Imaging prices at Wilson Health
Sidney, OH · every code in this section with a posted price and a Medicare benchmark.
214 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) | $186.38 | $372.76 | 2.2× |
| Abdomen 2 views (74019) | $207.79 | $415.59 | 2.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,199.97 | — | 3.0× |
| Angiography extremity bilateral rs&i (75716) | $3,225.14 | $6,450.29 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $3,225.14 | $6,450.29 | 1.0× |
| Ankle 2 views (73600) | $196.51 | $393.03 | 2.3× |
| Arthrogram hip (73525) | $753.03 | $1,506.07 | 2.2× |
| Arthrogram Wrist (73115) | $753.03 | $1,506.07 | 2.2× |
| Bone age studies (77072) | $141.81 | $283.62 | 1.4× |
| Bone Imaging 3 Phase (78315) | $1,268.67 | — | 3.2× |
| Bone Imaging Limited Area (78300) | $937.59 | — | 2.4× |
| Bone Imaging Whole Body (78306) | $1,025.57 | — | 2.6× |
| Bone marrow imaging limited area (78102) | $2,057.66 | — | 5.2× |
| Bone survey infant (77076) | $333.97 | $667.95 | 3.2× |
| Chest 1 view (71045) | $168.43 | $336.87 | 2.0× |
| Chest 2 views (71046) | $248.89 | $497.78 | 2.9× |
| Clavicle complete (73000) | $149.33 | $298.67 | 1.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,058.65 | $2,117.30 | 10.3× |
| Contrast Exam Abdominl Aorta (75625) | $3,225.14 | $6,450.29 | 1.0× |
| Contrast X-Ray Bladder (74430) | $252.36 | $504.72 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) | $2,880.75 | $5,761.50 | 8.4× |
| CT abdomen and pelvis without contrast (74176) | $2,113.82 | $4,227.65 | 9.0× |
| CT abdomen w contrast (74160) | $1,250.23 | $2,500.47 | 7.2× |
| CT abdomen w wo contrast (74170) | $1,441.82 | $2,883.64 | 8.3× |
| CT abdomen w/o contrast (74150) | $1,058.65 | $2,117.30 | 10.3× |
| CT Angio Abdomen and Pelvis (74174) | $3,265.08 | $6,530.16 | 9.5× |
| CT Angio Chest (71275) | $1,633.41 | $3,266.82 | 9.5× |
| CT Angio Head (70496) | $1,441.82 | $2,883.64 | 8.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $571.09 | $1,142.19 | 3.3× |
| CT Angio Neck (70498) | $1,441.82 | $2,883.64 | 8.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $864.74 | $1,729.49 | 5.0× |
| CT cervical spine w/ contrast (72126) | $1,250.23 | $2,500.47 | 3.6× |
| CT cervical spine w/o contrast (72125) | $1,058.65 | $2,117.30 | 10.3× |
| CT cervical spine w/wo cont (72127) | $571.09 | $1,142.19 | 3.3× |
| CT chest w contrast (71260) | $1,250.23 | $2,500.47 | 7.2× |
| CT chest w/wo contrast (71270) | $1,441.82 | $2,883.64 | 8.3× |
| CT head/brain with contrast (70460) | $1,250.23 | $2,500.47 | 7.2× |
| CT head/brain without and with contrast (70470) | $1,441.82 | $2,883.64 | 8.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $129.07 | $258.15 | 1.5× |
| CT iac w contrast (70481) | $1,250.23 | $2,500.47 | 7.2× |
| CT l-spine w&w/o contrast (72133) | $1,441.82 | $2,883.65 | 8.3× |
| CT lower ext w/o (73700) | $1,058.65 | $2,117.30 | 10.3× |
| CT lower extremity w/contrast material (73701) | $1,250.23 | $2,500.47 | 7.2× |
| CT lumbar spine w contrast (72132) | $1,250.23 | $2,500.47 | 3.6× |
| CT lumbar spine w/o contrast (72131) | $1,058.65 | $2,117.30 | 10.3× |
| CT maxillofacial w contrast (70487) | $1,250.23 | $2,500.47 | 7.2× |
| CT maxillofacial wo contrast (70486) | $1,058.65 | $2,117.30 | 10.3× |
| CT neck tissue combo (70492) | $1,441.82 | $2,883.64 | 8.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,441.82 | $2,883.64 | 8.3× |
| CT orbits w/o contrast (70480) | $1,058.65 | $2,117.30 | 10.3× |
| CT pelvis w&w/o contrast (72194) | $1,310.43 | $2,620.86 | 7.6× |
| CT pelvis w/o contrast (72192) | $1,058.65 | $2,117.30 | 10.3× |
| CT scan of leg combo (73702) | $1,248.50 | $2,497 | 7.2× |
