Imaging prices at Doctors Memorial Hospital
Bonifay, FL · every code in this section with a posted price and a Medicare benchmark.
207 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) | $41.85 | $93 | 0.5× |
| Abdomen 2 views (74019) | $114.75 | $255 | 1.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$818.55–$936.90 | $1,819–$2,082 | varies |
| Ankle 2 views (73600) | $41.85 | $93 | 0.5× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$397.80–$795.15 | $884–$1,767 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$274.95–$549.90 | $611–$1,222 | varies |
| Bone age studies (77072) | $85.05 | $189 | 0.8× |
| Bone Imaging 3 Phase (78315) | $1,233.90 | $2,742 | 3.0× |
| Bone Imaging Limited Area (78300) | $928.80 | $2,064 | 2.2× |
| Bone Imaging Whole Body (78306) | $926.55 | $2,059 | 2.2× |
| Bone survey infant (77076) | $254.70 | $566 | 2.3× |
| Chest 1 view (71045) | $41.85 | $93 | 0.5× |
| Chest 2 views (71046) | $41.85 | $93 | 0.5× |
| Chest 3 views (71047) | $139.95 | $311 | 1.5× |
| Chest 4 or more views (71048) | $93.60 | $208 | 0.9× |
| Clavicle complete (73000) | $162.90 | $362 | 1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $824.40 | $1,832 | 7.6× |
| Contrast X-Ray Bladder (74430) | $256.05 | $569 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) | $2,263.95 | $5,031 | 6.2× |
| CT abdomen and pelvis without contrast (74176) | $68.85 | $153 | 0.3× |
| CT abdomen w contrast (74160) | $68.85 | $153 | 0.4× |
| CT abdomen w wo contrast (74170) | $68.85 | $153 | 0.4× |
| CT abdomen w/o contrast (74150) | $68.85 | $153 | 0.6× |
| CT Angio Abdomen and Pelvis (74174) | $68.85 | $153 | 0.2× |
| CT Angio Chest (71275) | $68.85 | $153 | 0.4× |
| CT Angio Head (70496) | $68.85 | $153 | 0.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,725.20 | $6,056 | 14.9× |
| CT Angio Neck (70498) | $68.85 | $153 | 0.4× |
| CT cervical spine w/ contrast (72126) | $991.35 | $2,203 | 2.7× |
| CT cervical spine w/o contrast (72125) | $68.85 | $153 | 0.6× |
| CT cervical spine w/wo cont (72127) | $1,114.65 | $2,477 | 6.1× |
| CT chest w contrast (71260) | $68.85 | $153 | 0.4× |
| CT chest w/wo contrast (71270) | $68.85 | $153 | 0.4× |
| CT head/brain with contrast (70460) | $68.85 | $153 | 0.4× |
| CT head/brain without and with contrast (70470) | $68.85 | $153 | 0.4× |
| CT l-spine w&w/o contrast (72133) | $1,053 | $2,340 | 5.7× |
| CT lower ext w/o (73700) | $68.85 | $153 | 0.6× |
| CT lower extremity w/contrast material (73701) | $68.85 | $153 | 0.4× |
| CT lumbar spine w contrast (72132) | $960.30 | $2,134 | 2.6× |
| CT lumbar spine w/o contrast (72131) | $68.85 | $153 | 0.6× |
| CT maxillofacial w contrast (70487) | $873.45 | $1,941 | 4.8× |
| CT maxillofacial wo contrast (70486) | $68.85 | $153 | 0.6× |
| CT neck tissue combo (70492) | $68.85 | $153 | 0.4× |
| CT orbits w/o contrast (70480) | $68.85 | $153 | 0.6× |
| CT pelvis w&w/o contrast (72194) | $68.85 | $153 | 0.4× |
| CT pelvis w/o contrast (72192) | $68.85 | $153 | 0.6× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,672.20–$3,344.40 | $3,716–$7,432 | varies |
| CT scans face/jaw combo (70488) | $991.35 | $2,203 | 5.4× |
| CT soft tissue neck w contrast (70491) | $68.85 | $153 | 0.4× |
| CT soft tissue neck w/o contrast (70490) | $68.85 | $153 | 0.6× |
| CT thoracic spine w/o contrast (72128) | $68.85 | $153 | 0.6× |
| CT thoracic spine w/wo cont (72130) | $1,404.90 | $3,122 | 7.7× |
| CT thorax w/o contrast (71250) | $68.85 | $153 | 0.6× |
| CT upper ext wo (73200) | $68.85 | $153 | 0.6× |
| CT upper extremity w/o & w/contrast material (73202) | $68.85 | $153 | 0.4× |
| CT upper extremity with contrast (73201) | $68.85 | $153 | 0.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $68.85 | $153 | 0.4× |
| Cta Abdomen (74175) | $68.85 | $153 | 0.4× |
| Diskography lumbar (72295) | $817.65 | $1,817 | 0.4× |
| Dxa Bone Density Axial (77080) | $119.70 | $266 | 1.1× |
| Dxa bone density study (77085) | $119.70 | $266 | 1.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $66.60 | $148 | 0.7× |
| Esophagram (74220) | $153.90 | $342 | 0.8× |
| Fluoroscopy up to 1 hr (76000) | $681.75 | $1,515 | 2.7× |
| Foot 2 views (73620) | $41.85 | $93 | 0.5× |
| Forearm 2 views (73090) | $41.85 | $93 | 0.5× |
| Gastric emptying imaging study (78264) | $2,147.40 | $4,772 | 5.1× |
| Gated Heart Planar Single (78472) | $2,065.05 | $4,589 | 4.9× |
| Hand 2 views (73120) | $41.85 | $93 | 0.4× |
| Heart first pass single,planar (78481) | $825.75 | $1,835 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) | $743.40 | $1,652 | 1.3× |
