Imaging prices at Atmore Community Hospital

Atmore, AL · every code in this section with a posted price and a Medicare benchmark.

217 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 2 matching MRF lines
$118.80–$166.80 $198–$278 varies
Abdomen 2 views (74019) $178.80 $298 1.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,117.20 $1,862 3.1×
Ankle 2 views (73600) $187.80 $313 2.4×
Bone age studies (77072) $121.20 $202 1.3×
Bone Imaging 3 Phase (78315) $1,720.80 $2,868 4.8×
Bone Imaging Limited Area (78300) $748.20 $1,247 2.1×
Bone Imaging Whole Body (78306) $1,251 $2,085 3.5×
Bone survey infant (77076) $253.80 $423 2.7×
Cat Scan Follow-Up Study (76380) $616.20 $1,027 7.9×
Chest 1 view (71045)
range across 2 matching MRF lines
$23.40–$122.40 $39–$204 varies
Chest 2 views (71046) $181.80 $303 2.3×
Chest 3 views (71047) $241.20 $402 3.1×
Chest 4 or more views (71048) $301.20 $502 3.2×
Clavicle complete (73000) $159.60 $266 2.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $192.60 $321 2.0×
Contrast X-Ray Bladder (74430) $265.20 $442 0.8×
CT abdomen and pelvis without and with contrast (74178) $5,730 $9,550 18.2×
CT abdomen and pelvis without contrast (74176) $3,650.40 $6,084 17.0×
CT abdomen w contrast (74160) $1,710 $2,850 10.8×
CT abdomen w wo contrast (74170) $1,954.20 $3,257 12.4×
CT abdomen w/o contrast (74150) $1,423.80 $2,373 15.1×
CT Angio Abdomen and Pelvis (74174) $5,985 $9,975 19.0×
CT Angio Chest (71275) $1,915.20 $3,192 12.1×
CT Angio Head (70496) $1,953 $3,255 12.4×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$1,002.60–$1,389 $1,671–$2,315 varies
CT Angio Neck (70498) $1,562.40 $2,604 9.9×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 3 matching MRF lines
$930–$1,389 $1,550–$2,315 varies
CT cervical spine w/ contrast (72126) $1,889.40 $3,149 6.0×
CT cervical spine w/o contrast (72125) $2,214 $3,690 23.5×
CT cervical spine w/wo cont (72127) $2,447.40 $4,079 15.5×
CT chest w contrast (71260)
range across 3 matching MRF lines
$1,784.40–$1,971 $2,974–$3,285 varies
CT chest w/wo contrast (71270)
range across 2 matching MRF lines
$1,417.80–$1,784.40 $2,363–$2,974 varies
CT head/brain with contrast (70460) $1,482.60 $2,471 9.4×
CT head/brain without and with contrast (70470) $1,775.40 $2,959 11.2×
CT iac w contrast (70481) $1,984.80 $3,308 12.6×
CT l-spine w&w/o contrast (72133) $1,002 $1,670 6.3×
CT lower ext w/o (73700)
range across 3 matching MRF lines
$1,272.60–$1,791.60 $2,121–$2,986 varies
CT lower extremity w/contrast material (73701) $1,306.80 $2,178 8.3×
CT lumbar spine w contrast (72132) $2,583 $4,305 8.2×
CT lumbar spine w/o contrast (72131) $2,143.80 $3,573 22.8×
CT maxillofacial w contrast (70487) $1,168.20 $1,947 7.4×
CT maxillofacial wo contrast (70486) $729.60 $1,216 7.7×
CT neck tissue combo (70492) $1,693.80 $2,823 10.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $721.80 $1,203 4.6×
CT orbits w/o contrast (70480) $563.40 $939 6.0×
CT pelvis w&w/o contrast (72194) $1,717.80 $2,863 10.9×
CT pelvis w/o contrast (72192) $1,390.20 $2,317 14.8×
CT scan of leg combo (73702)
range across 3 matching MRF lines
$2,179.20–$2,277 $3,632–$3,795 varies
CT scans face/jaw combo (70488) $1,894.80 $3,158 12.0×
CT soft tissue neck w contrast (70491) $1,457.40 $2,429 9.2×
CT soft tissue neck w/o contrast (70490) $1,411.20 $2,352 15.0×
CT thoracic spine w contrast (72129) $1,597.80 $2,663 10.1×
CT thoracic spine w/o contrast (72128) $2,092.20 $3,487 22.2×
