Imaging prices at Allendale County Hospital
Fairfax, SC · every code in this section with a posted price and a Medicare benchmark.
132 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) range across 3 matching MRF lines |
$83.30–$127.50 | $98–$150 | varies |
| Abdomen 2 views (74019) | $153 | $180 | 1.6× |
| Ankle 2 views (73600) | $76.50 | $90 | 0.9× |
| Bone age studies (77072) | $72.25 | $85 | 0.7× |
| Chest 1 view (71045) | $76.50 | $90 | 0.9× |
| Chest 2 views (71046) range across 5 matching MRF lines |
$89.25–$191.25 | $105–$225 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$76.50–$83.30 | $90–$98 | varies |
| Chest 4 or more views (71048) | $191.25 | $225 | 2.0× |
| Cholecystography Oral Contrast (74290) | $144.50 | $170 | 0.9× |
| Clavicle complete (73000) | $97.75 | $115 | 1.2× |
| Contrast Xray Throat/Cerv Esopha (74210) | $89.25 | $105 | 0.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$170–$1,955 | $200–$2,300 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$255–$1,275 | $300–$1,500 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$127.50–$658.75 | $150–$775 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$127.50–$977.50 | $150–$1,150 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$127.50–$637.50 | $150–$750 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$295.16–$1,540.62 | $347.25–$1,812.50 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,275 | $1,500 | 7.8× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$295.16–$1,602.25 | $347.25–$1,885 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$127.50–$637.50 | $150–$750 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$127.50–$658.75 | $150–$775 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$127.50–$977.50 | $150–$1,150 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$127.50–$658.75 | $150–$775 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$127.50–$956.25 | $150–$1,125 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$127.50–$658.75 | $150–$775 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$255–$1,275 | $300–$1,500 | varies |
| CT lower ext w/o (73700) range across 22 matching MRF lines |
$127.50–$637.50 | $150–$750 | varies |
| CT lower extremity w/contrast material (73701) range across 9 matching MRF lines |
$127.50–$658.75 | $150–$775 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$127.50–$637.50 | $150–$750 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$127.50–$637.50 | $150–$750 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$127.50–$637.50 | $150–$750 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$127.50–$956.25 | $150–$1,125 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$127.50–$637.50 | $150–$750 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$127.50–$977.50 | $150–$1,150 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$127.50–$637.50 | $150–$750 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$127.50–$637.50 | $150–$750 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$127.50–$658.75 | $150–$775 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$127.50–$637.50 | $150–$750 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$127.50–$637.50 | $150–$750 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$127.50–$637.50 | $150–$750 | varies |
| CT upper ext wo (73200) range across 10 matching MRF lines |
$127.50–$637.50 | $150–$750 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $658.75 | $775 | 4.0× |
| CT upper extremity with contrast (73201) | $658.75 | $775 | 2.0× |
| Dxa Bone Density Axial (77080) | $175.10 | $206 | 1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $127.50 | $150 | 1.3× |
| Foot 2 views (73620) | $80.75 | $95 | 1.0× |
| Forearm 2 views (73090) | $86.70 | $102 | 1.1× |
| Hand 2 views (73120) | $89.25 | $105 | 0.9× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$97.75–$127.50 | $115–$150 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,296.25 | $1,525 | 2.6× |
| MRA head w/o contrast (70544) | $1,045.50 | $1,230 | 4.7× |
| MRA head with contrast (70545) | $1,062.50 | $1,250 | 3.3× |
| Neck soft tissue (70360) | $55.25 | $65 | 0.7× |
| Optic foramina (70190) | $46.75 | $55 | 0.6× |
| Pelvis 1 or 2 views (72170) | $76.50 | $90 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $187 | $220 | 1.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $89.25 | $105 | 1.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $89.25 | $105 | 1.1× |
| Radex elbow complete minimum 3 views (73080) | $85 | $100 | 1.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $123.25 | $145 | 1.3× |
| Radex fingr minimum 2 views (73140) | $63.75 | $75 | 0.8× |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$89.25–$93.50 | $105–$110 | varies |
| Radex Hand Minimum 3 Views (73130) | $89.25 | $105 | 1.1× |