| CT scans face/jaw combo (70488) | $1,310.43 | $2,620.86 | 7.6× |
| CT soft tissue neck w contrast (70491) | $1,250.23 | $2,500.47 | 7.2× |
| CT soft tissue neck w/o contrast (70490) | $1,058.65 | $2,117.30 | 10.3× |
| CT thoracic spine w contrast (72129) | $1,250.23 | $2,500.47 | 7.2× |
| CT thoracic spine w/o contrast (72128) | $1,441.82 | $2,883.64 | 14.0× |
| CT thorax w/o contrast (71250) | $1,058.65 | $2,117.30 | 10.3× |
| CT upper ext wo (73200) | $1,058.65 | $2,117.30 | 10.3× |
| CT upper extremity w/o & w/contrast material (73202) | $659.65 | $1,319.31 | 3.8× |
| CT upper extremity with contrast (73201) | $1,250.23 | $2,500.47 | 3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,729.49 | $3,458.98 | 10.0× |
| Cta Abdomen (74175) | $1,633.41 | $3,266.82 | 9.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $548.62 | $1,097.25 | 1.6× |
| CTA pelvis (72191) | $1,633.41 | $3,266.82 | 9.5× |
| Dxa Bone Density Axial (77080) | $501.83 | $1,003.66 | 4.9× |
| Esophagram (74220) | $285.35 | $570.71 | 1.7× |
| Fetal Biophys Profile W/Nst (76818) | $476.94 | $953.88 | 4.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $476.94 | $953.88 | 4.6× |
| Fluoroscopy up to 1 hr (76000) | $284.19 | $568.39 | 1.2× |
| Foot 2 views (73620) | $298.09 | $596.18 | 3.5× |
| Forearm 2 views (73090) | $196.21 | $392.43 | 2.3× |
| Gastric emptying imaging study (78264) | $1,006.85 | — | 2.6× |
| Gated Heart Planar Single (78472) | $1,078.99 | — | 2.7× |
| Hand 2 views (73120) | $282.78 | $565.56 | 2.7× |
| Hepatobil Syst Image W/Drug (78227) | $1,505.21 | — | 2.8× |
| Hepatobiliary System Imaging (78226) | $1,622.75 | — | 4.1× |
| Hysterosalpingogram (74740) | $616.43 | $1,232.87 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $1,510.81 | — | 2.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,490.70 | — | 2.8× |
| Knee 3 Views (73562) | $189.27 | $378.54 | 2.2× |
| Lung Perf&Ventilat Diferentl (78598) | $2,252.46 | — | 4.2× |
| Lung Ventilat&Perfus Imaging (78582) | $2,769.39 | — | 5.2× |
| Lymph System Imaging (78195) | $735.09 | $1,470.18 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $1,004.24 | $2,008.48 | 4.3× |
| MRA head w/o contrast (70544) | $1,922.23 | $3,844.47 | 8.2× |
| MRA neck w/o contrast (70547) | $1,922.23 | $3,844.47 | 8.2× |
| MRI abdomen w/o contrast (74181) | $1,922.23 | $3,844.47 | 8.2× |
| MRI any jt lower extrem w/contrast material (73722) | $2,161.28 | $4,322.57 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,182.12 | $4,364.25 | 6.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,161.28 | $4,322.57 | 2.8× |
| MRI cervical spine w/o cont (72141) | $1,922.23 | $3,844.47 | 8.2× |
| MRI chest w/o contrast (71550) | $1,746.85 | $3,493.71 | 7.4× |
| MRI chest wo w contrast (71552) | $2,182.12 | $4,364.25 | 6.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,402.07 | $4,804.14 | 7.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,922.23 | $3,844.47 | 8.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,402.07 | $4,804.14 | 7.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,922.23 | $3,844.47 | 8.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,402.07 | $4,804.14 | 7.0× |
| MRI pelvis w/o & w contrast (72197) | $2,402.07 | $4,804.14 | 7.0× |
| MRI pelvis w/o contrast (72195) | $1,922.23 | $3,844.47 | 8.2× |
| MRI thoracic spine w/o contrast (72146) | $1,922.23 | $3,844.47 | 8.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,922.23 | $3,844.47 | 8.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,291.23 | $4,582.46 | 6.7× |
| MRI, abdomen, combo (74183) | $2,402.07 | $4,804.14 | 7.0× |
| MRI, dorsal spine combo (72157) | $2,402.07 | $4,804.14 | 7.0× |
