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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 |
$442 |
| Abdomen, AP View (Kub) |
$257 |
| Ankle Complete Minimum 3 Views |
$301 |
| Basic Dosimetry |
$528 |
| Bone Density Study by X-ray |
$539 |
| Bone Scan - Whole Body |
$1,644 |
| Chest 2 Views |
$342 |
| Chest Single View |
$251 |
| CT Abdomen w/Contrast |
$2,375 |
| CT Chest with Contrast |
$2,410 |
| CT Head without Contrast |
$1,729 |
| CT Pelvis with Contrast |
$2,365 |
| Foot, Complete Minimum 3 Views |
$330 |
| Hand Minimum 3 Views Unilateral |
$323 |
| Hip Minimum 2 Views Unilateral |
$322 |
| Knee Complete 4 or more views |
$442 |
| Lumbosacral Spine, Complete Series |
$417 |
| Mammogram Diag Digital Bilateral |
$350 |
| Mammogram Diag Digital Unilateral |
$276 |
| MRI Brain with and without Contrast |
$4,697 |
| MRI Lumbar Spine without Contrast |
$2,724 |
| Myocardial Perfusion Stress/Rest |
$3,152 |
| Pelvis, Single View Only |
$282 |
| Radiation Treatment C 6-10mg |
$739 |
| Radiation Treatment C 11-19mg |
$839 |
| Shoulder Complete Minimum 2 Views |
$348 |
| Spine, Single View |
$269 |
| Tibia/Fibula, 2 Views |
$307 |
| Ultrasound Abdomen |
$904 |
| Ultrasound Pelvic - Non OB |
$763 |
| Wrist, Complete Minimum 3 Views |
$320 |
Date Updated: 22-JAN-2013 |
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