Imaging prices at Alliance Hospital
Holly Springs, MS · every code in this section with a posted price and a Medicare benchmark.
123 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 2 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$351.75–$3,554.25 | $469–$4,739 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$319.50–$3,554.25 | $426–$4,739 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Arthrogram hip (73525) | $310.50 | $414 | 1.0× |
| Basic radiation dosimetry calculation (77300) | $241.50 | $322 | 1.9× |
| Bone age studies (77072) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$239.25–$249 | $319–$332 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$198–$226.50 | $264–$302 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $239.25 | $319 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) | $803.25 | $1,071 | 2.5× |
| CT abdomen and pelvis without contrast (74176) | $543.75 | $725 | 2.5× |
| CT abdomen w contrast (74160) | $400.50 | $534 | 2.5× |
| CT abdomen w wo contrast (74170) | $400.50 | $534 | 2.5× |
| CT abdomen w/o contrast (74150) | $239.25 | $319 | 2.5× |
| CT Angio Abdomen and Pelvis (74174) | $803.25 | $1,071 | 2.5× |
| CT Angio Chest (71275) | $400.50 | $534 | 2.5× |
| CT Angio Head (70496) | $400.50 | $534 | 2.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $400.50 | $534 | 2.5× |
| CT Angio Neck (70498) | $400.50 | $534 | 2.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $400.50 | $534 | 2.5× |
| CT cervical spine w/o contrast (72125) | $239.25 | $319 | 2.5× |
| CT chest w contrast (71260) | $400.50 | $534 | 2.5× |
| CT chest w/wo contrast (71270) | $400.50 | $534 | 2.5× |
| CT head/brain with contrast (70460) | $400.50 | $534 | 2.5× |
| CT head/brain without and with contrast (70470) | $400.50 | $534 | 2.5× |
| CT lower ext w/o (73700) | $239.25 | $319 | 2.5× |
| CT lumbar spine w/o contrast (72131) | $239.25 | $319 | 2.5× |
| CT maxillofacial wo contrast (70486) | $239.25 | $319 | 2.5× |
| CT neck tissue combo (70492) | $400.50 | $534 | 2.5× |
| CT orbits w/o contrast (70480) | $239.25 | $319 | 2.5× |
| CT pelvis w&w/o contrast (72194) | $400.50 | $534 | 2.5× |
| CT pelvis w/o contrast (72192) | $239.25 | $319 | 2.5× |
| CT scans face/jaw combo (70488) | $400.50 | $534 | 2.5× |
| CT soft tissue neck w contrast (70491) | $400.50 | $534 | 2.5× |
| CT soft tissue neck w/o contrast (70490) | $400.50 | $534 | 4.1× |
| CT thoracic spine w/o contrast (72128) | $239.25 | $319 | 2.5× |
| CT thorax w/o contrast (71250) | $239.25 | $319 | 2.5× |
| CT upper ext wo (73200) | $239.25 | $319 | 2.5× |
| CT upper extremity w/o & w/contrast material (73202) | $400.50 | $534 | 2.5× |
| CT upper extremity with contrast (73201) | $803.25 | $1,071 | 2.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $400.50 | $534 | 2.5× |
| Cta Abdomen (74175) | $400.50 | $534 | 2.5× |
| Echograp Trans R Pros Study (76873) | $239.25 | $319 | 2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $239.25 | $319 | 2.5× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$226.50–$239.25 | $302–$319 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 7 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$150–$198 | $200–$264 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,129.50 | $1,506 | 3.3× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| Ultrasound Breast Limited (76642) | $198 | $264 | 2.5× |
| Ultrasound Exam Aaa Screen (76706) | $239.25 | $319 | 2.5× |
| Ultrasound, abdomen limited (76705) | $239.25 | $319 | 2.5× |
| Us breast unilateral complete (76641) | $239.25 | $319 | 2.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $239.25 | $319 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $239.25 | $319 | 2.5× |
| Us ob transvaginal (76817) | $239.25 | $319 | 2.5× |
| Us pelvic non ob complete (76856) | $239.25 | $319 | 2.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $239.25 | $319 | 2.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $239.25 | $319 | 2.5× |
| Us retroperitoneal complete (76770) | $239.25 | $319 | 2.5× |
| Us scrotum and contents (76870) | $239.25 | $319 | 2.5× |
| Us thyroid (76536) | $239.25 | $319 | 2.5× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$244.50–$3,554.25 | $326–$4,739 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$286.50–$1,754.25 | $382–$2,339 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$150–$198 | $200–$264 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$339–$3,554.25 | $452–$4,739 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$198–$324.75 | $264–$433 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$150–$198 | $200–$264 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$226.50–$239.25 | $302–$319 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$150–$198 | $200–$264 | varies |
| X-ray IV pyelogram (ivp) (74400) | $469.50 | $626 | 2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$150–$198 | $200–$264 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$150–$198 | $200–$264 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$150–$198 | $200–$264 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$150–$198 | $200–$264 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$226.50–$239.25 | $302–$319 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$230.25–$239.25 | $307–$319 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$150–$239.25 | $200–$319 | varies |
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.