Imaging prices at Bacon County Hospital and Health System

Alma, GA · every code in this section with a posted price and a Medicare benchmark.

185 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
$263.20–$340.80 $329–$426 varies
Angiography extremity unilateral rs&i (75710) $4,724 $5,905 1.7×
Arthrogram hip (73525) $713.60 $892 2.3×
Bone age studies (77072) $273.60 $342 3.0×
Bone Imaging 3 Phase (78315)
range across 2 matching MRF lines
$204.80–$1,355.20 $256–$1,694 varies
Bone Imaging Limited Area (78300) $298.40 $373 0.9×
Bone Imaging Whole Body (78306)
range across 2 matching MRF lines
$204.80–$1,373.60 $256–$1,717 varies
Chest 1 view (71045)
range across 4 matching MRF lines
$13.60–$216.80 $17–$271 varies
Chest 2 views (71046)
range across 3 matching MRF lines
$169.60–$272 $212–$340 varies
Clavicle complete (73000)
range across 2 matching MRF lines
$140.80–$238.40 $176–$298 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $447.20 $559 4.9×
Contrast Exam Abdominl Aorta (75625) $4,798.40 $5,998 1.7×
Contrast X-Ray Bladder (74430) $561.60 $702 1.8×
Contrast X-Ray Of Knee Joint (73580) $752.80 $941 2.5×
CT abdomen and pelvis without and with contrast (74178) $2,132 $2,665 7.0×
CT abdomen and pelvis without contrast (74176) $1,592.80 $1,991 7.6×
CT abdomen w contrast (74160) $2,580.80 $3,226 16.8×
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines
$2,485.60–$2,580.80 $3,107–$3,226 varies
CT abdomen w/o contrast (74150) $1,776 $2,220 19.4×
CT Angio Abdomen and Pelvis (74174)
range across 3 matching MRF lines
$2,176.80–$4,140 $2,721–$5,175 varies
CT Angio Chest (71275) $2,678.40 $3,348 17.4×
CT Angio Head (70496) $2,208 $2,760 14.4×
CT angio hrt w/3d image (75574) $3,204.80 $4,006 10.5×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,644.80 $4,556 23.7×
CT Angio Neck (70498) $2,176.80 $2,721 14.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,671.20 $3,339 17.4×
CT cervical spine w/ contrast (72126)
range across 2 matching MRF lines
$2,028.80–$2,442.40 $2,536–$3,053 varies
CT cervical spine w/o contrast (72125) $1,999.20 $2,499 21.8×
CT chest w contrast (71260) $2,270.40 $2,838 14.8×
CT chest w/wo contrast (71270)
range across 2 matching MRF lines
$2,229.60–$2,438.40 $2,787–$3,048 varies
CT colonography screening (74263)
range across 2 matching MRF lines
$1,244.80–$1,653.60 $1,556–$2,067 varies
CT head/brain with contrast (70460) $2,060.80 $2,576 13.4×
CT head/brain without and with contrast (70470) $2,209.60 $2,762 14.4×
CT heart contrast eval cardiac structure&morph (75572) $1,934.40 $2,418 6.3×
CT iac w contrast (70481) $2,108.80 $2,636 13.7×
CT lower ext w/o (73700) $1,737.60 $2,172 19.0×
CT lower extremity w/contrast material (73701) $2,053.60 $2,567 13.4×
CT lumbar spine w contrast (72132)
range across 2 matching MRF lines
$2,052.80–$2,523.20 $2,566–$3,154 varies
CT lumbar spine w/o contrast (72131) $1,922.40 $2,403 21.0×
CT maxillofacial w contrast (70487) $1,892 $2,365 12.3×
CT maxillofacial wo contrast (70486) $1,474.40 $1,843 16.1×
CT neck tissue combo (70492) $2,267.20 $2,834 14.7×
CT orbits w/o contrast (70480) $1,760.80 $2,201 19.2×
CT pelvis w&w/o contrast (72194) $2,416.80 $3,021 15.7×
CT pelvis w/o contrast (72192) $1,842.40 $2,303 20.1×
CT scan of leg combo (73702) $2,529.60 $3,162 16.5×
CT soft tissue neck w contrast (70491) $2,203.20 $2,754 14.3×
CT soft tissue neck w/o contrast (70490) $1,540 $1,925 16.8×
CT thoracic spine w contrast (72129)
range across 2 matching MRF lines
$2,348–$2,421.60 $2,935–$3,027 varies
CT thoracic spine w/o contrast (72128) $1,796 $2,245 19.6×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$1,990.40–$2,046.40 $2,488–$2,558 varies
CT upper ext wo (73200) $1,723.20 $2,154 18.8×
CT upper extremity with contrast (73201) $2,002.40 $2,503 6.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,913.60 $3,642 19.0×
Cta Abdomen (74175) $2,209.60 $2,762 14.4×
CTA pelvis (72191) $2,156.80 $2,696 14.0×
Dxa Bone Density Axial (77080) $487.20 $609 5.3×
Esophagram (74220)
range across 2 matching MRF lines
$455.20–$616.80 $569–$771 varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $636.80 $796 7.0×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$465.60–$632.80 $582–$791 varies
