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 →

ProcedureCash priceGross charge× Medicare
Acute gi blood loss imaging (78278) $877.72 $1,950.50 2.1×
Ankle 2 views (73600) $41.85 $93 0.5×
Arthrography wrist lt (73115) $274.95 $611 0.8×
Barium enema (74270) $254.70 $566 1.4×
Bone age studies (77072) $85.05 $189 0.8×
Bone imaging limited area (78300) $928.80 $2,064 2.2×
Bone survey complete (77075) $293.85 $653 2.7×
Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or… (78481) $825.75 $1,835 1.5×
Clavicle complete (73000) $162.90 $362 1.8×
CT - st neck w&wo contr (70492) $68.85 $153 0.4×
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 wo contrast (74170) $68.85 $153 0.4×
CT abdomen w/contrast (74160) $68.85 $153 0.4×
CT abdomen w/o contrast (74150) $68.85 $153 0.6×
CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) $68.85 $153 0.2×
CT angio abdom w/o & w/dye (74175) $68.85 $153 0.4×
CT angio abdominal arteries (75635) $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 chest w/contrast (71260) $68.85 $153 0.4×
CT extremity upper w & w/o contrast (73202) $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 lower ext w/wo contrast (73702) $1,683.45 $3,741 9.2×
CT lower extremity w contrast (73701) $68.85 $153 0.4×
CT lower extremity w/o contrast unilateral (73700) $68.85 $153 0.6×
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 lumbar spine w/o then w/ con (72133) $1,053 $2,340 5.7×
CT maxillofacial area w/o contrast (70486) $68.85 $153 0.6×
CT maxillofacial w/contrast (70487) $873.45 $1,941 4.8×
CT maxillofacial w/o then w/ con (70488) $991.35 $2,203 5.4×
CT orbit sella ear w/o con (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 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 spine cervical w/wo contrast (72127) $1,114.65 $2,477 6.1×
CT thoracic spine w/o contrast (72128) $68.85 $153 0.6×
CT thoracic spine w/o then w/ con (72130) $1,404.90 $3,122 7.7×
CT thorax lung cancer scr c- (71271) $824.40 $1,832 7.6×
CT thorax w/o contrast (71250) $68.85 $153 0.6×
CT thorax w/o then w/ contrast (71270) $68.85 $153 0.4×
CT upper extremity w/dye (73201) $68.85 $153 0.2×
CT upper extremity w/o contrast rt (73200) $68.85 $153 0.6×
CTA chest w/wo contrast (71275) $68.85 $153 0.4×
CTA head w contrast (70496) $68.85 $153 0.4×
CTA lower extremity w/wo contrast unilateral (73706) $2,725.20 $6,056 14.9×
Cta Neck (70498) $68.85 $153 0.4×
Diskography lumbar (72295) $817.65 $1,817 0.4×
Dxa bone density study axial skeleton (77085) $119.70 $266 1.1×
Esophogram (74220) $153.90 $342 0.8×
Fluoroscopy up to 1 hour physician/qhp time (76000) $681.75 $1,515 2.7×
Gastric emptying study (78264) $2,147.40 $4,772 5.1×
Gated heart planar single (78472) $2,065.05 $4,589 4.9×
Hepatobil syst image w/drug (78227) $743.40 $1,652 1.3×
Hepatobiliary system imaging (78226) $818.55 $1,819 2.0×
Humerus min 2 views (73060) $126.45 $281 1.4×
Ivp (74400) $289.35 $643 1.6×
Kidney imaging morphology; with vascular flow and function, multiple studies, with and without pharmacological… (78709) $1,500.30 $3,334 2.6×
Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention Age Under… (78707) $1,710.90 $3,802 3.0×
Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg,… (78708) $3,067.65 $6,817 5.4×
Lung ventilation imaging (78579) $1,533.60 $3,408 3.7×
Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) $2,201.40 $4,892 6.0×
MRA head w & w/o contrast (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/o contrast (72141) $977.40 $2,172 3.9×
MRI cervical spine with contrast (72142) $1,155.60 $2,568 3.2×
MRI chest w & w/o contrast (71552) $1,124.10 $2,498 3.1×
MRI chest w/contrast (71551) $1,080.45 $2,401 1.3×
MRI chest w/o contrast (71550) $913.05 $2,029 3.7×
