Imaging prices at Dodge County Hospital
Eastman, GA · every code in this section with a posted price and a Medicare benchmark.
233 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) | — | $461.13 | — |
| Abdomen 2 views (74019) | — | $148.61 | — |
| Acute Gastrointestinal Blood Loss Imaging (78278) | — | $1,438.36 | — |
| Angiography extremity bilateral rs&i (75716) | — | $5,548.76 | — |
| Angiography extremity unilateral rs&i (75710) | — | $6,313.70 | — |
| Ankle 2 views (73600) range across 3 matching MRF lines |
— | $197.67–$397.34 | — |
| Bone age studies (77072) | — | $301.40 | — |
| Bone Imaging 3 Phase (78315) | — | $1,556.91 | — |
| Bone Imaging Limited Area (78300) | — | $1,006.84 | — |
| Bone Imaging Multiple Areas (78305) | — | $2,013.65 | — |
| Bone Imaging Whole Body (78306) | — | $1,510.24 | — |
| Bone survey infant (77076) | — | $499.07 | — |
| Chest 1 view (71045) | — | $110.36 | — |
| Chest 2 views (71046) range across 3 matching MRF lines |
— | $204.62–$564.94 | — |
| Chest 3 views (71047) | — | $306.92 | — |
| Cholecystography Oral Contrast (74290) | — | $316.19 | — |
| Clavicle complete (73000) range across 3 matching MRF lines |
— | $169.84–$339.67 | — |
| Contrast X-Ray Bladder (74430) | — | $770.06 | — |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
— | $5,190.88–$6,077.97 | — |
| CT abdomen and pelvis without contrast (74176) | — | $4,342.50 | — |
| CT abdomen w contrast (74160) | — | $2,693.11 | — |
| CT abdomen w wo contrast (74170) | — | $3,989.07 | — |
| CT abdomen w/o contrast (74150) | — | $2,100.25 | — |
| CT Angio Abdomen and Pelvis (74174) | — | $2,150.21 | — |
| CT Angio Chest (71275) | — | $1,286.14 | — |
| CT Angio Head (70496) | — | $2,207.72 | — |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | — | $1,904.11 | — |
| CT Angio Neck (70498) | — | $2,207.72 | — |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | — | $1,904.11 | — |
| CT cervical spine w/ contrast (72126) | — | $2,693.11 | — |
| CT cervical spine w/o contrast (72125) | — | $1,223.86 | — |
| CT cervical spine w/wo cont (72127) | — | $3,896.56 | — |
| CT chest w contrast (71260) | — | $3,907.59 | — |
| CT chest w/wo contrast (71270) | — | $4,234.82 | — |
| CT head/brain with contrast (70460) | — | $2,691.83 | — |
| CT head/brain without and with contrast (70470) | — | $4,334.87 | — |
| CT iac w contrast (70481) | — | $2,693.11 | — |
| CT l-spine w&w/o contrast (72133) | — | $4,348.78 | — |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
— | $2,100.25–$2,634.92 | — |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
— | $2,693.11–$3,596.42 | — |
| CT lumbar spine w contrast (72132) | — | $2,693.11 | — |
| CT lumbar spine w/o contrast (72131) | — | $1,223.86 | — |
| CT maxillofacial w contrast (70487) | — | $2,693.11 | — |
| CT maxillofacial wo contrast (70486) | — | $3,049.80 | — |
| CT neck tissue combo (70492) | — | $3,144.06 | — |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | — | $4,348.78 | — |
| CT orbits w/o contrast (70480) | — | $2,100.25 | — |
| CT pelvis w&w/o contrast (72194) | — | $4,348.78 | — |
| CT pelvis w/o contrast (72192) | — | $2,100.25 | — |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
— | $3,294.89–$4,198.08 | — |
| CT scans face/jaw combo (70488) | — | $4,348.78 | — |
| CT soft tissue neck w contrast (70491) | — | $2,693.11 | — |
| CT soft tissue neck w/o contrast (70490) | — | $2,100.25 | — |
| CT thoracic spine w contrast (72129) | — | $2,693.11 | — |
| CT thoracic spine w/o contrast (72128) | — | $2,100.25 | — |
| CT thoracic spine w/wo cont (72130) | — | $3,092.25 | — |
| CT thorax w/o contrast (71250) | — | $1,223.86 | — |
| CT upper ext wo (73200) range across 3 matching MRF lines |
— | $2,100.25–$3,538.11 | — |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
— | $2,624.71–$4,348.78 | — |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
— | $2,693.11–$4,198.08 | — |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | — | $1,904.11 | — |
| Cta Abdomen (74175) | — | $1,904.11 | — |
| CTA pelvis (72191) | — | $1,904.11 | — |
| Dxa Bone Density Axial (77080) | — | $653.45 | — |
| Fluoroscopy up to 1 hr (76000) | — | $314.71 | — |
| Follow-Up Angiography (75898) | — | $1,830.49 | — |
| Foot 2 views (73620) range across 3 matching MRF lines |
— | $110.36–$217.08 | — |
| Forearm 2 views (73090) range across 3 matching MRF lines |
— | $110.36–$321.70 | — |
| Gastric emptying imaging study (78264) | — | $1,124.20 | — |
| Hand 2 views (73120) range across 3 matching MRF lines |
— | $154.08–$301.40 | — |
| Hepatobil Syst Image W/Drug (78227) | — | $1,785.57 | — |
