AVITAHEALTH (RECOVERED)
Legal name: GALION COMMUNITY HOSPITAL
Published Procedure Prices
| Procedure | CPT | Cash Price | Insurance Range |
|---|---|---|---|
| HC MRI TEMPROMANDIBULAR JOINT | 00001 | $3,821 | N/A |
| HC MRI CHEST W/ CONTRAST | 00002 | $4,289 | N/A |
| HC MRA LOWER EXTREMITY W/ & W/O CONTRAST | 00003 | $3,313 | N/A |
| HC MRI SPINE W/ CONTRAST THORACIC | 00004 | $3,898 | N/A |
| HC MRI SPINE W/O CONTRAST LUMBAR | 00005 | $4,006 | N/A |
| HC MRA NECK W/ & W/O CONTRAST | 00006 | $3,313 | N/A |
| HC MRI BRAIN INTRAOPERATIVE W/ CONTRAST | 00007 | $3,898 | N/A |
| HC MRI SPINE W/ & W/O CONTRAST THORACIC | 00008 | $4,609 | N/A |
| HC MRI UPPER EXTREMITY OTHER THAN JOINT W/ & W/O CONTRAST | 00009 | $3,643 | N/A |
| HC MRI UPPER EXTREMITY JOINT W/O CONTRAST | 00010 | $3,835 | N/A |
| HC MRI LOWER EXTREMITY OTHER THAN JOINT W/ & W/O CONTRAST | 00011 | $3,643 | N/A |
| HC MRI LOWER EXTREMITY JOINT W/O CONTRAST | 00012 | $3,643 | N/A |
| HC MRI ABDOMEN W/O CONTRAST | 00013 | $3,643 | N/A |
| HC MR SPECTROSCOPY | 00021 | $2,712 | N/A |
| HC MRI BONE MARROW | 00022 | $2,946 | N/A |
| HC MRI UPPER EXTREMITY OTHER THAN JOINT W/O CONTRAST | 00026 | $3,643 | N/A |
| HC MRI UPPER EXTREMITY OTHER THAN JOINT W/ CONTRAST | 00027 | $3,643 | N/A |
| HC MRI UPPER EXTREMITY JOINT W/ CONTRAST | 00028 | $3,760 | N/A |
| HC MRI UPPER EXTREMITY JOINT W/ & W/O CONTRAST | 00029 | $3,993 | N/A |
| HC MRI LOWER EXTREMITY OTHER THAN JOINT W/O CONTRAST | 00030 | $3,643 | N/A |
| HC MRI LOWER EXTREMITY OTHER THAN JOINT W/ CONTRAST | 00031 | $2,273 | N/A |
| HC MRI LOWER EXTREMITY JOINT W/ CONTRAST | 00032 | $2,702 | N/A |
| HC MRI LOWER EXTREMITY JOINT W/ & W/O CONTRAST | 00033 | $3,993 | N/A |
Prices shown are published rates from hospital chargemaster files and insurer rate data. Your actual cost depends on your insurance plan, deductible status, and services rendered.