Imaging prices at Bon Secours St. Francis Downtown

Greenville, SC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $220.80 $368 2.2×
Acute gastrointestinal blood loss imaging (78278) $964.80 $1,608 2.5×
Angiography extremity bilateral rs&i (75716) $4,657.20 $7,762 1.5×
Angiography extremity unilateral rs&i (75710) $42,588.78 $70,981.30 14.1×
Angiography internal mammary rs&i (75756) $7,288.80 $12,148 2.4×
Angiography pelvic slctv/supraslctv rs&i (75736) $4,657.20 $7,762 0.9×
Angiography pulmonary bilateral slctv rs&i (75743) $4,657.20 $7,762 1.5×
Angiography pulmonary unilateral slctv rs&i (75741) $4,657.20 $7,762 1.5×
Angiography Spinal Selective Rs&I (75705) $4,657.20 $7,762 0.9×
Angiography visceral slctv/supraslctv rs&i (75726) $4,657.20 $7,762 0.9×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $7,149.60 $11,916 2.4×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $7,288.80 $12,148 2.4×
Ankle 2 views (73600) $293.40 $489 3.5×
Antegrade urography radiological supvj & interpj (74425) $699.60 $1,166 2.1×
Aortogram thoracic (75605) $4,657.20 $7,762 0.9×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $4,657.20 $7,762 1.5×
Aortography abdominal serialography rs&i (75625) $4,657.20 $7,762 1.5×
Arthrogram elbow (73085) $615 $1,025 1.8×
Arthrogram hip (73525) $645.60 $1,076 1.9×
Arthrogram shoulder (73040) $687.60 $1,146 2.1×
Bone &/Joint Imaging Limited Area (78300) $944.40 $1,574 2.5×
Bone &/joint imaging whole body (78306) $1,661.40 $2,769 4.3×
Bone age studies (77072) $256.80 $428 2.6×
Bone Imaging 3 Phase (78315) $1,967.40 $3,279 5.1×
Bone Marrow Imaging Limited Area (78102) $786.60 $1,311 2.1×
Bone survey complete (77075) $665.40 $1,109 6.6×
Brain image w/flow 4 + views (78606) $1,255.20 $2,092 2.4×
Cervical spine 2 or 3 views (72040) $393 $655 4.7×
Chest 1 view (71045) $174 $290 2.1×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $330 $550 2.0×
Clavicle complete (73000) $317.40 $529 3.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $598.80 $998 6.0×
CT abdomen and pelvis without and with contrast (74178) $3,105.60 $5,176 9.3×
CT abdomen and pelvis without contrast (74176) $2,247.60 $3,746 9.8×
CT abdomen w contrast (74160) $1,408.20 $2,347 8.4×
CT abdomen w wo contrast (74170) $1,705.80 $2,843 10.2×
CT abdomen w/o contrast (74150) $1,189.80 $1,983 11.9×
CT angio hrt w/3d image (75574) $1,509 $2,515 4.5×
CT angiography upper extremity lt (73206) $1,363.80 $2,273 8.1×
CT c-spine w/o contrast (72125) $1,582.20 $2,637 15.8×
CT cervical spine with contrast (72126) $1,294.80 $2,158 3.9×
CT chest w/wo contrast (71270) $1,573.80 $2,623 9.4×
CT chest with contrast (71260) $1,249.20 $2,082 7.4×
CT colonography w/o cntrst (74261) $1,314.60 $2,191 13.1×
CT head/brain with contrast (70460) $1,344 $2,240 8.0×
CT head/brain without and with contrast (70470) $1,630.80 $2,718 9.7×
CT heart contrast eval cardiac structure&morph (75572) $1,722.60 $2,871 5.2×
CT heart no contrast quant eval coronry calcium (75571) $528 $528 6.3×
CT iac w contrast (70481) $1,981.20 $3,302 11.8×
CT limited/localized follow up study (76380) $663.60 $1,106 8.0×
CT lower ext w/o (73700) $1,086 $1,810 10.8×
CT lower extremity with contrast (73701) $1,538.40 $2,564 9.2×
CT lumbar spine w & w/o contrast (72133) $420 $700 2.5×
CT lumbar spine w/o contrast (72131) $1,715.40 $2,859 17.1×
CT lumbar spine with contrast (72132) $1,294.80 $2,158 3.9×
CT maxillofacial w contrast (70487) $1,357.80 $2,263 8.1×
CT maxillofacial w/o contrast (70486) $1,268.40 $2,114 12.7×
CT maxillofacial w/wo contrast (70488) $1,199.40 $1,999 7.1×
CT neck soft tissue w contrast (70491) $1,413 $2,355 8.4×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $2,340.60 $3,901 13.9×
CT orbits w/o contrast (70480) $1,517.40 $2,529 15.2×
CT pelvis w/o contrast (72192) $1,128 $1,880 11.3×
CT soft tissue neck w/o & w/contrast material (70492) $1,791 $2,985 10.7×
CT soft tissue neck w/o contrast (70490) $1,180.20 $1,967 11.8×