Forearm 2 views (73090) $257.60 $322 3.4×
Gastric emptying imaging study (78264)
range across 2 matching MRF lines
$204.80–$1,355.20 $256–$1,694 varies
Gated Heart Planar Single (78472) $564 $705 1.6×
Heart first pass single,planar (78481) $204.80 $256 0.4×
Hepatobil Syst Image W/Drug (78227) $1,389.60 $1,737 2.9×
Hepatobiliary System Imaging (78226) $1,389.60 $1,737 4.0×
K Flow/Funct Image Multiple (78709)
range across 3 matching MRF lines
$204.80–$691.20 $256–$864 varies
K Flow/Funct Image W/Drug (78708) $722.40 $903 1.5×
K Flow/Funct Image W/O Drug (78707)
range across 2 matching MRF lines
$204.80–$630.40 $256–$788 varies
Liver & Spleen Imaging Static Only (78215)
range across 2 matching MRF lines
$204.80–$611.20 $256–$764 varies
Lung Ventilat&Perfus Imaging (78582) $1,215.20 $1,519 2.6×
Lung Ventilation Imaging (78579) $629.60 $787 1.8×
Lymph System Imaging (78195) $1,700 $2,125 3.6×
Magnetic Image Jaw Joint (70336) $2,460.80 $3,076 11.8×
Meckels Divert Exam (78290)
range across 2 matching MRF lines
$204.80–$270.40 $256–$338 varies
Mra Head W/O & W/Contrast Material (70546) $3,510.40 $4,388 11.5×
MRA head w/o contrast (70544)
range across 2 matching MRF lines
$2,570.40–$2,641.60 $3,213–$3,302 varies
MRA head with contrast (70545) $2,865.60 $3,582 9.4×
MRA neck w contrast (70548) $2,641.60 $3,302 8.6×
MRA neck w/o contrast (70547) $2,641.60 $3,302 12.6×
MRI abdomen w contrast (74182) $3,251.20 $4,064 10.6×
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines
$2,680.80–$2,754.40 $3,351–$3,443 varies
MRI any jt lower extrem w/contrast material (73722) $2,813.60 $3,517 4.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,632.80 $4,541 11.9×
MRI any jt upper extremity w/contrast matrl (73222) $2,792 $3,490 4.1×
MRI cervical spine w contrast (72142) $3,486.40 $4,358 11.4×
MRI cervical spine w/o cont (72141) $2,569.60 $3,212 12.3×
MRI chest w/o contrast (71550)
range across 2 matching MRF lines
$2,080.80–$2,774.40 $2,601–$3,468 varies
MRI chest with contrast (71551) $2,892.80 $3,616 4.2×
MRI chest wo w contrast (71552) $3,485.60 $4,357 11.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $3,053.60 $3,817 10.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,496 $4,370 11.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,552.80 $3,191 12.2×
MRI lumbar spine w contrast (72149) $3,425.60 $4,282 11.2×
Mri Neck Spine W/O & W/Dye (72156) $3,490.40 $4,363 11.4×
MRI orbit face &/neck w/o contrast (70540) $2,748.80 $3,436 13.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,852 $4,815 12.6×
MRI pelvis w contrast (72196) $2,577.60 $3,222 8.4×
MRI pelvis w/o & w contrast (72197) $3,540.80 $4,426 11.6×
MRI pelvis w/o contrast (72195) $2,492.80 $3,116 11.9×
MRI thoracic spine w/o contrast (72146) $2,748 $3,435 13.1×
MRI upper extremity oth than jt w/contr matrl (73219) $2,460.80 $3,076 8.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,322.40 $2,903 11.1×
Mri Uppr Extremity W/O&W/Dye (73220) $3,251.20 $4,064 10.6×
MRI, abdomen, combo (74183) $3,857.60 $4,822 12.6×
MRI, dorsal spine combo (72157) $3,837.60 $4,797 12.6×
MRI, dorsal spine contrast (72147) $3,632.80 $4,541 11.9×
MRI, joint upper extrem (73221) $2,315.20 $2,894 11.1×
MRI, joint upper extrem combo (73223) $3,480.80 $4,351 11.4×
MRI, lumbar spine combo (72158) $3,538.40 $4,423 11.6×
Myocardial Spect Multiple Studies (78452) $3,809.60 $4,762 3.4×
Neck soft tissue (70360) $221.60 $277 2.9×
Nuclear Rx Oral Admin (79005) $1,172 $1,465 5.7×
Parathyroid Planar Imaging (78070)
range across 3 matching MRF lines
$240.80–$395.20 $301–$494 varies
Pelvis 1 or 2 views (72170) $244.80 $306 2.7×
Pulmonary Perfusion Imaging Particulate (78580)
range across 2 matching MRF lines
$204.80–$592 $256–$740 varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $444.80 $556 4.9×
Radex Ankle Complete Minimum 3 Views (73610) $276.80 $346 3.6×
Radex Calcaneus Minimum 2 Views (73650) $196 $245 2.6×
Radex Facial Bones Complete Minimum 3 Views (70150)
range across 2 matching MRF lines
$162.40–$356.80 $203–$446 varies
Radex foot complete minimum 3 views (73630) $249.60 $312 3.3×