CT thoracic spine w/wo cont (72130) $1,833.60 $3,056 11.6×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$1,417.80–$1,971 $2,363–$3,285 varies
CT upper ext wo (73200)
range across 3 matching MRF lines
$1,653.60–$1,791.60 $2,756–$2,986 varies
CT upper extremity w/o & w/contrast material (73202) $2,182.80 $3,638 13.8×
CT upper extremity with contrast (73201)
range across 3 matching MRF lines
$1,561.80–$1,984.80 $2,603–$3,308 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,788 $2,980 11.3×
Cta Abdomen (74175) $2,297.40 $3,829 14.5×
CTA pelvis (72191) $1,145.40 $1,909 7.2×
Dxa Bone Density Axial (77080) $12 $20 0.1×
Esophagram (74220) $325.20 $542 2.1×
Fetal Biophys Profile W/Nst (76818) $192 $320 2.0×
Foot 2 views (73620) $139.80 $233 1.8×
Forearm 2 views (73090) $174 $290 2.2×
Gastric emptying imaging study (78264) $1,209 $2,015 3.4×
Hand 2 views (73120)
range across 3 matching MRF lines
$151.20–$181.80 $252–$303 varies
Hepatobil Syst Image W/Drug (78227) $675.60 $1,126 1.4×
Hepatobiliary System Imaging (78226) $961.20 $1,602 2.7×
Hysterosalpingogram (74740) $270 $450 1.3×
Infant hip ultrasound with hip movement (dynamic) (76885) $273.60 $456 3.5×
K Flow/Funct Image W/Drug (78708) $463.80 $773 0.9×
K Flow/Funct Image W/O Drug (78707) $372 $620 0.8×
Knee 3 Views (73562) $199.20 $332 2.5×
Liver & Spleen Imaging Static Only (78215) $783.60 $1,306 2.2×
Lung Ventilat&Perfus Imaging (78582) $255.60 $426 0.5×
Mammary ductogram or galactogram multiple (77054) $274.80 $458 1.3×
Mammary ductogram or galactogram single (77053) $154.80 $258 0.7×
Meckels Divert Exam (78290) $354.60 $591 1.0×
MRA head w/o contrast (70544) $1,903.80 $3,173 8.9×
MRA neck w/o contrast (70547) $1,178.40 $1,964 5.5×
MRI abdomen w contrast (74182) $899.40 $1,499 2.9×
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines
$672–$1,592.40 $1,120–$2,654 varies
MRI any jt lower extrem w/contrast material (73722) $1,581.60 $2,636 2.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,186.40 $3,644 7.0×
MRI any jt upper extremity w/contrast matrl (73222) $2,245.80 $3,743 3.2×
MRI cervical spine w contrast (72142) $1,893.60 $3,156 6.0×
MRI cervical spine w/o cont (72141) $1,962 $3,270 9.1×
MRI chest w/o contrast (71550) $598.80 $998 2.8×
MRI chest with contrast (71551) $1,588.20 $2,647 2.2×
MRI chest wo w contrast (71552) $949.80 $1,583 3.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 4 matching MRF lines
$1,162.80–$1,581.60 $1,938–$2,636 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 5 matching MRF lines
$1,916.40–$2,186.40 $3,194–$3,644 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 4 matching MRF lines
$1,939.20–$2,523 $3,232–$4,205 varies
MRI lumbar spine w contrast (72149) $1,705.20 $2,842 5.4×
Mri Neck Spine W/O & W/Dye (72156) $3,256.20 $5,427 10.4×
MRI orbit face &/neck w/o contrast (70540) $1,540.20 $2,567 7.2×
MRI orbit face neck w contrast (70542) $1,182.60 $1,971 3.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,332.80 $3,888 7.4×
MRI pelvis w contrast (72196) $2,646 $4,410 8.4×
MRI pelvis w/o & w contrast (72197) $2,395.80 $3,993 7.6×
MRI pelvis w/o contrast (72195) $2,125.20 $3,542 9.9×
MRI thoracic spine w/o contrast (72146) $1,622.40 $2,704 7.5×
MRI upper extremity oth than jt w/contr matrl (73219) $1,162.80 $1,938 3.7×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,400.60 $4,001 11.2×
Mri Uppr Extremity W/O&W/Dye (73220) $2,001.60 $3,336 6.4×
