Imaging prices at Williamson Memorial

Williamson, 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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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $42 $84 0.5×
Abdomen 2 views (74019) $148.50 $297 1.5×
Ankle 2 views (73600) $51 $102 0.6×
Bone age studies (77072) $45.50 $91 0.5×
Bone survey infant (77076) $209.50 $419 2.1×
Cat Scan Follow-Up Study (76380) $173.16 $346.32 2.1×
Chest 1 view (71045) $75 $150 0.9×
Chest 2 views (71046) $82 $164 1.0×
Chest 3 views (71047) $150 $300 1.8×
Chest 4 or more views (71048) $150 $300 1.5×
Cholecystography Oral Contrast (74290) $93 $186 0.6×
Clavicle complete (73000) $55.50 $111 0.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $725 $1,450 7.2×
Contrast X-Ray Bladder (74430) $153.50 $307 0.5×
Contrast Xray Throat/Cerv Esopha (74210) $66.50 $133 0.4×
CT abdomen and pelvis without and with contrast (74178) $1,465 $2,930 4.4×
CT abdomen and pelvis without contrast (74176) $1,056.50 $2,113 4.6×
CT abdomen w contrast (74160) $857 $1,714 5.1×
CT abdomen w wo contrast (74170) $1,089 $2,178 6.5×
CT abdomen w/o contrast (74150) $718.50 $1,437 7.2×
CT Angio Abdomen and Pelvis (74174) $1,195 $2,390 3.6×
CT Angio Chest (71275) $942 $1,884 5.6×
CT Angio Head (70496) $946 $1,892 5.6×
Ct Angio Lwr Extr W/O&W/Dye (73706) $941.50 $1,883 5.6×
CT Angio Neck (70498) $978 $1,956 5.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $900 $1,800 5.3×
CT cervical spine w/ contrast (72126) $900 $1,800 2.7×
CT cervical spine w/o contrast (72125) $744.50 $1,489 7.4×
CT cervical spine w/wo cont (72127) $350.12 $700.24 2.1×
CT chest w contrast (71260) $824.50 $1,649 4.9×
CT chest w/wo contrast (71270) $984 $1,968 5.8×
CT head/brain with contrast (70460) $803 $1,606 4.8×
CT head/brain without and with contrast (70470) $934.50 $1,869 5.6×
CT iac w contrast (70481) $765.50 $1,531 4.5×
CT l-spine w&w/o contrast (72133) $350.12 $700.24 2.1×
CT lower ext w/o (73700) $603 $1,206 6.0×
CT lower extremity w/contrast material (73701) $647.50 $1,295 3.8×
CT lumbar spine w contrast (72132) $875 $1,750 2.6×
CT lumbar spine w/o contrast (72131) $740 $1,480 7.4×
CT maxillofacial w contrast (70487) $758.50 $1,517 4.5×
CT maxillofacial wo contrast (70486) $651 $1,302 6.5×
CT neck tissue combo (70492) $896 $1,792 5.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $900 $1,800 5.3×
CT orbits w/o contrast (70480) $677 $1,354 6.8×
CT pelvis w&w/o contrast (72194) $975 $1,950 5.8×
CT pelvis w/o contrast (72192) $722.50 $1,445 7.2×
CT scan of leg combo (73702) $808.50 $1,617 4.8×
CT scans face/jaw combo (70488) $885 $1,770 5.3×
CT soft tissue neck w contrast (70491) $729 $1,458 4.3×
CT soft tissue neck w/o contrast (70490) $640.50 $1,281 6.4×
CT thoracic spine w contrast (72129) $900 $1,800 5.3×
CT thoracic spine w/o contrast (72128) $729 $1,458 7.3×
CT thoracic spine w/wo cont (72130) $350.12 $700.24 2.1×
CT thorax w/o contrast (71250) $456.50 $913 4.6×
CT upper ext wo (73200) $633.50 $1,267 6.3×
CT upper extremity w/o & w/contrast material (73202)
range across 3 matching MRF lines		 $350.12–$700.24 $700.24–$1,400.48 varies
CT upper extremity with contrast (73201) $838 $1,676 2.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $915 $1,830 5.4×
Cta Abdomen (74175) $975 $1,950 5.8×
CTA pelvis (72191) $350.12 $700.24 2.1×
Dxa Bone Density Axial (77080) $200.50 $401 2.0×
Dxa bone density study (77085) $209.50 $419 2.1×
Dxa bone density study 1/>sites appendiclr skel (77081) $173.16 $346.32 2.1×
Esophagram (74220) $66.50 $133 0.4×
Fluoroscopy up to 1 hr (76000) $350 $700 1.5×
Foot 2 views (73620) $40 $80 0.5×
Forearm 2 views (73090) $159.50 $319 1.9×
Hand 2 views (73120) $40 $80 0.4×
Infusion Ivp (74410) $123 $246 0.7×
Knee 3 Views (73562) $55.50 $111 0.7×
Neck soft tissue (70360) $51 $102 0.6×
Optic foramina (70190) $51 $102 0.6×
Pelvis 1 or 2 views (72170) $168 $336 1.7×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $55.50 $111 0.6×
Radex Ankle Complete Minimum 3 Views (73610) $159.50 $319 1.9×
Radex Calcaneus Minimum 2 Views (73650) $48.50 $97 0.6×
Radex elbow complete minimum 3 views (73080) $159.50 $319 1.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $70.50 $141 0.7×
Radex fingr minimum 2 views (73140) $159.50 $319 1.9×
Radex foot complete minimum 3 views (73630) $159.50 $319 1.9×
Radex Hand Minimum 3 Views (73130) $159.50 $319 1.9×
Radex lower extremity infant minimum 2 views (73592) $51 $102 0.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $48.50 $97 0.6×
Radex Ribs Unilateral 2 Views (71100) $55.50 $111 0.7×
Radex shoulder complete minimum 2 views (73030) $159.50 $319 1.9×
