foot 2 views (73620) $195 $195 2.5×
Forearm 2 views (73090) $254 $254 3.2×
Gastric emptying imaging study (78264) $1,403 $1,403 3.9×
Gastroesophageal Reflux Exam (78262) $1,094 $1,094 3.0×
Gated Heart Planar Single (78472) $1,511 $1,511 4.2×
Hand 2 views (73120) $254 $254 2.7×
Hepatobil Syst Image W/Drug (78227) $1,693 $1,693 3.4×
Hepatobiliary System Imaging (78226) $1,556 $1,556 4.3×
Ht Muscle Image Spect Sing (78451) $1,693 $1,693 1.4×
Hysterosalpingogram (74740) $362 $362 1.7×
Interstitial radiation source applic complex (77778) $2,685 $2,685 4.2×
K Flow/Funct Image W/Drug (78708) $1,548 $1,548 3.1×
K Flow/Funct Image W/O Drug (78707) $1,333 $1,333 2.7×
Knee 3 Views (73562) $299 $299 3.8×
Liver & Spleen Imaging Static Only (78215) $1,898 $1,898 5.2×
Liver imaging static only (78201) $995 $995 2.0×
Lung Perf&Ventilat Diferentl (78598) $1,459 $1,459 3.0×
Lung perfusion differential (78597) $730 $730 2.0×
Lung Ventilat&Perfus Imaging (78582) $1,896 $1,896 3.8×
Lung Ventilation Imaging (78579) $1,140 $1,140 3.1×
Lymph System Imaging (78195) $1,254 $1,254 2.5×
Magnetic Image Jaw Joint (70336) $1,808 $1,808 8.4×
Meckels Divert Exam (78290) $1,158 $1,158 3.2×
MRA head w/o contrast (70544) $2,694 $2,694 12.4×
MRA head with contrast (70545) $2,833 $2,833 9.0×
MRA neck w contrast (70548) $2,833 $2,833 9.0×
MRA neck w/o contrast (70547) $2,694 $2,694 12.4×
MRI abdomen w contrast (74182) $1,472 $1,472 4.7×
MRI abdomen w/o contrast (74181) $1,096 $1,096 5.1×
MRI any jt lower extrem w/contrast material (73722) $2,833 $2,833 4.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,040 $3,040 9.6×
MRI any jt upper extremity w/contrast matrl (73222) $2,833 $2,833 4.0×
MRI cervical spine w contrast (72142) $2,833 $2,833 9.0×
MRI cervical spine w/o cont (72141) $2,833 $2,833 13.1×
MRI chest w/o contrast (71550) $2,694 $2,694 12.4×
MRI chest wo w contrast (71552) $3,040 $3,040 9.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,833 $2,833 9.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 10 matching MRF lines		 $4,463–$4,578 $4,463–$4,578 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,694 $2,694 12.4×
MRI lumbar spine w contrast (72149) $2,694 $2,694 8.5×
Mri Neck Spine W/O & W/Dye (72156) $3,040 $3,040 9.6×
MRI orbit face &/neck w/o contrast (70540) $2,694 $2,694 12.4×
MRI orbit face neck w contrast (70542) $2,833 $2,833 9.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,040 $3,040 9.6×
MRI pelvis w contrast (72196) $1,472 $1,472 4.7×
MRI pelvis w/o & w contrast (72197)
range across 2 matching MRF lines		 $1,779–$2,748 $1,779–$2,748 varies
MRI pelvis w/o contrast (72195)
range across 2 matching MRF lines		 $1,096–$2,694 $1,096–$2,694 varies
MRI thoracic spine w/o contrast (72146) $2,694 $2,694 12.4×
MRI upper extremity oth than jt w/contr matrl (73219) $2,833 $2,833 9.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,694 $2,694 12.4×
Mri Uppr Extremity W/O&W/Dye (73220) $3,040 $3,040 9.6×
MRI, abdomen, combo (74183) $1,779 $1,779 5.6×
MRI, dorsal spine combo (72157) $3,040 $3,040 9.6×
MRI, dorsal spine contrast (72147) $2,833 $2,833 9.0×
MRI, joint upper extrem (73221) $2,694 $2,694 12.4×
MRI, joint upper extrem combo (73223) $3,040 $3,040 9.6×
MRI, lumbar spine combo (72158) $3,040 $3,040 9.6×
Musculoskeletal Nuclear Exam (78399) $1,367 $1,367 3.8×
Myelogram Lumbar (72265) $1,475 $1,475 2.1×
Myelograpy 2/more regions rs&i (72270) $1,475 $1,475 2.1×
Myocardial Spect Multiple Studies (78452) $4,950 $4,950 4.2×
Neck soft tissue (70360) $188 $188 2.4×
Nuclear Rx Oral Admin (79005) $903 $903 4.3×
