Imaging prices at Calhoun-Liberty Hospital
Blountstown, FL · every code in this section with a posted price and a Medicare benchmark.
164 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) | $176.40 | $252 | 1.9× |
| Abdomen 2 views (74019) | $207.90 | $297 | 1.9× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$16.10–$131.60 | $23–$188 | varies |
| Bone age studies (77072) | $165.90 | $237 | 1.5× |
| Bone Imaging 3 Phase (78315) | $918.40 | $1,312 | 2.2× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$73.50–$1,085 | $105–$1,550 | varies |
| Cat Scan Follow-Up Study (76380) | $542.50 | $775 | 6.0× |
| Chest 1 view (71045) | $137.20 | $196 | 1.5× |
| Chest 2 views (71046) | $166.60 | $238 | 1.8× |
| Chest 3 views (71047) | $189.70 | $271 | 2.1× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$15.40–$151.20 | $22–$216 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $535.50 | $765 | 4.9× |
| CT abdomen and pelvis without and with contrast (74178) | $2,051 | $2,930 | 5.6× |
| CT abdomen and pelvis without contrast (74176) | $1,479.10 | $2,113 | 5.9× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$102.20–$1,199.80 | $146–$1,714 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$112–$1,524.60 | $160–$2,178 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$95.90–$1,005.90 | $137–$1,437 | varies |
| CT Angio Abdomen and Pelvis (74174) | $1,673 | $2,390 | 4.6× |
| CT Angio Chest (71275) | $1,318.80 | $1,884 | 7.2× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,324.40–$1,365 | $1,892–$1,950 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,369.20–$1,369.90 | $1,956–$1,957 | varies |
| CT cervical spine w/ contrast (72126) | $1,260 | $1,800 | 3.5× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$93.80–$1,042.30 | $134–$1,489 | varies |
| CT cervical spine w/wo cont (72127) | $1,463 | $2,090 | 8.0× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$100.10–$1,154.30 | $143–$1,649 | varies |
| CT chest w/wo contrast (71270) | $1,154.30 | $1,649 | 6.3× |
| CT head/brain with contrast (70460) | $1,124.20 | $1,606 | 6.1× |
| CT head/brain without and with contrast (70470) | $1,308.30 | $1,869 | 7.1× |
| CT iac w contrast (70481) | $1,039.50 | $1,485 | 5.7× |
| CT l-spine w&w/o contrast (72133) | $1,421 | $2,030 | 7.8× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$88.20–$844.20 | $126–$1,206 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$91.70–$1,890 | $131–$2,700 | varies |
| CT lumbar spine w contrast (72132) | $1,225 | $1,750 | 3.4× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$93.80–$1,036 | $134–$1,480 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$105–$1,061.90 | $150–$1,517 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$91.70–$911.40 | $131–$1,302 | varies |
| CT neck tissue combo (70492) | $1,254.40 | $1,792 | 6.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,260 | $1,800 | 6.9× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$102.90–$947.80 | $147–$1,354 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$98–$1,365 | $140–$1,950 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$88.20–$1,011.50 | $126–$1,445 | varies |
| CT scan of leg combo (73702) | $1,131.90 | $1,617 | 6.2× |
| CT scans face/jaw combo (70488) | $1,239 | $1,770 | 6.8× |
| CT soft tissue neck w contrast (70491) | $1,020.60 | $1,458 | 5.6× |
| CT soft tissue neck w/o contrast (70490) | $896.70 | $1,281 | 8.2× |
| CT thoracic spine w contrast (72129) | $1,260 | $1,800 | 6.9× |
| CT thoracic spine w/o contrast (72128) | $1,039.50 | $1,485 | 9.5× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$102.20–$1,367.10 | $146–$1,953 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$93.80–$980 | $134–$1,400 | varies |
| CT upper ext wo (73200) | $886.90 | $1,267 | 8.1× |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,131.90–$1,293.60 | $1,617–$1,848 | varies |
| CT upper extremity with contrast (73201) | $1,173.20 | $1,676 | 3.2× |
| Cta Abdomen (74175) | $1,365 | $1,950 | 7.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$26.60–$280.70 | $38–$401 | varies |
| Dxa bone density study (77085) | $278.60 | $398 | 2.6× |
| Esophagram (74220) | $270.90 | $387 | 1.5× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$16.10–$130.20 | $23–$186 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$16.10–$148.40 | $23–$212 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$16.10–$134.40 | $23–$192 | varies |
| Hepatobil Syst Image W/Drug (78227) | $597.10 | $853 | 1.1× |
| Hepatobiliary System Imaging (78226) | $597.10 | $853 | 1.4× |
| Liver imaging static only (78201) | $821.41 | $1,173.44 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) | $1,256.50 | $1,795 | 3.4× |
| MRA head w/o contrast (70544) | $1,134.70 | $1,621 | 4.6× |
| MRI abdomen w/o contrast (74181) | $1,134.70 | $1,621 | 4.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,134.70 | $1,621 | 1.4× |
| MRI cervical spine w/o cont (72141) | $1,134.70 | $1,621 | 4.6× |
| MRI chest w/o contrast (71550) | $948.50 | $1,355 | 3.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,134.70 | $1,621 | 4.6× |
| MRI, joint upper extrem (73221) | $1,134.70 | $1,621 | 4.6× |
| MRI, joint upper extrem combo (73223) | $1,397.20 | $1,996 | 3.8× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$16.80–$126 | $24–$180 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$16.80–$140 | $24–$200 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$28–$249.20 | $40–$356 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$16.80–$170.10 | $24–$243 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$16.10–$129.50 | $23–$185 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$16.80–$175.70 | $24–$251 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$23.10–$174.30 | $33–$249 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$13.30–$130.20 | $19–$186 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$16.80–$159.60 | $24–$228 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$16.80–$165.90 | $24–$237 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$142.80–$146.30 | $204–$209 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $181.30 | $259 | 1.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$17.50–$134.40 | $25–$192 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$20.30–$157.50 | $29–$225 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$17.50–$186.90 | $25–$267 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $130.90 | $187 | 1.4× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$15.40–$124.60 | $22–$178 | varies |