| Hepatobiliary System Imaging (78226) | $818.55 | $1,819 | 2.0× |
| Ht Muscle Image Spect Sing (78451) | $1,710.90 | $3,802 | 1.3× |
| K Flow/Funct Image Multiple (78709) | $1,500.30 | $3,334 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $3,067.65 | $6,817 | 5.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,710.90 | $3,802 | 3.0× |
| Kidney Imaging Morphol (78700) | $885.15 | $1,967 | 2.1× |
| Knee 3 Views (73562) | $41.85 | $93 | 0.5× |
| Liver imaging static only (78201) | $1,297.80 | $2,884 | 2.3× |
| Lung Ventilation Imaging (78579) | $1,533.60 | $3,408 | 3.7× |
| Magnetic Image Jaw Joint (70336) | $977.40 | $2,172 | 3.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,202.85 | $2,673 | 3.3× |
| MRA head w/o contrast (70544) | $977.40 | $2,172 | 3.9× |
| MRA neck w/o contrast (70547) | $977.40 | $2,172 | 3.9× |
| MRI abdomen w contrast (74182) | $1,155.60 | $2,568 | 3.2× |
| MRI abdomen w/o contrast (74181) | $977.40 | $2,172 | 3.9× |
| MRI cervical spine w contrast (72142) | $1,155.60 | $2,568 | 3.2× |
| MRI cervical spine w/o cont (72141) | $977.40 | $2,172 | 3.9× |
| MRI chest w/o contrast (71550) | $913.05 | $2,029 | 3.7× |
| MRI chest with contrast (71551) | $1,080.45 | $2,401 | 1.3× |
| MRI chest wo w contrast (71552) | $1,124.10 | $2,498 | 3.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,201.40 | $4,892 | 6.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$977.40–$1,954.35 | $2,172–$4,343 | varies |
| MRI lumbar spine w contrast (72149) | $1,155.60 | $2,568 | 3.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,202.85 | $2,673 | 3.3× |
| MRI orbit face &/neck w/o contrast (70540) | $977.40 | $2,172 | 3.9× |
| MRI orbit face neck w contrast (70542) | $1,155.60 | $2,568 | 3.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,202.85 | $2,673 | 3.3× |
| MRI pelvis w contrast (72196) | $1,155.60 | $2,568 | 3.2× |
| MRI pelvis w/o & w contrast (72197) | $2,150.10 | $4,778 | 5.9× |
| MRI pelvis w/o contrast (72195) | $977.40 | $2,172 | 3.9× |
| MRI thoracic spine w/o contrast (72146) | $977.40 | $2,172 | 3.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$977.40–$1,954.35 | $2,172–$4,343 | varies |
| MRI, dorsal spine combo (72157) | $1,202.85 | $2,673 | 3.3× |
| MRI, dorsal spine contrast (72147) | $1,155.60 | $2,568 | 3.2× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$977.40–$1,954.35 | $2,172–$4,343 | varies |
| MRI, lumbar spine combo (72158) | $1,202.85 | $2,673 | 3.3× |
| Myocardial Spect Multiple Studies (78452) | $2,537.10 | $5,638 | 1.9× |
| Neck soft tissue (70360) | $41.85 | $93 | 0.5× |
| Parathyroid Planar Imaging (78070) | $1,339.65 | $2,977 | 3.2× |
| Pelvis 1 or 2 views (72170) | $41.85 | $93 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $818.55 | $1,819 | 2.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $41.85 | $93 | 0.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $41.85 | $93 | 0.5× |
| Radex elbow complete minimum 3 views (73080) | $41.85 | $93 | 0.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $41.85 | $93 | 0.4× |
| Radex fingr minimum 2 views (73140) | $41.85 | $93 | 0.5× |
| Radex foot complete minimum 3 views (73630) | $41.85 | $93 | 0.5× |
| Radex Hand Minimum 3 Views (73130) | $41.85 | $93 | 0.5× |
| Radex lower extremity infant minimum 2 views (73592) | $41.85 | $93 | 0.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $155.70 | $346 | 1.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $41.85 | $93 | 0.5× |
| Radex Ribs Unilateral 2 Views (71100) | $41.85 | $93 | 0.5× |
| Radex shoulder complete minimum 2 views (73030) | $41.85 | $93 | 0.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $131.40 | $292 | 1.4× |
| Radex Spine 1 View Specify Level (72020) | $41.85 | $93 | 0.5× |
| Radex Sternum Minimum 2 Views (71120) | $41.85 | $93 | 0.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $106.20 | $236 | 1.2× |
| Radex Toe Minimum 2 Views (73660) | $41.85 | $93 | 0.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $41.85 | $93 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $129.15 | $287 | 1.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $155.70 | $346 | 1.4× |
| Radiologic exam colon double contrast study (74280) | $307.35 | $683 | 1.7× |
| Radiologic exam colon single contrast study (74270) | $254.70 | $566 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) | $41.85 | $93 | 0.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $41.85 | $93 | 0.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $219.60 | $488 | 1.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $254.70 | $566 | 1.4× |
