Imaging prices at AdventHealth Polk
Columbus, NC · every code in this section with a posted price and a Medicare benchmark.
221 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) | $347.13 | $347.13 | 4.2× |
| Abdomen 2 views (74019) | $474.39 | $474.39 | 4.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,216.55 | $2,216.55 | 5.8× |
| Ankle 2 views (73600) | $299.99 | $299.99 | 3.6× |
| Bone Imaging 3 Phase (78315) | $1,931.58 | $1,931.58 | 5.1× |
| Bone Imaging Limited Area (78300) | $1,628.76 | $1,628.76 | 4.3× |
| Bone Imaging Whole Body (78306) | $2,026.50 | $2,026.50 | 5.3× |
| Bone marrow imaging limited area (78102) | $1,328.15 | $1,328.15 | 3.5× |
| Bone survey infant (77076) | $696.89 | $696.89 | 7.0× |
| Cat Scan Follow-Up Study (76380) | $1,136.31 | $1,136.31 | 13.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$348–$348.39 | $348–$348.39 | varies |
| Chest 2 views (71046) | $371.28 | $371.28 | 4.5× |
| Chest 3 views (71047) | $485.84 | $485.84 | 5.8× |
| Chest 4 or more views (71048) | $529.20 | $529.20 | 5.3× |
| Clavicle complete (73000) | $358.58 | $358.58 | 4.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,146.18 | $1,146.18 | 11.5× |
| Contrast X-Ray Bladder (74430) | $1,393.35 | $1,393.35 | 4.2× |
| Contrast X-Ray Of Elbow (73085) | $1,117.83 | $1,117.83 | 3.4× |
| Contrast X-Ray Of Knee Joint (73580) | $1,110.27 | $1,110.27 | 3.3× |
| CT abdomen and pelvis without and with contrast (74178) | $5,321.72 | $5,321.72 | 16.0× |
| CT abdomen and pelvis without contrast (74176) | $4,487.07 | $4,487.07 | 19.7× |
| CT abdomen w contrast (74160) | $3,179.40 | $3,179.40 | 19.0× |
| CT abdomen w wo contrast (74170) | $3,419.43 | $3,419.43 | 20.4× |
| CT abdomen w/o contrast (74150) | $2,618.28 | $2,618.28 | 26.2× |
| CT Angio Abdomen and Pelvis (74174) | $4,768.58 | $4,768.58 | 14.3× |
| CT Angio Chest (71275) | $2,927.40 | $2,927.40 | 17.5× |
| CT Angio Head (70496) | $3,659.88 | $3,659.88 | 21.8× |
| CT angio hrt w/3d image (75574) | $3,568.85 | $3,568.85 | 10.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,846.68 | $3,846.68 | 22.9× |
| CT Angio Neck (70498) | $3,659.88 | $3,659.88 | 21.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,846.68 | $3,846.68 | 22.9× |
| CT cervical spine w/ contrast (72126) | $2,988.30 | $2,988.30 | 9.0× |
| CT cervical spine w/o contrast (72125) | $1,902.29 | $1,902.29 | 19.0× |
| CT cervical spine w/wo cont (72127) | $3,331.76 | $3,331.76 | 19.9× |
| CT chest w contrast (71260) | $2,794.47 | $2,794.47 | 16.7× |
| CT chest w/wo contrast (71270) | $3,419.43 | $3,419.43 | 20.4× |
| CT head/brain with contrast (70460) | $2,485.88 | $2,485.88 | 14.8× |
| CT head/brain without and with contrast (70470) | $3,000.06 | $3,000.06 | 17.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,728.74 | $2,728.74 | 8.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $201.29 | $201.29 | 2.4× |
| CT iac w contrast (70481) | $2,610.20 | $2,610.20 | 15.6× |
| CT l-spine w&w/o contrast (72133) | $3,490.83 | $3,490.83 | 20.8× |
| CT lower ext w/o (73700) | $1,976.31 | $1,976.31 | 19.8× |
| CT lower extremity w/contrast material (73701) | $2,168.15 | $2,168.15 | 12.9× |
| CT lumbar spine w contrast (72132) | $2,632.35 | $2,632.35 | 7.9× |
| CT lumbar spine w/o contrast (72131) | $2,469.08 | $2,469.08 | 24.7× |
| CT maxillofacial w contrast (70487) | $2,411.75 | $2,411.75 | 14.4× |
| CT maxillofacial wo contrast (70486) | $2,221.70 | $2,221.70 | 22.2× |
| CT neck tissue combo (70492) | $3,222.24 | $3,222.24 | 19.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,007.31 | $3,007.31 | 17.9× |
| CT orbits w/o contrast (70480) | $2,338.67 | $2,338.67 | 23.4× |
| CT pelvis w/o contrast (72192) | $2,304.23 | $2,304.23 | 23.1× |
| CT scan of leg combo (73702) | $2,626.05 | $2,626.05 | 15.7× |
| CT scans face/jaw combo (70488) | $2,355.78 | $2,355.78 | 14.1× |
| CT soft tissue neck w contrast (70491) | $2,689.05 | $2,689.05 | 16.0× |