| Radex Sternum Minimum 2 Views (71120) | $141.40 | $202 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $196.70 | $281 | 2.2× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$13.30–$176.40 | $19–$252 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $134.40 | $192 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$16.80–$166.60 | $24–$238 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $359.80 | $514 | 3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$21–$193.20 | $30–$276 | varies |
| Radiologic exam colon single contrast study (74270) | $37.50 | $53.57 | 0.2× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$20.30–$198.10 | $29–$283 | varies |
| Radiologic examination femur 1 view (73551) | $152.60 | $218 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$152.60–$175 | $218–$250 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$16.80–$137.20 | $24–$196 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$16.80–$156.10 | $24–$223 | varies |
| Ribs bilateral 3 views (71110) | $196.70 | $281 | 1.8× |
| Scapula (73010) | $154 | $220 | 1.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$45.50–$47.60 | $65–$68 | varies |
| Shoulder 1 view (73020) | $128.80 | $184 | 1.4× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$21.70–$134.40 | $31–$192 | varies |
| Sternoclavicular joints (71130) | $138.60 | $198 | 1.5× |
| Thoracic spine 2 views (72070) | $165.90 | $237 | 1.5× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$20.30–$197.40 | $29–$282 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $486.50 | $695 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $685.30 | $979 | 1.6× |
| Ultrasound Breast Limited (76642) | $242.20 | $346 | 2.7× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$49–$358.40 | $70–$512 | varies |
| Us breast unilateral complete (76641) | $260.40 | $372 | 2.4× |
| Us chest (76604) | $294 | $420 | 2.7× |
| Us complete joint (76881) | $308.70 | $441 | 2.8× |
| Us exam, pelvic, limited (76857) | $257.60 | $368 | 2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$262.50–$388.15 | $375–$554.50 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$155.40–$492.80 | $222–$704 | varies |
| Us ob transvaginal (76817) | $354.90 | $507 | 3.3× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$57.40–$389.20 | $82–$556 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$81.20–$347.20 | $116–$496 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $247.80 | $354 | 2.3× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$60.90–$379.40 | $87–$542 | varies |
| Us retroperitoneal limited (76775) | $350 | $500 | 3.2× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$53.20–$368.20 | $76–$526 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$46.90–$357 | $67–$510 | varies |
| Vascular Flow Imaging (78445) | $206.50 | $295 | 0.5× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$16.10–$132.30 | $23–$189 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $135.10 | $193 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$15.40–$140.70 | $22–$201 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $189 | $270 | 2.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $236.60 | $338 | 2.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $245 | $350 | 2.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $139.30 | $199 | 1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$105.70–$173.60 | $151–$248 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $270.90 | $387 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $225.40 | $322 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $289.80 | $414 | 2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $364.70 | $521 | 3.3× |
| X-Ray Exam L-S Spine Bending (72114) | $277.20 | $396 | 2.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$20.30–$159.60 | $29–$228 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $289.10 | $413 | 2.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$24.50–$197.40 | $35–$282 | varies |
| X-ray eye for foreign body (70030) | $89.95 | $128.50 | 1.0× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$16.80–$156.10 | $24–$223 | varies |
| X-ray IV pyelogram (ivp) (74400) | $411.60 | $588 | 2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $130.20 | $186 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $136.50 | $195 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$20.30–$167.30 | $29–$239 | varies |
| X-ray nose-rectum child f.b. (76010) | $132.30 | $189 | 1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$28–$241.50 | $40–$345 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $169.40 | $242 | 1.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $137.20 | $196 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$16.80–$137.20 | $24–$196 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$22.40–$177.10 | $32–$253 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$29.40–$214.20 | $42–$306 | varies |
| X-Ray Tmj Unilat (70328) | $147.70 | $211 | 1.6× |
| X-Rays Bone Length Studies (77073) | $219.10 | $313 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $397.60 | $568 | 3.6× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$27.30–$247.10 | $39–$353 | varies |
| Xr facial bones less than 3 views (70140) | $133 | $190 | 1.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $140.70 | $201 | 1.3× |
| Xr orbits complete 4 views (70200) | $188.30 | $269 | 1.7× |
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.