Parathyroid Planar Imaging (78070) $780 $780 2.2×
Parathyroid planar imaging w/wo subtraction (78071) $1,292 $1,292 3.6×
Pelvis 1 or 2 views (72170) $269 $269 2.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $537 $537 5.7×
Radex abscess/fistula/sinus tract rs&i (76080) $620 $620 1.3×
Radex Ankle Complete Minimum 3 Views (73610) $279 $279 3.5×
Radex Calcaneus Minimum 2 Views (73650) $217 $217 2.7×
Radex elbow complete minimum 3 views (73080) $304 $304 3.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $346 $346 3.6×
Radex fingr minimum 2 views (73140)
range across 11 matching MRF lines		 $189–$378 $189–$378 varies
Radex foot complete minimum 3 views (73630) $279 $279 3.5×
Radex Hand Minimum 3 Views (73130) $279 $279 3.5×
Radex lower extremity infant minimum 2 views (73592) $198 $198 2.5×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $287 $287 3.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $222 $222 2.8×
Radex Ribs Unilateral 2 Views (71100) $304 $304 3.9×
Radex shoulder complete minimum 2 views (73030) $254 $254 3.2×
Radex Sinuses Paransl < 3 Views (70210) $166 $166 2.1×
Radex Spine 1 View Specify Level (72020) $188 $188 2.4×
Radex Sternum Minimum 2 Views (71120) $254 $254 3.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $300 $300 3.8×
Radex Toe Minimum 2 Views (73660) $189 $189 2.4×
Radex upper extremity infant minimum 2 views (73092) $198 $198 2.1×
Radex Wrist Complete Minimum 3 Views (73110) $286 $286 3.6×
Radiolog exam mandible compl minimum 4 views (70110) $262 $262 2.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $408 $408 4.3×
Radiologic exam colon double contrast study (74280) $778 $778 4.9×
Radiologic exam colon single contrast study (74270) $718 $718 4.5×
Radiologic Exam Esophagus Double Contrast Study (74221) $400 $400 2.5×
Radiologic exam knee complete 4/more views (73564) $334 $334 3.5×
Radiologic Exam Small Int Single Contrast Study (74250) $510 $510 3.2×
Radiologic exam upr gi trc double contrast study (74246) $909 $909 5.7×
Radiologic examination femur minimum 2 views (73552) $198 $198 2.5×
Radiologic examination knee 1/2 views (73560) $254 $254 3.2×
Radiologic examination tibia & fibula 2 views (73590) $276 $276 3.5×
Rp loclzj tum plnr 1 area single day imaging (78800)
range across 2 matching MRF lines		 $1,749–$2,023 $1,749–$2,023 varies
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802)
range across 2 matching MRF lines		 $1,749–$2,648 $1,749–$2,648 varies
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,753 $2,753 5.6×
Rp Therapy Intravenous Administration (79101) $716 $716 3.4×
Scapula (73010) $245 $245 2.6×
Screening Digital Breast Tomosynthesis Bi (77063) $130 $130 5.6×
Shoulder 1 view (73020) $188 $188 2.4×
Skull less than 4 views (70250) $174 $174 1.8×
Special dosimetry (77331) $356 $356 2.9×
Special Physics Consult (77370) $470 $470 3.9×
Special treatment procedure (77470) $1,186 $1,186 2.4×
Ther Rad Simulaj-Aided Field Setting Complex (77290)
range across 2 matching MRF lines		 $300–$793 $300–$793 varies
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $793 $793 2.3×
Ther rad simulaj-aided field setting simple (77280)
range across 2 matching MRF lines		 $113–$367 $113–$367 varies
Thoracic spine 2 views (72070) $302 $302 3.2×
Thoracic spine 3 views (72072) $302 $302 3.2×
Thyroid Imaging With Vascular Flow (78013) $722 $722 2.0×
Thyroid Met Imaging Body (78018) $1,637 $1,637 3.3×
Thyroid Uptake Measurement (78012) $549 $549 1.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $801 $801 2.2×
Tx Devices Design & Construction Complex (77334) $584 $584 1.7×