| CT soft tissue neck w/o contrast (70490) | $2,338.67 | $2,338.67 | 23.4× |
| CT thoracic spine w contrast (72129) | $2,592.56 | $2,592.56 | 15.5× |
| CT thoracic spine w/o contrast (72128) | $1,848.11 | $1,848.11 | 18.5× |
| CT thoracic spine w/wo cont (72130) | $3,757.22 | $3,757.22 | 22.4× |
| CT thorax w/o contrast (71250) | $1,985.66 | $1,985.66 | 19.9× |
| CT upper ext wo (73200) | $2,097.48 | $2,097.48 | 21.0× |
| CT upper extremity w/o & w/contrast material (73202) | $2,698.40 | $2,698.40 | 16.1× |
| CT upper extremity with contrast (73201) | $2,427.81 | $2,427.81 | 7.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,190.45 | $4,190.45 | 25.0× |
| Cta Abdomen (74175) | $3,236 | $3,236 | 19.3× |
| Dxa Bone Density Axial (77080) | $739.73 | $739.73 | 7.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $473.87 | $473.87 | 5.7× |
| Echograp Trans R Pros Study (76873) | $1,189.13 | $1,189.13 | 11.9× |
| Esophagram (74220) | $907.31 | $907.31 | 5.4× |
| Fluoroscopy up to 1 hr (76000) | $838.85 | $838.85 | 3.7× |
| Foot 2 views (73620) | $308.49 | $308.49 | 3.7× |
| Forearm 2 views (73090) | $290.85 | $290.85 | 3.5× |
| Gastric emptying imaging study (78264) | $1,773.24 | $1,773.24 | 4.6× |
| Hand 2 views (73120) | $274.26 | $274.26 | 2.7× |
| Hepatobil Syst Image W/Drug (78227) | $2,216.55 | $2,216.55 | 4.3× |
| Hepatobiliary System Imaging (78226) | $1,592.43 | $1,592.43 | 4.2× |
| K Flow/Funct Image W/Drug (78708) | $2,596.13 | $2,596.13 | 5.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,490.37 | $1,490.37 | 2.9× |
| Knee 3 Views (73562) | $358.58 | $358.58 | 4.3× |
| Liver & Spleen Imaging Static Only (78215) | $2,045.30 | $2,045.30 | 5.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,702.68 | $1,702.68 | 3.3× |
| Magnetic Image Jaw Joint (70336) | $435.44 | $435.44 | 1.9× |
| Mr safety determination physician/other qhp (76016) | $226.75 | $226.75 | 2.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $63.32 | $63.32 | 2.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $237.69 | $237.69 | 2.6× |
| Mr safety implt pos&/immoblj (76019) | $151.01 | $151.01 | 2.7× |
| Mr safety med physics xm customization plng&mntr (76017) | $624.82 | $624.82 | 2.7× |
| Mra Head W/O & W/Contrast Material (70546) | $4,682.48 | $4,682.48 | 14.0× |
| MRA head w/o contrast (70544) | $3,163.86 | $3,163.86 | 13.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,583.57 | $4,583.57 | 13.7× |
| MRA neck w/o contrast (70547) | $3,163.86 | $3,163.86 | 13.9× |
| MRI abdomen w/o contrast (74181) | $4,563.30 | $4,563.30 | 20.0× |
| MRI any jt lower extrem w/contrast material (73722) | $3,476.76 | $3,476.76 | 4.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,046.39 | $4,046.39 | 12.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,674.92 | $4,674.92 | 6.2× |
| MRI cervical spine w contrast (72142) | $4,184.57 | $4,184.57 | 12.5× |
| MRI cervical spine w/o cont (72141) | $3,404.10 | $3,404.10 | 14.9× |
| MRI chest w/o contrast (71550) | $4,343.12 | $4,343.12 | 19.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,606.90 | $5,606.90 | 16.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,665.34 | $3,665.34 | 16.1× |
| MRI lumbar spine w contrast (72149) | $3,906.21 | $3,906.21 | 11.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,298.83 | $5,298.83 | 15.9× |
| MRI orbit face &/neck w/o contrast (70540) | $4,124.82 | $4,124.82 | 18.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,541.27 | $5,541.27 | 16.6× |
| MRI pelvis w contrast (72196) | $4,696.13 | $4,696.13 | 14.1× |
| MRI pelvis w/o & w contrast (72197) | $5,496.54 | $5,496.54 | 16.5× |
| MRI pelvis w/o contrast (72195) | $4,565.61 | $4,565.61 | 20.0× |
| MRI thoracic spine w/o contrast (72146) | $3,727.50 | $3,727.50 | 16.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,356.01 | $3,356.01 | 10.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,343.12 | $4,343.12 | 19.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,922.09 | $4,922.09 | 14.8× |