| Radex lower extremity infant minimum 2 views (73592) | $68 | $80 | 0.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $89.25 | $105 | 0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $80.75 | $95 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) | $102 | $120 | 1.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $43.35 | $51 | 0.5× |
| Radex Spine 1 View Specify Level (72020) | $83.30 | $98 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $106.25 | $125 | 1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $89.25 | $105 | 1.1× |
| Radex Toe Minimum 2 Views (73660) | $55.25 | $65 | 0.7× |
| Radex upper extremity infant minimum 2 views (73092) | $68 | $80 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $80.75 | $95 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $102 | $120 | 1.0× |
| Radiologic exam colon single contrast study (74270) | $233.75 | $275 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$110.50–$221 | $130–$260 | varies |
| Radiologic examination femur minimum 2 views (73552) | $97.75 | $115 | 1.2× |
| Radiologic examination knee 1/2 views (73560) | $97.75 | $115 | 1.2× |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$106.25–$250.75 | $125–$295 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $97.75 | $115 | 1.2× |
| Scapula (73010) | $97.75 | $115 | 1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $63.75 | $75 | 2.7× |
| Shoulder 1 view (73020) | $97.75 | $115 | 1.2× |
| Skull less than 4 views (70250) | $97.75 | $115 | 1.0× |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$97.75–$297.50 | $115–$350 | varies |
| Thoracic spine 2 views (72070) | $97.75 | $115 | 1.0× |
| Thoracic spine 3 views (72072) | $114.75 | $135 | 1.2× |
| Thoracolumbar 2 views (72080) | $114.75 | $135 | 1.4× |
| Ultrasound Breast Limited (76642) range across 7 matching MRF lines |
$127.50–$221 | $150–$260 | varies |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$127.50–$204 | $150–$240 | varies |
| Unlisted us procedure (76999) | $204 | $240 | 2.5× |
| Us breast unilateral complete (76641) range across 8 matching MRF lines |
$204–$306 | $240–$360 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$127.50–$204 | $150–$240 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$127.50–$204 | $150–$240 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$127.50–$204 | $150–$240 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$127.50–$187 | $150–$220 | varies |
| Us ob transvaginal (76817) | $212.50 | $250 | 2.2× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$127.50–$204 | $150–$240 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$127.50–$187 | $150–$220 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$127.50–$187 | $150–$220 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$127.50–$204 | $150–$240 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$127.50–$204 | $150–$240 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$127.50–$204 | $150–$240 | varies |
| Wrist 2 views (73100) | $72.25 | $85 | 0.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $106.25 | $125 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $76.50 | $90 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$83.30–$297.50 | $98–$350 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $93.50 | $110 | 1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$93.50–$97.75 | $110–$115 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $119 | $140 | 1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$106.25–$425 | $125–$500 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $182.75 | $215 | 1.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$93.50–$127.50 | $110–$150 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $165.75 | $195 | 1.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $114.75 | $135 | 1.2× |
| X-ray humerus (73060) | $93.50 | $110 | 1.2× |
| X-ray IV pyelogram (ivp) (74400) | $297.50 | $350 | 1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $89.25 | $105 | 1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$127.50–$297.50 | $150–$350 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$97.75–$127.50 | $115–$150 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$76.50–$85 | $90–$100 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $131.75 | $155 | 1.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $102 | $120 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $97.75 | $115 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $119 | $140 | 1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $144.50 | $170 | 1.5× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$85–$170 | $100–$200 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$212.50–$352.75 | $250–$415 | varies |
| Xr c-spine 4 or 5 views (72050) | $127.50 | $150 | 1.3× |
| Xr facial bones less than 3 views (70140) | $123.25 | $145 | 1.5× |
| Xr orbits complete 4 views (70200) | $110.50 | $130 | 1.1× |
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.