| Hepatobiliary System Imaging (78226) | — | $1,510.24 | — |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
— | $3,046.58–$4,093.10 | — |
| Hysterosalpingogram (74740) | — | $672.97 | — |
| Infusion Ivp (74410) | — | $604.28 | — |
| K Flow/Funct Image W/O Drug (78707) | — | $1,455.76 | — |
| Knee 3 Views (73562) range across 5 matching MRF lines |
— | $110.36–$169.54 | — |
| Liver & Spleen Imaging Static Only (78215) | — | $1,510.24 | — |
| Lung Ventilat&Perfus Imaging (78582) | — | $1,510.24 | — |
| Lung Ventilation Imaging (78579) | — | $1,321.01 | — |
| Meckels Divert Exam (78290) | — | $1,510.24 | — |
| Mra Head W/O & W/Contrast Material (70546) | — | $3,376.66 | — |
| MRA head w/o contrast (70544) | — | $2,584.31 | — |
| MRA head with contrast (70545) | — | $2,777.91 | — |
| MRA neck w contrast (70548) | — | $2,777.91 | — |
| Mra Neck W/O &W/Contrast Material (70549) | — | $3,376.66 | — |
| MRA neck w/o contrast (70547) | — | $2,584.31 | — |
| MRI abdomen w contrast (74182) | — | $3,323.35 | — |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
— | $2,831.24–$3,154.97 | — |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
— | $2,584.31–$4,424.38 | — |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
— | $2,811.83–$5,354.98 | — |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
— | $2,584.31–$5,028.65 | — |
| MRI cervical spine w contrast (72142) | — | $2,777.91 | — |
| MRI cervical spine w/o cont (72141) | — | $2,509.04 | — |
| MRI chest w/o contrast (71550) | — | $2,694.74 | — |
| MRI chest with contrast (71551) | — | $3,376.66 | — |
| MRI chest wo w contrast (71552) | — | $3,432.91 | — |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
— | $2,584.31–$4,424.38 | — |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
— | $2,811.83–$5,354.98 | — |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
— | $2,584.31–$3,720.98 | — |
| MRI lumbar spine w contrast (72149) | — | $2,897.89 | — |
| Mri Neck Spine W/O & W/Dye (72156) | — | $3,376.66 | — |
| MRI orbit face &/neck w/o contrast (70540) | — | $2,694.74 | — |
| MRI orbit face neck w contrast (70542) | — | $2,694.74 | — |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | — | $3,376.66 | — |
| MRI pelvis w contrast (72196) | — | $2,811.83 | — |
| MRI pelvis w/o & w contrast (72197) | — | $3,323.35 | — |
| MRI pelvis w/o contrast (72195) | — | $2,584.31 | — |
| MRI thoracic spine w/o contrast (72146) | — | $2,694.74 | — |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
— | $2,584.31–$4,269.32 | — |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
— | $2,584.31–$3,565.93 | — |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
— | $2,811.83–$5,403.09 | — |
| MRI, abdomen, combo (74183) | — | $3,920.66 | — |
| MRI, dorsal spine combo (72157) | — | $3,494.05 | — |
| MRI, dorsal spine contrast (72147) | — | $2,982.82 | — |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
— | $2,131.91–$4,263.51 | — |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
— | $2,811.83–$5,510.03 | — |
| MRI, lumbar spine combo (72158) | — | $3,376.66 | — |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | — | $4,314.53 | — |
| Myocardial Spect Multiple Studies (78452) | — | $7,792.24 | — |
| Neck soft tissue (70360) | — | $169.84 | — |
| Parathyroid Planar Imaging (78070) | — | $1,510.24 | — |
| Pelvis 1 or 2 views (72170) | — | $301.40 | — |
| Pulmonary Perfusion Imaging Particulate (78580) | — | $1,321.01 | — |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | — | $163.91 | — |
| Radex abscess/fistula/sinus tract rs&i (76080) | — | $1,203.62 | — |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
— | $397.34–$449.11 | — |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
— | $169.84–$397.34 | — |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
— | $110.36–$319.96 | — |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
— | $341.13–$345.46 | — |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
— | $197.67–$300.54 | — |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
— | $397.34–$449.11 | — |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
— | $321.70–$449.11 | — |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
— | $145.99–$197.67 | — |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | — | $344.60 | — |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | — | $306.92 | — |
| Radex Ribs Unilateral 2 Views (71100) | — | $284.02 | — |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
— | $110.36–$440.82 | — |
| Radex Sinuses Paransl < 3 Views (70210) | — | $255.91 | — |
| Radex Spine 1 View Specify Level (72020) | — | $169.84 | — |