MRI joint upr extrem w/o dye (73221) $977.40 $2,172 3.9×
Mri Lower Extremity W/O Dye (73718) $977.40 $2,172 3.9×
MRI lumbar spine with contrast (72149) $1,155.60 $2,568 3.2×
MRI lumbar w/wo contrast (72158) $1,202.85 $2,673 3.3×
MRI orbit/face/neck w/contrast (70542) $1,155.60 $2,568 3.2×
MRI orbit/face/neck w/o & w/contrast (70543) $1,202.85 $2,673 3.3×
MRI orbit/face/neck w/o contrast (70540) $977.40 $2,172 3.9×
MRI pelvis w/ contrast (72196) $1,155.60 $2,568 3.2×
MRI pelvis w/o contrast (72195) $977.40 $2,172 3.9×
MRI pelvis w/wo contrast (72197) $2,150.10 $4,778 5.9×
MRI spine cervical wo/w contrast (72156) $1,202.85 $2,673 3.3×
MRI spine thoracic w/contrast (72147) $1,155.60 $2,568 3.2×
MRI thoracic spine w wo contrast (72157) $1,202.85 $2,673 3.3×
MRI thoracic spine w/o contrast (72146) $977.40 $2,172 3.9×
MRI tmj (70336) $977.40 $2,172 3.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $977.40 $2,172 3.9×
Myocardial spect single study at rest or stress (78451) $1,710.90 $3,802 1.3×
Nm bone 3 phase (78315) $1,233.90 $2,742 3.0×
Nm bone imaging whole body (78306) $926.55 $2,059 2.2×
Nm heart perfusion spect stress rest (78452) $2,537.10 $5,638 1.9×
Nm kidney imaging morphology (78700) $885.15 $1,967 2.1×
Nm liver image static only (78201) $1,297.80 $2,884 2.3×
Nm thyroid imaging only (78013) $943.65 $2,097 2.3×
Nose to rectum for fb child (76010) $232.20 $516 2.6×
Ob us < 14 wks single fetus (76801) $219.15 $487 2.0×
Parathyroid imaging (78070) $1,339.65 $2,977 3.2×
Pulmonary perfusion imaging particulate (78580) $818.55 $1,819 2.0×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $101.70 $226 1.1×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $126.90 $282 1.2×
Radex hip unilateral with pelvis 1 view (73501) $41.85 $93 0.5×
Radex hip unilateral with pelvis 2-3 views (73502) $41.85 $93 0.5×
Radex hip unilateral with pelvis minimum 4 views (73503) $100.80 $224 0.9×
Radex hips bilateral with pelvis 2 views (73521) $113.18 $251.50 1.0×
Radex spine cervical 2 or 3 views (72040) $41.85 $93 0.5×
Radex spine cervical 4 or 5 views (72050) $41.85 $93 0.4×
Radex spine cervical 6 or more views (72052) $212.40 $472 1.9×
Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) $93.60 $208 0.9×
Radiologic exam upr gi trc double contrast study (74246) $254.70 $566 1.4×
Radiologic exam upr gi trc single contrast study (74240) $337.50 $750 1.8×
Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) $41.85 $93 0.5×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $102.38 $227.50 1.1×
Radiologic examination, mastoids; less than 3 views per side Other Diagnostic Radiology FS (70120) $107.55 $239 1.0×
Radiologic examination, spine; thoracic, minimum of 4 views Other Diagnostic Radiology FS (72074) $41.85 $93 0.4×
Screening digital breast tomosynthesis; bilateral (77063) $217.80 $484 9.3×
Small bowel series (74250) $219.60 $488 1.2×
Thyroid uptake single/multiple quant measurement (78012) $1,744.65 $3,877 4.2×
Thyroid uptake w/blood flow sngle/mult quan meas (78014) $1,050.75 $2,335 2.5×
Ultrasound breast limited (76642) $247.95 $551 2.7×
Ultrasound, abdomen limited (76705) $201.15 $447 1.8×
Unlisted diagnostic radiographic procedure (76499) $31.50 $70 0.3×
Us abdominal aorta real time screen study aaa (76706) $257.40 $572 2.4×
Us breast uni real time with image complete (76641) $274.50 $610 2.5×
Us chest (76604) $207.45 $461 1.9×
Us compl joint r-t w/image documentation (76881) $41.85 $93 0.4×
Us lmtd jt/fcl eval 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 followup per fetus (76816) $94.50 $210 0.9×
Us ob limited 1 or more fetuses (76815) $41.85 $93 0.4×
Us obstetric transvaginal (76817) $259.65 $577 2.4×
Us pelvic limited or f/u non-ob (76857) $192.60 $428 1.8×
