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The following charges reflect the hospital's most common x-ray and radiological procedures. These prices do not include the price of supplies that may be required for some procedures. Physicians bill separately for their services.
| Abdomen, Complete Decubitus Erect Views |
$347 |
| Abdomen, AP View (Kub) |
$201 |
| Ankle Compete Minimun 3 Views |
$236 |
| Basic Dosimetry |
$217 |
| Bone Density Study by X-ray |
$423 |
| Bone Scan - Whole Body |
$789 |
| Chest 2 Views |
$218 |
| Chest Single View |
$132 |
| CT Abdomen w/Contrast |
$1,860 |
| CT Chest with Contrast |
$1,889 |
| CT Head without Contrast |
$1,335 |
| CT Pelvis with Contrast |
$1,853 |
| Foot, Complete Minimum 3 Views |
$195 |
| Hand Minimum 3 Views Unilateral |
$214 |
| Hip Minimum 2 Views Unilateral |
$252 |
| Knee Complete 4 or more views |
$296 |
| Lumbosacral Spine, Complete Series |
$271 |
| Mammography Bilateral |
$152 |
| Mammography Unilateral |
$125 |
| MRI Brain with and without Contrast |
$3,227 |
| MRI Lumbar Spine without Contrast |
$2,600 |
| Myocardial Perfusion Stress/Rest |
$1,294 |
| Pelvis, Single View Only |
$140 |
| Radiation Treatment C 6-10mg |
$579 |
| Radiation Treatment C 11-19mg |
$657 |
| Shoulder Complete Minimum 2 Views |
$272 |
| Spine, Single View |
$183 |
| Tibia/Fibual, 2 Views |
$195 |
| Ultrasound Abdomen |
$642 |
| Ultrasound Vascular Unilateral or Limited Study |
$924 |
| Wrist, Complete Minimum 3 Views |
$236 |
Date Updated: 29-JAN-2008 | |
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