Imaging prices at Dale Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $221.30 $442.60 2.5×
Acute venous thrombus image (78456) $217 $434 0.2×
Angiography extremity unilateral rs&i (75710) $1,977.50 $3,955 0.7×
Ankle 2 views (73600) $242.20 $346 3.2×
Arthrogram elbow (73085) $542.50 $775 1.8×
Arthrogram hip (73525) $735 $1,050 2.4×
Arthrogram shoulder (73040) $757.32 $1,081.88 2.5×
Arthrogram wrist (73115) $604.80 $864 2.0×
Arthrography knee lt (73580) $769.30 $1,099 2.6×
Clavicle complete (73000) $254.80 $364 3.4×
Dxa bone density study 1/> sites axial skel (77080) $375.20 $536 4.2×
Foot 2 views (73620) $239.61 $342.30 3.2×
Forearm 2 views (73090) $257.67 $368.10 3.4×
Hand 2 views (73120) $255.63 $365.19 2.8×
Hand 3 views (73130) $287.04 $410.05 3.8×
Humerus Min 2 Views Left (73060) $258.20 $368.85 3.4×
Osseous survey limited (77074) $158.46 $316.91 1.8×
Radiolog exam mandible compl minimum 4 views (70110) $157.11 $314.21 1.7×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $250.76 $358.23 3.3×
Saline Infus Sonohysterography W/Color Doppler (76831) $92.26 $184.51 0.4×
Scapula complete (73010) $269.69 $385.27 3.0×
Wrist 2 views (73100) $238 $340 3.2×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $286.06 $408.65 3.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $234.50 $335 3.1×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $289.10 $413 3.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $260.40 $372 3.5×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $282.80 $404 3.8×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $232.40 $332 3.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $101.63 $203.25 1.4×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $362.39 $517.70 4.0×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $124.34 $248.67 1.4×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $267.24 $381.77 3.6×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $290.50 $415 3.9×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $281.24 $401.77 3.7×
XR Mastoids < 3 Views Bilateral (70120) $92.94 $185.88 1.0×
Xr shoulder 1 view (73020) $216.30 $309 2.9×
Xr tibia/fibula 2 views (73590) $268.10 $383 3.6×
Xray knee 1 or 2 views rt (73560) $252.04 $360.06 3.4×