Us pelvis complete (76856) $318.15 $707 2.9×
Us retroperitoneal complete (76770) $265.95 $591 2.4×
Us scrotum (76870) $266.85 $593 2.4×
Us soft tissue head/neck (76536) $198.90 $442 1.8×
Us spinal canal (76800) $495.45 $1,101 4.5×
Vascular flow imaging (78445) $791.55 $1,759 1.9×
Venography ext unilateral (75820) $310.95 $691 0.2×
Vertebral fracture assessment via dxa (77086) $66.60 $148 0.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $96.75 $215 1.1×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $41.85 $93 0.5×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $307.35 $683 1.7×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $41.85 $93 0.5×
X-ray exam hips bi 3-4 views (73522) $129.60 $288 1.2×
X-ray exam of finger(s) (73140) $41.85 $93 0.5×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $41.85 $93 0.5×
X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) $41.85 $93 0.5×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $41.85 $93 0.5×
X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) $41.85 $93 0.4×
X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) $41.85 $93 0.5×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $41.85 $93 0.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $106.20 $236 1.2×
X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) $41.85 $93 0.5×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $41.85 $93 0.4×
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 Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $159.75 $355 1.5×
X-Ray Mastoids 3+ Vw - Xr Mastoids 3+ Views (70130) $155.70 $346 1.4×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $41.85 $93 0.5×
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 Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $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 Skull <4 Vw - Xr Skull 1-3 Views (70250) $131.85 $293 1.2×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $80.10 $178 0.9×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $41.85 $93 0.5×
X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) $41.85 $93 0.5×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $41.85 $93 0.5×
Xr abdomen 1 view (74018) $41.85 $93 0.5×
Xr abdomen 2 views (74019) $114.75 $255 1.1×
Xr abdomen 3 views (74021) $155.70 $346 1.4×
Xr arthrogram hip (73525) $397.80 $884 1.1×
Xr bone density appendicular (77081) $66.60 $148 0.7×
Xr bone density axial (77080) $119.70 $266 1.1×
Xr bone survey infant (77076) $254.70 $566 2.3×
Xr bone survey limited (77074) $254.70 $566 2.3×
Xr chest 1 view (71045) $41.85 $93 0.5×
Xr chest 2 views (71046) $41.85 $93 0.5×
Xr chest 3 views (71047) $139.95 $311 1.5×
Xr cystogram 3+ views (74430) $256.05 $569 0.7×
Xr eye foreign body (70030) $64.35 $143 0.7×
Xr facial bones 3 views (70150) $41.85 $93 0.4×
Xr lower extremity 2 views infant (73592) $41.85 $93 0.5×
Xr mandible 4 views (70110) $129.15 $287 1.2×
Xr nasal bones (70160) $41.85 $93 0.5×
Xr pelvis 3 views (72190) $41.85 $93 0.4×
Xr spine 1 view (72020) $41.85 $93 0.5×
Xr sternum 2 views (71120) $41.85 $93 0.5×
Xray elbow 2 views (73070) $41.85 $93 0.5×
Xray forearm 2 views (73090) $41.85 $93 0.5×
Xray knee 1 or 2 views rt (73560) $41.85 $93 0.5×
Xray neck soft tissue (70360) $41.85 $93 0.5×
Xray orbits complete min 4 views (70200) $143.10 $318 1.3×
Xray pelvis 1 or 2 views (72170) $41.85 $93 0.4×
Xray ribs unilat w/ pa chest 3v rt (71101) $41.85 $93 0.4×
Xray scapula complete (73010) $41.85 $93 0.4×
Xray shoulder 1 view (73020) $41.85 $93 0.5×
Xray sinuses paranasal <3 views (70210) $131.40 $292 1.4×
Xray spine thoracic 2 views (72070) $41.85 $93 0.4×
Xray tibia-fibula 2 views bil (73590) $41.85 $93 0.5×
Xray tmj's bilateral open-clsc (70330) $106.20 $236 1.2×