Radex Sinuses Paransl < 3 Views (70210) $55.50 $111 0.7×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $86 $172 0.5×
Radex Spine 1 View Specify Level (72020) $34 $68 0.4×
Radex Sternum Minimum 2 Views (71120) $55.50 $111 0.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $70.50 $141 0.8×
Radex Toe Minimum 2 Views (73660) $159.50 $319 1.9×
Radex upper extremity infant minimum 2 views (73092) $48.50 $97 0.5×
Radex Wrist Complete Minimum 3 Views (73110) $159.50 $319 1.9×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $67.50 $135 0.7×
Radiolog exam mandible compl minimum 4 views (70110) $70.50 $141 0.7×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $60 $120 0.6×
Radiologic exam colon double contrast study (74280) $143.50 $287 0.9×
Radiologic exam colon single contrast study (74270) $116.50 $233 0.7×
Radiologic Exam Esophagus Double Contrast Study (74221) $350.12 $700.24 2.1×
Radiologic exam knee complete 4/more views (73564) $224 $448 2.2×
Radiologic exam pelvis compl minimum 3 views (72190) $224 $448 2.2×
Radiologic Exam Small Int Single Contrast Study (74250) $86 $172 0.5×
Radiologic exam upr gi trc double contrast study (74246) $139 $278 0.8×
Radiologic examination femur 1 view (73551) $159.50 $319 1.9×
Radiologic examination femur minimum 2 views (73552) $159.50 $319 1.9×
Radiologic examination knee 1/2 views (73560) $51 $102 0.6×
Radiologic Examination Osseous Survey Limited (77074) $209.50 $419 2.1×
Radiologic Examination Salivary Gland Calculus (70380) $51 $102 0.6×
Radiologic examination tibia & fibula 2 views (73590) $159.50 $319 1.9×
Radiologic examination, teeth; single view Non-Facility (70300) $40 $80 0.5×
Ribs bilateral 3 views (71110) $110 $220 1.1×
Scapula (73010) $53.50 $107 0.5×
Sella turcica (70240) $55.50 $111 0.7×
Shoulder 1 view (73020) $51 $102 0.6×
Skull less than 4 views (70250) $55.50 $111 0.6×
Sternoclavicular joints (71130) $55.50 $111 0.7×
Thoracic spine 2 views (72070) $51 $102 0.5×
Thoracic spine 3 views (72072) $45.50 $91 0.5×
Thoracolumbar 2 views (72080) $55.50 $111 0.7×
Unlisted Dx Radiographic Procedure (76499)
range across 6 matching MRF lines		 $173.16–$346.32 $346.32–$692.64 varies
Upper gi w/o kub (74240) $121.50 $243 0.7×
Urethrocystogram voiding (74455) $153.50 $307 0.7×
Urethrocystography retrograde (74450) $135 $270 0.6×
Vein X-Ray Chest (75827) $3,051.86 $6,103.72 2.0×
Venography extremity unilateral rs&i (75820) $175 $350 0.1×
Vertebral fracture assessment via dxa (77086) $90.50 $181 1.1×
Wrist 2 views (73100) $48.50 $97 0.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $55 $110 0.7×
X-Ray Bend Only L-S Spine (72120) $72 $144 0.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $48.50 $97 0.6×
X-Ray Exam Entire Spi 1 Vw (72081) $34 $68 0.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $55.50 $111 0.6×
X-Ray Exam Entire Spi 4/5 Vw (72083) $67.50 $135 0.7×
X-Ray Exam Hip Uni 1 View (73501) $55.50 $111 0.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $57.50 $115 0.7×
X-Ray Exam Hip Uni 4/> Views (73503) $224 $448 2.2×
X-Ray Exam Hips Bi 2 Views (73521) $57.50 $115 0.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $57.50 $115 0.6×
X-Ray Exam Hips Bi 5/> Views (73523) $57.50 $115 0.6×
X-Ray Exam L-S Spine Bending (72114) $113 $226 1.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $51 $102 0.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $88 $176 0.9×
X-Ray Exam Unilat Ribs/Chest (71101) $167 $334 1.7×
X-ray eye for foreign body (70030) $51 $102 0.6×
X-ray humerus (73060) $159.50 $319 1.9×
X-ray IV pyelogram (ivp) (74400) $123 $246 0.7×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $55.50 $111 0.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $51 $102 0.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $72 $144 0.7×
X-ray nose-rectum child f.b. (76010) $34 $68 0.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $130 $260 1.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $51 $102 0.5×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $40 $80 0.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $51 $102 0.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $70.50 $141 0.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $89 $178 0.9×
X-Ray Stress View (77071) $173.16 $346.32 2.1×
X-ray thoracic spine 4 vw (72074) $89 $178 0.9×
X-Ray Tmj Unilat (70328) $55.50 $111 0.7×
X-Ray Urinary Tract Exam With Contrast Material (74420) $112 $224 0.3×
X-Rays Bone Length Studies (77073) $209.50 $419 2.1×
X-Rays Bone Survey Complete (77075) $309.50 $619 3.1×
Xr c-spine 4 or 5 views (72050) $88 $176 0.9×
Xr facial bones less than 3 views (70140) $55.50 $111 0.7×
Xr orbits complete 4 views (70200) $70.50 $141 0.7×

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.