CT thoracic spine w/contrast (72129) $1,291.80 $2,153 7.7×
CT thoracic spine w/o contrast (72128) $1,148.40 $1,914 11.5×
CT thoracic spine w/wo contrast (72130) $2,865.60 $4,776 17.1×
CT thorax w/o contrast (71250) $1,089 $1,815 10.9×
CT upper extremity w/o contrast rt (73200) $1,087.20 $1,812 10.9×
CT upper extremity with contrast (73201) $2,680.80 $4,468 8.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,819.80 $3,033 10.8×
Cta Abdomen (74175) $1,548 $2,580 9.2×
CTA abdomen pelvis (74174) $2,544 $4,240 7.6×
CTA chest (71275) $1,599 $2,665 9.5×
Cta Head (70496) $1,371 $2,285 8.2×
CTA lwr ext w&w/o contrast (73706) $2,047.80 $3,413 12.2×
Cta Neck (70498) $1,371 $2,285 8.2×
Cta Pelvis (72191) $1,806.60 $3,011 10.8×
Cystography minimum 3 views rs&i (74430) $478.80 $798 1.4×
Esophagus (74220) $427.80 $713 2.5×
Fluoroscopy up to 1 hr (76000) $492 $820 2.2×
Foot 2 views (73620) $270 $450 3.2×
Forearm 2 views (73090) $382.80 $638 4.6×
Gated Heart Planar Single (78472) $1,648.20 $2,747 4.3×
Hand 2 views (73120) $230.40 $384 2.3×
Hand 3 views (73130) $361.20 $602 4.3×
Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) $4,669.80 $7,783 1.5×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $2,595.60 $4,326 5.0×
Hepatobiliary syst imaging including gallbladder (78226) $1,819.80 $3,033 4.8×
Humerus Min 2 Views Left (73060) $368.40 $614 4.4×
Interstitial radiation source applic complex (77778) $2,577.60 $4,296 3.9×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,539 $2,565 3.0×
Kidney img morphology vascular flow 1 w/rx (78708) $3,056.40 $5,094 5.9×
Kidney Img Morphology Vascular Flow Multiple (78709) $2,709.60 $4,516 5.2×
Knee 3 views (73562) $390.60 $651 4.7×
Liver & spleen imaging static only (78215) $1,027.20 $1,712 2.7×
Lung perfusion differential (78597) $991.80 $1,653 2.6×
Lymphoscintigraphy (78195) $1,251.60 $2,086 2.4×
Meckels Diverticulum (78290) $1,074 $1,790 2.8×
Mr safety determination physician/other qhp (76016) $211.20 $352 2.5×
Mr safety implant pos&/immoblj supvj phys/qhp (76019) $142.80 $238 2.5×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $73.20 $122 2.6×
Mr safety implt electronics prepj supvj phys/qhp (76018) $220.20 $367 2.4×
Mr safety med physics xm customization plng&mntr (76017) $580.20 $967 2.5×
MRA head w & w/o contrast (70546) $4,975.80 $8,293 14.9×
MRA head w/o contrast (70544) $1,407 $2,345 6.2×
MRA head with contrast (70545) $3,907.20 $6,512 11.7×
MRA neck w contrast (70548) $2,919 $4,865 8.7×
Mra Neck W/O &W/Contrast Material (70549) $1,478.40 $2,464 4.4×
MRA neck w/o contrast (70547) $3,116.40 $5,194 13.6×
MRI abdomen w/o & w/contrast material (74183) $2,029.20 $3,382 6.1×
MRI abdomen w/o contrast (74181) $1,913.40 $3,189 8.4×
MRI any jnt lwr ext with con lt (73722) $2,202 $3,670 2.9×
MRI any jt upper extremity w/contrast matrl (73222) $3,585 $5,975 4.8×
MRI c-spine with contrast (72142) $4,125 $6,875 12.3×
MRI cervical spine w/o contrast (72141) $1,696.20 $2,827 7.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $3,147.60 $5,246 9.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,192.40 $3,654 9.6×
MRI orbit face &/neck w/o contrast (70540) $3,024.60 $5,041 13.2×
MRI orbit/face/neck w&w/o cont (70543) $2,352.60 $3,921 7.0×
MRI orbit/face/neck w/contrast (70542) $879.60 $1,466 2.6×
MRI pelvis w contrast (72196) $2,281.80 $3,803 6.8×
MRI pelvis w/o & w/contrast material (72197) $2,071.80 $3,453 6.2×
MRI pelvis w/o contrast (72195) $1,586.40 $2,644 6.9×
MRI scan of arm joint before and after contrast (73223) $3,358.80 $5,598 10.1×
MRI scan of leg joint before and after contrast (73723) $2,684.40 $4,474 8.0×
MRI spinal canal cervical w/o & w/contr matrl (72156) $2,868.60 $4,781 8.6×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $2,517.60 $4,196 7.5×
MRI spinal canal thoracic w/contrast matrl (72147) $857.40 $1,429 2.6×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $2,560.20 $4,267 7.7×