MRI, abdomen, combo (74183) $1,077 $1,795 3.4×
MRI, dorsal spine combo (72157) $2,691 $4,485 8.6×
MRI, dorsal spine contrast (72147) $1,399.80 $2,333 4.5×
MRI, joint upper extrem (73221) $2,001.60 $3,336 9.3×
MRI, joint upper extrem combo (73223) $2,641.20 $4,402 8.4×
MRI, lumbar spine combo (72158) $2,931.60 $4,886 9.3×
Myocardial Spect Multiple Studies (78452)
range across 2 matching MRF lines
$2,315.40–$4,465.20 $3,859–$7,442 varies
Neck soft tissue (70360) $151.20 $252 1.9×
Nonvascular Shunt X-Ray (75809) $330.60 $551 3.5×
Optic foramina (70190) $426.60 $711 5.4×
Parathyroid Planar Imaging (78070) $1,047 $1,745 2.9×
Pelvis 1 or 2 views (72170) $168 $280 1.8×
Pulmonary Perfusion Imaging Particulate (78580) $211.80 $353 0.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $331.80 $553 3.5×
Radex abscess/fistula/sinus tract rs&i (76080)
range across 2 matching MRF lines
$197.40–$295.20 $329–$492 varies
Radex Ankle Complete Minimum 3 Views (73610) $228 $380 2.9×
Radex Calcaneus Minimum 2 Views (73650) $139.80 $233 1.8×
Radex elbow complete minimum 3 views (73080) $228.60 $381 2.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $255 $425 2.7×
Radex fingr minimum 2 views (73140) $132.60 $221 1.7×
Radex foot complete minimum 3 views (73630) $215.40 $359 2.7×
Radex Hand Minimum 3 Views (73130) $193.20 $322 2.5×
Radex lower extremity infant minimum 2 views (73592) $83.40 $139 1.1×
Radex Mastoids Compl Minimum 3 Views PR Side (70130)
range across 3 matching MRF lines
$67.20–$90 $112–$150 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $221.40 $369 2.8×
Radex Ribs Unilateral 2 Views (71100) $329.40 $549 4.2×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$193.80–$264.60 $323–$441 varies
Radex Sinuses Paransl < 3 Views (70210) $286.20 $477 3.6×
Radex Spine 1 View Specify Level (72020)
range across 2 matching MRF lines
$76.80–$118.20 $128–$197 varies
Radex Sternum Minimum 2 Views (71120) $249.60 $416 3.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $121.80 $203 1.6×
Radex Toe Minimum 2 Views (73660) $132.60 $221 1.7×
Radex upper extremity infant minimum 2 views (73092) $63 $105 0.7×
Radex Wrist Complete Minimum 3 Views (73110) $213 $355 2.7×
Radiolog exam mandible compl minimum 4 views (70110) $263.40 $439 2.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $238.20 $397 2.5×
Radiologic exam colon double contrast study (74280) $375 $625 2.4×
Radiologic exam colon single contrast study (74270)
range across 2 matching MRF lines
$141–$271.80 $235–$453 varies
Radiologic exam knee complete 4/more views (73564) $454.20 $757 4.8×
Radiologic exam pelvis compl minimum 3 views (72190) $13.20 $22 0.1×
Radiologic Exam Small Int Single Contrast Study (74250) $323.40 $539 2.0×
Radiologic exam swallow function contrast study (74230) $208.80 $348 1.3×
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines
$254.40–$487.20 $424–$812 varies
Radiologic examination femur 1 view (73551) $198.60 $331 2.5×
Radiologic examination femur minimum 2 views (73552) $198 $330 2.5×
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$193.80–$264.60 $323–$441 varies
Radiologic Examination Osseous Survey Limited (77074) $285 $475 3.0×
Radiologic examination tibia & fibula 2 views (73590) $196.80 $328 2.5×
Ribs bilateral 3 views (71110) $452.40 $754 4.8×
Scapula (73010) $228 $380 2.4×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 9 matching MRF lines
$82.20–$86.40 $137–$144 varies
Shoulder 1 view (73020) $171.60 $286 2.2×