Tx devices design & construction intermediate (77333) $584 $584 4.8×
Tx devices design & construction simple (77332) $584 $584 4.8×
Ultrasound Breast Limited (76642) $320 $320 4.1×
Ultrasound Exam Aaa Screen (76706) $169 $169 1.8×
Ultrasound, abdomen limited (76705)
range across 4 matching MRF lines		 $454–$458 $454–$458 varies
Umbilical-artery Doppler (OB) (76820) $260 $260 2.7×
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) $1,367 $1,367 3.8×
Upper gi w/o kub (74240) $909 $909 5.7×
Urethrocystogram voiding (74455) $713 $713 3.3×
Urethrocystography retrograde (74450) $729 $729 3.4×
Us chest (76604) $420 $420 4.4×
Us complete joint (76881)
range across 3 matching MRF lines		 $454–$886 $454–$886 varies
Us exam, pelvic, limited (76857) $494 $494 5.2×
Us head (76506) $1,102 $1,102 11.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $613 $613 6.5×
Us ob detailed single fetus (76811) $706 $706 3.3×
Us ob limited 1 or more fetuses (76815) $342 $342 3.6×
Us ob transvaginal (76817) $504 $504 5.3×
Us pelvic non ob complete (76856) $787 $787 8.3×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $532 $532 5.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $519 $519 5.5×
Us retroperitoneal complete (76770) $816 $816 8.6×
Us retroperitoneal limited (76775) $816 $816 8.6×
Us scrotum and contents (76870) $518 $518 5.5×
Us spinal canal and contents (76800) $462 $462 4.9×
Us thyroid (76536)
range across 2 matching MRF lines		 $409–$518 $409–$518 varies
Us transrectal (76872) $768 $768 8.1×
Vein X-Ray Chest (75827) $2,858 $2,858 2.0×
Venography caval inferior serialography rs&i (75825) $6,058 $6,058 2.1×
Venography extremity unilateral rs&i (75820) $2,117 $2,117 1.5×
Wrist 2 views (73100) $247 $247 3.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $254 $254 3.2×
X-ray antegrade pyelogram tube (74425) $381 $381 1.2×
X-Ray Aorta Leg Arteries (75630) $3,703 $3,703 1.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $224 $224 2.8×
X-Ray Exam Entire Spi 1 Vw (72081) $172 $172 2.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $242 $242 2.6×
X-Ray Exam Entire Spi 4/5 Vw (72083) $252 $252 2.7×
X-Ray Exam Hip Uni 1 View (73501) $198 $198 2.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $210 $210 2.7×
X-Ray Exam Hips Bi 2 Views (73521) $423 $423 4.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $455 $455 4.8×
X-Ray Exam L-S Spine Bending (72114) $473 $473 5.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $295 $295 3.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $401 $401 4.2×
X-Ray Exam Unilat Ribs/Chest (71101) $298 $298 3.1×
X-ray humerus (73060) $254 $254 3.2×
X-ray IV pyelogram (ivp) (74400) $729 $729 4.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $254 $254 3.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $302 $302 3.2×
X-ray nose-rectum child f.b. (76010) $210 $210 2.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $541 $541 5.7×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $148 $148 1.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $279 $279 3.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $329 $329 4.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $351 $351 3.7×
X-Ray Stress View (77071) $198 $198 2.5×
X-Ray Urinary Tract Exam With Contrast Material (74420) $729 $729 2.3×
X-Rays Bone Survey Complete (77075) $537 $537 5.7×
Xr c-spine 4 or 5 views (72050) $382 $382 4.0×
Xr facial bones less than 3 views (70140) $241 $241 3.1×
Xr orbits complete 4 views (70200) $222 $222 2.3×

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.