Radex Hand Minimum 3 Views (73130) $272.80 $341 3.6×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $162.40 $203 1.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $281.60 $352 3.7×
Radex shoulder complete minimum 2 views (73030) $272.80 $341 3.6×
Radex Sternum Minimum 2 Views (71120) $301.60 $377 4.0×
Radex upper extremity infant minimum 2 views (73092) $257.60 $322 2.8×
Radiolog exam mandible compl minimum 4 views (70110) $338.40 $423 3.7×
Radiologic exam colon double contrast study (74280) $866.40 $1,083 5.6×
Radiologic exam colon single contrast study (74270) $691.20 $864 4.5×
Radiologic exam knee complete 4/more views (73564) $326.40 $408 3.6×
Radiologic examination femur minimum 2 views (73552) $266.40 $333 3.5×
Radiologic examination knee 1/2 views (73560) $208.80 $261 2.7×
Radiologic examination tibia & fibula 2 views (73590) $259.20 $324 3.4×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $794.40 $993 0.7×
Scapula (73010) $253.60 $317 2.8×
Screening Digital Breast Tomosynthesis Bi (77063) $104 $130 4.4×
Shoulder Arthrography (73040) $752.80 $941 2.5×
Sternoclavicular joints (71130) $324 $405 4.2×
Testicular Imaging W/Flow (78761) $204.80 $256 0.6×
Thoracic spine 3 views (72072) $380.80 $476 4.2×
Thyroid Imaging With Vascular Flow (78013) $325.60 $407 0.9×
Thyroid Met Imaging Body (78018)
range across 2 matching MRF lines
$204.80–$806.40 $256–$1,008 varies
Thyroid Uptake Measurement (78012)
range across 2 matching MRF lines
$128–$349.60 $160–$437 varies
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $967.20 $1,209 2.8×
Ultrasound Breast Limited (76642) $532 $665 7.0×
Ultrasound, abdomen limited (76705)
range across 6 matching MRF lines
$652.80–$815.20 $816–$1,019 varies
Upper gi w/o kub (74240) $519.20 $649 3.4×
Urethrocystogram voiding (74455)
range across 2 matching MRF lines
$648.80–$1,086.40 $811–$1,358 varies
Us chest (76604) $560 $700 6.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$455.20–$797.60 $569–$997 varies
Us ob limited 1 or more fetuses (76815) $388 $485 4.2×
Us ob transvaginal (76817) $685.60 $857 7.5×
Us pelvic non ob complete (76856) $654.40 $818 7.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $520.80 $651 5.7×
Us preg uterus real time f/u trnsabdl per fetus (76816) $505.60 $632 5.5×
Us retroperitoneal complete (76770)
range across 2 matching MRF lines
$652.80–$734.40 $816–$918 varies
Us scrotum and contents (76870) $748.80 $936 8.2×
Us thyroid (76536)
range across 2 matching MRF lines
$577.60–$648.80 $722–$811 varies
Venography extremity bilateral rs&i (75822) $2,112 $2,640 1.5×
Venography extremity unilateral rs&i (75820) $1,665.60 $2,082 1.2×
Wrist 2 views (73100) $197.60 $247 2.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $171.20 $214 2.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $212 $265 2.8×
X-Ray Exam Breast Specimen (76098) $192 $240 0.4×
X-Ray Exam Entire Spi 1 Vw (72081) $347.20 $434 4.6×
X-Ray Exam Hip Uni 1 View (73501) $291.20 $364 3.8×
X-Ray Exam Hips Bi 2 Views (73521) $367.20 $459 4.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $321.60 $402 4.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $272.80 $341 3.0×
X-ray humerus (73060) $252 $315 3.3×
X-ray IV pyelogram (ivp) (74400) $836.80 $1,046 5.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $363.20 $454 4.0×
X-ray nose-rectum child f.b. (76010) $146.40 $183 1.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $464 $580 5.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $290.40 $363 3.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $288 $360 3.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $335.20 $419 4.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $385.60 $482 4.2×
X-Ray Tmj Unilat (70328) $244 $305 3.2×
X-Rays Bone Length Studies (77073) $338.40 $423 3.7×
X-Rays Bone Survey Complete (77075) $627.20 $784 6.8×
Xr c-spine 4 or 5 views (72050) $432.80 $541 4.7×
XR Mastoids < 3 Views Bilateral (70120) $162.40 $203 1.8×
Xr orbits complete 4 views (70200)
range across 2 matching MRF lines
$162.40–$315.20 $203–$394 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.