| MRI, abdomen, combo (74183) | $5,606.90 | $5,606.90 | 16.8× |
| MRI, dorsal spine combo (72157) | $5,443.20 | $5,443.20 | 16.3× |
| MRI, dorsal spine contrast (72147) | $4,810.16 | $4,810.16 | 14.4× |
| MRI, joint upper extrem (73221) | $3,309.39 | $3,309.39 | 14.5× |
| MRI, joint upper extrem combo (73223) | $5,019.11 | $5,019.11 | 15.1× |
| MRI, lumbar spine combo (72158) | $4,669.46 | $4,669.46 | 14.0× |
| N-invas est c ffr sw aly CTA (75580) | $4,767.95 | $4,767.95 | 5.8× |
| Neck soft tissue (70360) | $463.38 | $463.38 | 5.6× |
| Nonvascular Shunt X-Ray (75809) | $865.73 | $865.73 | 8.7× |
| Parathyroid Planar Imaging (78070) | $2,019.26 | $2,019.26 | 5.3× |
| Pelvis 1 or 2 views (72170) | $440.48 | $440.48 | 4.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $733.22 | $733.22 | 7.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,030.28 | $2,030.28 | 3.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $345.98 | $345.98 | 4.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $281.82 | $281.82 | 3.4× |
| Radex elbow complete minimum 3 views (73080) | $334.64 | $334.64 | 4.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $436.38 | $436.38 | 4.4× |
| Radex fingr minimum 2 views (73140) | $236.04 | $236.04 | 2.8× |
| Radex foot complete minimum 3 views (73630) | $345.98 | $345.98 | 4.2× |
| Radex Hand Minimum 3 Views (73130) | $345.98 | $345.98 | 4.2× |
| Radex lower extremity infant minimum 2 views (73592) | $288.02 | $288.02 | 3.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $436.38 | $436.38 | 5.2× |
| Radex Ribs Unilateral 2 Views (71100) | $378 | $378 | 4.5× |
| Radex shoulder complete minimum 2 views (73030) | $412.34 | $412.34 | 5.0× |
| Radex Spine 1 View Specify Level (72020) | $275.31 | $275.31 | 3.3× |
| Radex Sternum Minimum 2 Views (71120) | $334.64 | $334.64 | 4.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $620.97 | $620.97 | 7.5× |
| Radex Toe Minimum 2 Views (73660) | $330.12 | $330.12 | 4.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $440.48 | $440.48 | 5.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $880 | $880 | 8.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $427.46 | $427.46 | 4.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $503.16 | $503.16 | 5.0× |
| Radiologic exam colon double contrast study (74280) | $828.03 | $828.03 | 4.9× |
| Radiologic exam colon single contrast study (74270) | $828.03 | $828.03 | 4.9× |
| Radiologic exam knee complete 4/more views (73564) | $475.02 | $475.02 | 4.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $576.14 | $576.14 | 5.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $907.31 | $907.31 | 5.4× |
| Radiologic exam swallow function contrast study (74230) | $1,080.03 | $1,080.03 | 6.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,080.03 | $1,080.03 | 6.4× |
| Radiologic examination femur 1 view (73551) | $256.83 | $256.83 | 3.1× |
| Radiologic examination femur minimum 2 views (73552) | $330.75 | $330.75 | 4.0× |
| Radiologic examination knee 1/2 views (73560) | $307.34 | $307.34 | 3.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $440.48 | $440.48 | 5.3× |
| Ribs bilateral 3 views (71110) | $551.57 | $551.57 | 5.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,061.36 | $2,061.36 | 5.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,745.02 | $2,745.02 | 5.3× |
| Scapula (73010) | $440.48 | $440.48 | 4.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $105 | $105 | 4.5× |
| Shoulder Arthrography (73040) | $1,318.91 | $1,318.91 | 4.0× |
| Skull less than 4 views (70250) | $426.41 | $426.41 | 4.3× |
| Sternoclavicular joints (71130) | $427.46 | $427.46 | 5.1× |
| Thoracic spine 2 views (72070) | $468.51 | $468.51 | 4.7× |
| Thoracic spine 3 views (72072) | $550.31 | $550.31 | 5.5× |
| Thoracolumbar 2 views (72080) | $593.67 | $593.67 | 7.1× |
