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X-Ray and Radiological Charges

The following charges reflect the hospital's 30 most common x-ray and radiological procedures.

Diagnostic

Charges

Pricing

Chest One View

$ 140.00

Chest Two View

$ 175.00

Screening Mammogram Digital

$ 201.00

KUB

$ 170.00

Lumbosacral Complete Min 4 Views

$ 335.00

Pelvis AP

$ 170.00

Bone Density Dexa Axial Skeleton

$ 185.00

Cervical Spine Complete

$ 375.00

Ankle Complete Unilateral

$ 225.00

Foot Complete Unilateral

$ 240.00

Hand Complete Unilateral

$ 195.00

Knee Complete Unilateral Min 4 Views

$ 265.00

Hip Complete Unilateral Min 2 Views

$ 220.00

Wrist Complete Unilateral Min 3 Views

$225.00

Shoulder Complete

$240.00

Ultrasound

Charges

Pricing

Abdomen Complete

$ 500.00

Abdomen Limited

$ 460.00

Pelvis

$ 490.00

Breast Bilateral

$ 250.00

Breast Unilateral

$ 250.00

Both Kidneys

$ 350.00

Soft Tissue Head and Neck

$ 450.00

Thyroid

$ 450.00

OB Initial > 14 Weeks

$ 400.00

Nuclear Medicine

Includes Radio-Isotope

Charges

Pricing

Gastric Emptying

$ 825.00

Bone/Whole Body

$ 750.00

Thyroid Uptake and Scan

$ 905.00

Hida Scan

$1,252.00

CT

Charges

Pricing

Brain with/without Contrast

$ 1,800.00

Abdomen and Pelvis with Contrast

$ 2,200.00

Abdomen without Contrast

$ 1,000.00

Chest without Contrast

$875.00

Cervical Spine without Contrast

$ 1,100.00

MRI

Charges

Pricing

Lumbar Spine without Contrast

$ 1,800.00

Any Joint Lower without Contrast

$ 2,100.00

Breast Bilateral with/without Contrast

$ 1,800.00

Brain with/without Contrast

$ 2,600.00

Cervical without Contrast

$1,800.00

 

MRA

Charges

Pricing

Brain or Neck without Contrast

$ 1,570.00

Brain or Neck with Contrast

$ 2,000.00

Vascular Ultrasound

Charges

Pricing

Vascular Ultrasound

$ 385.00

Carotid

$ 575.00

Venous Bilateral

$ 500.00

Arterial Bilateral Duplex

$ 350.00

Cardiology

Charges

Pricing

Echocardiogram Complete

$ 1,100.00

Nuclear Stress (Adenosine or Lexiscan)

$ 3,743.00

Exercise Stress

$ 3,080.00

Transesophageal Echo (TEE)

$ 1,665.00

EKG

$ 110.00

Holter Monitor

$ 385.00

For Radiology Fees:

Comprehensive Medical Practice Management (CMPM)
3769 Columbus Pike, Suite 220
Delaware, OH 43015

 

 

Online Services

Main Campus

981 Wooster Road
Millersburg, Ohio 44654
(330) 674-1015

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