| Radiologic examination femur 1 view (73551) | $41.85 | $93 | 0.5× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$41.85–$162.90 | $93–$362 | varies |
| Radiologic examination knee 1/2 views (73560) | $41.85 | $93 | 0.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $254.70 | $566 | 2.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $41.85 | $93 | 0.5× |
| Scapula (73010) | $41.85 | $93 | 0.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $217.80 | $484 | 9.3× |
| Shoulder 1 view (73020) | $41.85 | $93 | 0.5× |
| Skull less than 4 views (70250) | $131.85 | $293 | 1.2× |
| Sternoclavicular joints (71130) | $80.10 | $178 | 0.9× |
| Thoracic spine 2 views (72070) | $41.85 | $93 | 0.4× |
| Thyroid Imaging With Vascular Flow (78013) | $943.65 | $2,097 | 2.3× |
| Thyroid Uptake Measurement (78012) | $1,744.65 | $3,877 | 4.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$220.50–$1,458.45 | $490–$3,241 | varies |
| Ultrasound Breast Limited (76642) | $247.95 | $551 | 2.7× |
| Ultrasound Exam Aaa Screen (76706) | $257.40 | $572 | 2.4× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$189.90–$246.15 | $422–$547 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $31.50 | $70 | 0.3× |
| Upper gi w/o kub (74240) | $337.50 | $750 | 1.8× |
| Us breast unilateral complete (76641) | $274.50 | $610 | 2.5× |
| Us chest (76604) | $207.45 | $461 | 1.9× |
| Us complete joint (76881) | $41.85 | $93 | 0.4× |
| Us exam, pelvic, limited (76857) | $192.60 | $428 | 1.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $41.85 | $93 | 0.4× |
| Us ob detailed single fetus (76811) | $292.95 | $651 | 1.2× |
| Us ob limited 1 or more fetuses (76815) | $41.85 | $93 | 0.4× |
| Us ob transvaginal (76817) | $259.65 | $577 | 2.4× |
| Us pelvic non ob complete (76856) | $318.15 | $707 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $219.15 | $487 | 2.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $94.50 | $210 | 0.9× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$257.40–$274.50 | $572–$610 | varies |
| Us scrotum and contents (76870) | $266.85 | $593 | 2.4× |
| Us spinal canal and contents (76800) | $495.45 | $1,101 | 4.5× |
| Us thyroid (76536) | $198.90 | $442 | 1.8× |
| Vascular Flow Imaging (78445) | $791.55 | $1,759 | 1.9× |
| Venography extremity unilateral rs&i (75820) | $310.95 | $691 | 0.2× |
| Vertebral fracture assessment via dxa (77086) | $66.60 | $148 | 0.7× |
| Wrist 2 views (73100) | $41.85 | $93 | 0.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $96.75 | $215 | 1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $41.85 | $93 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $101.70 | $226 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $126.90 | $282 | 1.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $41.85 | $93 | 0.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $41.85 | $93 | 0.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $100.80 | $224 | 0.9× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$96.75–$129.60 | $215–$288 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $129.60 | $288 | 1.2× |
| X-Ray Exam L-S Spine Bending (72114) | $159.75 | $355 | 1.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $41.85 | $93 | 0.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $212.40 | $472 | 1.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $41.85 | $93 | 0.4× |
| X-ray eye for foreign body (70030) | $64.35 | $143 | 0.7× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$41.85–$252.90 | $93–$562 | varies |
| X-ray IV pyelogram (ivp) (74400) | $289.35 | $643 | 1.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $106.20 | $236 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $211.05 | $469 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $41.85 | $93 | 0.4× |
| X-ray nose-rectum child f.b. (76010) | $232.20 | $516 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $41.85 | $93 | 0.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $41.85 | $93 | 0.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $41.85 | $93 | 0.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $41.85 | $93 | 0.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $41.85 | $93 | 0.4× |
| X-ray thoracic spine 4 vw (72074) | $41.85 | $93 | 0.4× |
| X-Rays Bone Survey Complete (77075) | $293.85 | $653 | 2.7× |
| Xr c-spine 4 or 5 views (72050) | $41.85 | $93 | 0.4× |
| Xr facial bones less than 3 views (70140) | $41.85 | $93 | 0.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $107.55 | $239 | 1.0× |
| Xr orbits complete 4 views (70200) | $143.10 | $318 | 1.3× |
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.