| MRI, joint upper extrem (73221) | $1,922.23 | $3,844.47 | 8.2× |
| MRI, joint upper extrem combo (73223) | $2,292.10 | $4,584.20 | 6.7× |
| MRI, lumbar spine combo (72158) | $2,402.07 | $4,804.14 | 7.0× |
| Myocardial Spect Multiple Studies (78452) | $4,636.54 | — | 3.6× |
| Neck soft tissue (70360) | $115.18 | $230.37 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $735.09 | $1,470.18 | 3.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,205.77 | — | 5.6× |
| Pelvis 1 or 2 views (72170) | $287.67 | $575.34 | 2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $772.71 | $1,545.43 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $354.23 | $708.47 | 3.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $297.51 | $595.02 | 3.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $196.46 | $392.93 | 2.3× |
| Radex elbow complete minimum 3 views (73080) | $196.30 | $392.61 | 2.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $214.16 | $428.32 | 2.1× |
| Radex fingr minimum 2 views (73140) | $92.61 | $185.22 | 1.1× |
| Radex foot complete minimum 3 views (73630) | $200.78 | $401.56 | 2.3× |
| Radex Hand Minimum 3 Views (73130) | $189.66 | $379.32 | 2.2× |
| Radex lower extremity infant minimum 2 views (73592) | $196.79 | $393.59 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $151.07 | $302.14 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $125.60 | $251.20 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) | $361.29 | $722.58 | 4.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $186.95 | $373.91 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $115.18 | $230.37 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $189.27 | $378.54 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $199.11 | $398.22 | 2.3× |
| Radex upper extremity infant minimum 2 views (73092) | $196.21 | $392.43 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $196.21 | $392.43 | 2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $214.16 | $428.32 | 2.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $208.37 | $416.75 | 2.0× |
| Radiologic exam colon double contrast study (74280) | $580.55 | $1,161.10 | 3.4× |
| Radiologic exam colon single contrast study (74270) | $494.88 | $989.77 | 2.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $233.65 | $467.30 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) | $170.17 | $340.35 | 1.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $361.76 | $723.52 | 3.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $281.30 | $562.61 | 1.6× |
| Radiologic exam swallow function contrast study (74230) | $285.35 | $570.71 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $475.20 | $950.41 | 2.7× |
| Radiologic examination femur minimum 2 views (73552) | $249.47 | $498.94 | 2.9× |
| Radiologic examination knee 1/2 views (73560) | $136.02 | $272.04 | 1.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $544.66 | $1,089.33 | 5.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $196.35 | $392.70 | 2.3× |
| Ribs bilateral 3 views (71110) | $125.60 | $251.20 | 1.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,057.66 | — | 5.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,597.81 | — | 3.0× |
| Scapula (73010) | $196.36 | $392.72 | 1.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $53.83 | $107.66 | 2.3× |
| Shoulder 1 view (73020) | $298.09 | $596.18 | 3.5× |
| Shoulder Arthrography (73040) | $753.03 | $1,506.07 | 2.2× |
| Skull less than 4 views (70250) | $100.71 | $201.43 | 1.0× |
| Sternoclavicular joints (71130) | $191.01 | $382.02 | 2.2× |
| Thoracic spine 2 views (72070) | $139.57 | $279.14 | 1.4× |
| Thoracic spine 3 views (72072) | $214.16 | $428.32 | 2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,324.63 | — | 3.4× |