MRI thoracic spine w/o contrast (72146) $1,673.40 $2,789 7.3×
MRI upper ext joint w/o contrast (73221) $2,302.20 $3,837 10.1×
MRI upper extrem other than jt w/o & w/contras (73220) $3,399 $5,665 10.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,515.80 $4,193 11.0×
Myocardial Spect Multiple Studies (78452) $3,167.40 $5,279 2.6×
Neck soft tissue (70360) $306.60 $511 3.7×
Nm cisternogram (78630) $1,368.60 $2,281 2.6×
Nm gastric emptying study (78264) $1,760.40 $2,934 4.6×
Nm peritoneal-venous shunt patency (78291) $539.40 $899 1.4×
Nuclear Rx Oral Admin (79005) $1,382.40 $2,304 6.2×
Osseous survey limited (77074) $508.20 $847 5.1×
Parathyrd planar w/spect&CT (78072) $2,076.60 $3,461 4.0×
Parathyrd planar w/wo subtrj (78071) $2,076.60 $3,461 5.4×
Parathyroid imaging (78070) $1,195.80 $1,993 3.1×
Pelvis 1 or 2 views (72170) $180.60 $301 1.8×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $2,777.40 $4,629 8.3×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $4,657.20 $7,762 1.5×
Prq transhepatc portograpy w/o hemodyn evl intrp (75887) $2,401.80 $4,003 0.8×
Pulmonary Perfusion Imaging Particulate (78580) $847.20 $1,412 2.2×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,059.60 $1,766 2.0×
Radex abscess/fistula/sinus tract rs&i (76080) $494.40 $824 0.9×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $162 $270 1.9×
Radex hips bilateral with pelvis 2 views (73521) $437.40 $729 4.4×
Radiolog exam mandible compl minimum 4 views (70110) $627 $1,045 6.3×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $222.60 $371 2.7×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $315.60 $526 3.8×
Radiologic exam colon single contrast study (74270) $902.40 $1,504 5.4×
Radiologic Exam Esophagus Double Contrast Study (74221) $459 $765 2.7×
Radiologic exam upr gi trc double contrast study (74246) $455.40 $759 2.7×
Radiologic exam upr gi trc single contrast study (74240) $567 $945 3.4×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $401.40 $669 4.8×
Review by radiologist of adrenal gland vein image (75840) $5,434.20 $9,057 1.8×
Review by radiologist of liver vein image with assessment of blood flow (75889) $4,657.20 $7,762 1.5×
Ribs bilateral 3 views (71110) $312 $520 3.1×
Rp loclzj tum spect 1 area single day imaging (78803) $2,076.60 $3,461 4.0×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $2,052.60 $3,421 1.7×
Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) $1,948.20 $3,247 1.6×
Rp therapy intra-arterial particulate admn (79445) $538.20 $897 2.4×
Sacroiliac Joints < 3 Views (72200) $226.20 $377 2.3×
Scanogram (77073) $152.40 $254 1.5×
Scapula complete (73010) $322.20 $537 3.2×
Small bowel series (74250) $550.20 $917 3.3×
Spine thoracic 3 views (72072) $577.20 $962 5.8×
Thoracolumbar 2 views (72080) $431.40 $719 5.2×
Thyroid carcinoma metastases img whole body (78018) $1,715.40 $2,859 3.3×
Thyroid uptake measurement (78012) $598.80 $998 1.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $934.80 $1,558 2.4×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $2,385.60 $3,976 4.6×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $886.80 $1,478 2.3×
Ultrasound, abdomen limited (76705) $517.20 $862 5.2×
Umbilical-artery Doppler (OB) (76820) $165.60 $276 1.7×
Unlisted fluoroscopic procedure (76496) $211.20 $352 2.5×
Unlisted Ultrasound Procedure (76999) $360 $600 4.3×
Urethrocystography retrograde rs&i (74450) $580.20 $967 2.5×
Urethrocystography voiding (74455) $844.80 $1,408 3.7×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $1,015.80 $1,693 6.0×
Us abdl aorta screen aaa (76706) $343.20 $572 3.4×
Us breast unilateral complete (76641) $435.60 $726 4.3×
Us breast unilateral limited (76642) $569.40 $949 6.8×
Us chest (76604) $381.60 $636 3.8×
Us compl joint r-t w/image documentation (76881) $435 $725 4.3×
Us guided compression repair (76936) $1,240.20 $2,067 6.0×
Us infant hips dynamic (76885) $719.40 $1,199 8.6×