| Thyroid Imaging With Vascular Flow (78013) | $1,330.04 | $1,330.04 | 3.5× |
| Ultrasound Breast Limited (76642) | $511.04 | $511.04 | 6.1× |
| Ultrasound Exam Aaa Screen (76706) | $517.23 | $517.23 | 5.2× |
| Ultrasound, abdomen limited (76705) | $899.75 | $899.75 | 9.0× |
| Upper gi w/o kub (74240) | $880.43 | $880.43 | 5.3× |
| Us breast unilateral complete (76641) | $767.03 | $767.03 | 7.7× |
| Us chest (76604) | $1,053.05 | $1,053.05 | 10.5× |
| Us complete joint (76881) | $899.75 | $899.75 | 9.0× |
| Us exam, pelvic, limited (76857) | $912.24 | $912.24 | 9.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $675.47 | $675.47 | 6.8× |
| Us ob limited 1 or more fetuses (76815) | $738.89 | $738.89 | 7.4× |
| Us ob transvaginal (76817) | $1,005.90 | $1,005.90 | 10.1× |
| Us pelvic non ob complete (76856) | $998.87 | $998.87 | 10.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $977.03 | $977.03 | 9.8× |
| Us retroperitoneal complete (76770) | $1,092 | $1,092 | 10.9× |
| Us retroperitoneal limited (76775) | $899.75 | $899.75 | 9.0× |
| Us scrotum and contents (76870) | $899.75 | $899.75 | 9.0× |
| Us thyroid (76536) | $960.44 | $960.44 | 9.6× |
| Us transrectal (76872) | $918.44 | $918.44 | 9.2× |
| Wrist 2 views (73100) | $330.12 | $330.12 | 4.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $468.51 | $468.51 | 5.6× |
| X-ray antegrade pyelogram tube (74425) | $1,264.41 | $1,264.41 | 3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $304.92 | $304.92 | 3.7× |
| X-Ray Exam Breast Specimen (76098) | $429.87 | $429.87 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $246.50 | $246.50 | 3.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $366.87 | $366.87 | 3.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $696.89 | $696.89 | 7.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $279.20 | $279.20 | 3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $505.79 | $505.79 | 6.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $707.18 | $707.18 | 7.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $807.98 | $807.98 | 8.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $377.37 | $377.37 | 3.8× |
| X-Ray Exam L-S Spine Bending (72114) | $739.73 | $739.73 | 7.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $440.48 | $440.48 | 5.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $770.49 | $770.49 | 7.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $606.59 | $606.59 | 6.1× |
| X-ray eye for foreign body (70030) | $431.03 | $431.03 | 5.2× |
| X-ray humerus (73060) | $334.64 | $334.64 | 4.0× |
| X-ray IV pyelogram (ivp) (74400) | $1,352.40 | $1,352.40 | 8.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $311.96 | $311.96 | 3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $334.64 | $334.64 | 4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $551.57 | $551.57 | 5.5× |
| X-ray nose-rectum child f.b. (76010) | $435.44 | $435.44 | 5.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $793.28 | $793.28 | 7.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $427.77 | $427.77 | 4.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $427.77 | $427.77 | 4.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $440.48 | $440.48 | 5.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $497.81 | $497.81 | 6.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $696.89 | $696.89 | 7.0× |
| X-ray thoracic spine 4 vw (72074) | $591.36 | $591.36 | 5.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,435.25 | $1,435.25 | 4.3× |
| X-Rays Bone Length Studies (77073) | $559.13 | $559.13 | 5.6× |
| X-Rays Bone Survey Complete (77075) | $1,184.72 | $1,184.72 | 11.9× |
| Xr c-spine 4 or 5 views (72050) | $739.73 | $739.73 | 7.4× |
| Xr facial bones less than 3 views (70140) | $307.02 | $307.02 | 3.7× |
| Xr orbits complete 4 views (70200) | $409.82 | $409.82 | 4.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.