| Ultrasound Breast Limited (76642) | $502.41 | $1,004.82 | 5.9× |
| Ultrasound Elastography Parenchyma (76981) | $479.25 | $958.51 | 4.7× |
| Ultrasound Exam Aaa Screen (76706) | $293.46 | $586.92 | 2.8× |
| Ultrasound, abdomen limited (76705) | $772.13 | $1,544.27 | 7.5× |
| Unlisted Dx Radiographic Procedure (76499) | $118.65 | $237.31 | 1.4× |
| Upper gi w/o kub (74240) | $346.71 | $693.42 | 2.0× |
| Urethrocystogram voiding (74455) | $421.37 | $842.75 | 1.8× |
| Us breast unilateral complete (76641) | $565.50 | $1,131 | 5.5× |
| Us chest (76604) | $535.98 | $1,071.96 | 5.2× |
| Us complete joint (76881) | $493.15 | $986.30 | 4.8× |
| Us exam, pelvic, limited (76857) | $298.66 | $597.33 | 2.9× |
| Us kidney transplant (76776) | $593.86 | $1,187.72 | 5.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $298.66 | $597.33 | 2.9× |
| Us ob limited 1 or more fetuses (76815) | $435.26 | $870.53 | 4.2× |
| Us ob transvaginal (76817) | $508.19 | $1,016.39 | 4.9× |
| Us pelvic non ob complete (76856) | $902.95 | $1,805.90 | 8.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $564.92 | $1,129.84 | 5.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $208.37 | $416.75 | 2.0× |
| Us retroperitoneal complete (76770) | $706.73 | $1,413.46 | 6.9× |
| Us retroperitoneal limited (76775) | $661.58 | $1,323.17 | 6.4× |
| Us scrotum and contents (76870) | $594.44 | $1,188.88 | 5.8× |
| Us thyroid (76536) | $535.98 | $1,071.96 | 5.2× |
| Wrist 2 views (73100) | $151.65 | $303.30 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $189.27 | $378.54 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $151.65 | $303.30 | 1.8× |
| X-Ray Exam Breast Specimen (76098) | $160.91 | $321.82 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $86.82 | $173.64 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $176.54 | $353.08 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $115.57 | $231.14 | 1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $226.89 | $453.79 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $343.81 | $687.63 | 3.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $285.07 | $570.15 | 2.8× |
| X-Ray Exam L-S Spine Bending (72114) | $418.48 | $836.96 | 4.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $200.85 | $401.70 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $405.75 | $811.50 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $230.47 | $460.94 | 2.2× |
| X-ray eye for foreign body (70030) | $115.57 | $231.14 | 1.3× |
| X-ray humerus (73060) | $196.35 | $392.70 | 2.3× |
| X-ray IV pyelogram (ivp) (74400) | $516.30 | $1,032.60 | 3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $139.49 | $278.99 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $281.30 | $562.61 | 2.7× |
| X-ray nose-rectum child f.b. (76010) | $43.99 | $87.98 | 0.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $360.02 | $720.04 | 3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $197.95 | $395.91 | 1.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $149.33 | $298.67 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $149.33 | $298.67 | 1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $278.41 | $556.82 | 3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $281.30 | $562.61 | 2.7× |
| X-ray thoracic spine 4 vw (72074) | $273.20 | $546.40 | 2.7× |
| X-Ray Tmj Unilat (70328) | $115.57 | $231.14 | 1.3× |
| X-Rays Bone Length Studies (77073) | $180.01 | $360.02 | 1.7× |
| X-Rays Bone Survey Complete (77075) | $660.63 | $1,321.26 | 6.4× |
| Xr c-spine 4 or 5 views (72050) | $324.13 | $648.27 | 3.1× |
| Xr orbits complete 4 views (70200) | $200.27 | $400.54 | 1.9× |