Us infant hips limited static (76886) $207.60 $346 2.5×
Us kidney transplant (76776) $807 $1,345 8.1×
Us ob transvaginal (76817) $799.20 $1,332 8.0×
Us pelvic non ob complete (76856) $610.20 $1,017 6.1×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $682.80 $1,138 6.8×
Us pregnancy ltd (76815) $442.80 $738 4.4×
Us retroperitoneal complete (76770) $770.40 $1,284 7.7×
Us retroperitoneal limited (76775) $668.40 $1,114 6.7×
Us scrotum and contents (76870) $754.80 $1,258 7.5×
Us soft tissue head/neck (76536) $788.40 $1,314 7.9×
Us transrectal (76872) $678.60 $1,131 6.8×
Us xtr non-vasc lmtd (76882) $418.80 $698 4.2×
Us, eye b-scan (76512) $14,077.85 $23,463.08 140.6×
Venogram extremity bilateral (75822) $1,594.80 $2,658 1.1×
Venography caval inferior serialography rs&i (75825) $4,657.20 $7,762 1.5×
Venography caval superior serialography rs&i (75827) $2,170.80 $3,618 1.4×
Venography extremity unilateral rs&i (75820) $1,512.60 $2,521 1.0×
Venography Renal Bilateral (75833) $4,435.20 $7,392 1.5×
Venography renal unilateral selective rs&i (75831) $4,441.80 $7,403 1.5×
Wrist 2 views (73100) $243 $405 2.9×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $573.60 $956 5.7×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $487.20 $812 5.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $246.60 $411 3.0×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $444 $740 5.3×
X-ray exam hip uni 1 view (73501) $199.80 $333 2.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $313.80 $523 3.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $460.20 $767 4.6×
X-Ray Exam Hips Bi 5/> Views (73523) $460.20 $767 4.6×
X-ray eye for foreign body (70030) $243.60 $406 2.9×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $470.40 $784 4.7×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $451.80 $753 5.4×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $280.20 $467 3.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $261 $435 3.1×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $519 $865 5.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $329.40 $549 4.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $459 $765 4.6×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $966.60 $1,611 9.7×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $619.80 $1,033 6.2×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $424.80 $708 5.1×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $502.20 $837 5.0×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $865.80 $1,443 2.6×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $292.80 $488 3.5×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $531 $885 5.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $565.20 $942 5.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $429.60 $716 4.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $397.20 $662 4.8×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $423 $705 5.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $526.20 $877 6.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $670.20 $1,117 6.7×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $324.60 $541 3.2×
X-Ray Spine One View - Xr Spine (72020) $307.20 $512 3.7×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $349.80 $583 4.2×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $342 $570 4.1×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $481.80 $803 4.8×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $118.20 $197 1.2×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $270 $450 3.2×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $406.20 $677 4.9×
Xr c-spine 6 or more views (72052) $621 $1,035 6.2×
Xr chest 4+ views (71048) $348.60 $581 3.5×
Xr finger(s) 2+ views (73140) $274.20 $457 3.3×
Xr shoulder 1 view (73020) $261.60 $436 3.1×
Xr spine cervical 4 or 5 views (72050) $651 $1,085 6.5×
Xr tibia/fibula 2 views (73590) $360 $600 4.3×
Xray knee 1 or 2 views rt (73560) $267 $445 3.2×