Shoulder Arthrography (73040)
range across 2 matching MRF lines
$244.20–$244.80 $407–$408 varies
Skull less than 4 views (70250) $211.80 $353 2.2×
Sternoclavicular joints (71130) $123 $205 1.6×
Thoracic spine 2 views (72070) $199.80 $333 2.1×
Thoracic spine 3 views (72072) $104.40 $174 1.1×
Thoracolumbar 2 views (72080) $211.80 $353 2.7×
Thyroid Imaging With Vascular Flow (78013) $551.40 $919 1.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $622.20 $1,037 1.7×
Ultrasound Breast Limited (76642) $190.80 $318 2.4×
Ultrasound Exam Aaa Screen (76706) $327.60 $546 3.5×
Ultrasound, abdomen limited (76705) $361.80 $603 3.8×
Unlisted us procedure (76999) $255 $425 3.3×
Upper gi w/o kub (74240)
range across 2 matching MRF lines
$254.40–$299.40 $424–$499 varies
Urethrocystogram voiding (74455) $192 $320 0.9×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$111–$225.60 $185–$376 varies
Us chest (76604) $330 $550 3.5×
Us complete joint (76881)
range across 3 matching MRF lines
$161.40–$457.80 $269–$763 varies
Us exam, pelvic, limited (76857) $377.40 $629 4.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $345 $575 3.7×
Us ob limited 1 or more fetuses (76815) $168.60 $281 1.8×
Us ob transvaginal (76817) $148.80 $248 1.6×
Us pelvic non ob complete (76856) $449.40 $749 4.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $88.20 $147 0.9×
Us retroperitoneal complete (76770) $396 $660 4.2×
Us retroperitoneal limited (76775) $456 $760 4.8×
Us scrotum and contents (76870) $451.20 $752 4.8×
Us spinal canal and contents (76800) $294.60 $491 3.1×
Us thyroid (76536) $328.20 $547 3.5×
Wrist 2 views (73100) $196.20 $327 2.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $177 $295 2.3×
X-Ray Bend Only L-S Spine (72120) $226.80 $378 2.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $165.60 $276 2.1×
X-Ray Exam Breast Specimen (76098) $236.40 $394 0.5×
X-Ray Exam Entire Spi 1 Vw (72081) $254.40 $424 3.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $94.80 $158 1.0×
X-Ray Exam Hip Uni 1 View (73501) $201 $335 2.6×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 4 matching MRF lines
$198.60–$241.80 $331–$403 varies
X-Ray Exam Hips Bi 2 Views (73521) $319.20 $532 3.4×
X-Ray Exam L-S Spine Bending (72114) $435.60 $726 4.6×
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$163.80–$256.20 $273–$427 varies
X-Ray Exam Neck Spine 6/>Vws (72052) $681.60 $1,136 7.2×
X-Ray Exam Unilat Ribs/Chest (71101)
range across 4 matching MRF lines
$277.20–$463.20 $462–$772 varies
X-ray eye for foreign body (70030) $110.40 $184 1.4×
X-ray humerus (73060) $198.60 $331 2.5×
X-ray IV pyelogram (ivp) (74400) $438 $730 2.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $154.80 $258 2.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $300 $500 3.2×
X-ray nose-rectum child f.b. (76010) $218.40 $364 2.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $365.40 $609 3.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $135 $225 1.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $180 $300 2.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $241.80 $403 3.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $331.20 $552 3.5×
X-ray thoracic spine 4 vw (72074) $385.20 $642 4.1×
X-Rays Bone Survey Complete (77075) $454.80 $758 4.8×
Xr facial bones less than 3 views (70140) $116.40 $194 1.5×
Xr orbits complete 4 views (70200) $248.40 $414 2.6×

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.