| Radex Sternum Minimum 2 Views (71120) | — | $230.12 | — |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | — | $379.08 | — |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
— | $169.54–$239.98 | — |
| Radex upper extremity infant minimum 2 views (73092) | — | $301.40 | — |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
— | $110.36–$321.70 | — |
| Radiolog exam mandible compl minimum 4 views (70110) | — | $344.60 | — |
| Radiologic exam colon double contrast study (74280) | — | $620.21 | — |
| Radiologic exam colon single contrast study (74270) | — | $511.52 | — |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
— | $369.34–$438.20 | — |
| Radiologic exam pelvis compl minimum 3 views (72190) | — | $308.07 | — |
| Radiologic Exam Small Int Single Contrast Study (74250) | — | $383.72 | — |
| Radiologic exam swallow function contrast study (74230) | — | $341.13 | — |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
— | $481.09–$631.81 | — |
| Radiologic examination femur 1 view (73551) | — | $183.75 | — |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
— | $115.83–$439.66 | — |
| Radiologic examination knee 1/2 views (73560) | — | $397.34 | — |
| Radiologic Examination Osseous Survey Limited (77074) | — | $597.02 | — |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
— | $110.36–$359.95 | — |
| Ribs bilateral 3 views (71110) | — | $425.45 | — |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | — | $3,046.58 | — |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | — | $3,046.58 | — |
| Scapula (73010) range across 3 matching MRF lines |
— | $204.62–$399.95 | — |
| Screening Digital Breast Tomosynthesis Bi (77063) | — | $46.35 | — |
| Sella turcica (70240) | — | $257.37 | — |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
— | $197.67–$240.26 | — |
| Skull less than 4 views (70250) | — | $308.66 | — |
| Sternoclavicular joints (71130) | — | $306.92 | — |
| Testicular Imaging W/Flow (78761) | — | $890.61 | — |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | — | $479.94 | — |
| Thoracic spine 2 views (72070) | — | $148.61 | — |
| Thoracic spine 3 views (72072) | — | $148.61 | — |
| Thoracolumbar 2 views (72080) | — | $341.13 | — |
| Thyroid Imaging With Vascular Flow (78013) | — | $890.61 | — |
| Thyroid Uptake Measurement (78012) | — | $890.61 | — |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | — | $1,247.09 | — |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
— | $196.69–$336.49 | — |
| Ultrasound Exam Aaa Screen (76706) | — | $597.02 | — |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
— | $300.50–$597.02 | — |
| Unlisted Dx Radiographic Procedure (76499) | — | $161.14 | — |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
— | $461.40–$604.28 | — |
| Urethrocystogram voiding (74455) | — | $770.06 | — |
| Urethrocystography retrograde (74450) | — | $768.60 | — |
| Us breast unilateral complete (76641) | — | $336.49 | — |
| Us chest (76604) | — | $336.49 | — |
| Us complete joint (76881) | — | $479.07 | — |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | — | $327.79 | — |
| Us ob detailed single fetus (76811) | — | $752.95 | — |
| Us ob limited 1 or more fetuses (76815) | — | $451.25 | — |
| Us ob transvaginal (76817) | — | $753.54 | — |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
— | $177.03–$441.97 | — |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | — | $597.89 | — |
| Us retroperitoneal complete (76770) | — | $597.02 | — |
| Us retroperitoneal limited (76775) | — | $1,150.64 | — |
| Us scrotum and contents (76870) | — | $823.38 | — |
| Us thyroid (76536) range across 2 matching MRF lines |
— | $364.97–$607.76 | — |
| Vein X-Ray Chest (75827) | — | $1,830.49 | — |
| Venogram Sinus/Jugular (75860) | — | $6,313.70 | — |
| Venography caval inferior serialography rs&i (75825) | — | $6,313.70 | — |
| Venography extremity bilateral rs&i (75822) | — | $3,403.34 | — |
| Venography extremity unilateral rs&i (75820) | — | $2,344.04 | — |
| Wrist 2 views (73100) range across 3 matching MRF lines |
— | $110.36–$217.08 | — |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | — | $170.41 | — |
| X-Ray Bend Only L-S Spine (72120) | — | $341.99 | — |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
— | $197.67–$217.08 | — |
| X-Ray Exam Entire Spi 1 Vw (72081) | — | $310.11 | — |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | — | $148.61 | — |
| X-Ray Exam Hip Uni 1 View (73501) | — | $169.54 | — |
| X-Ray Exam Hip Uni 2-3 Views (73502) | — | $156.26 | — |
| X-Ray Exam Hips Bi 2 Views (73521) | — | $307.05 | — |
| X-Ray Exam Hips Bi 3-4 Views (73522) | — | $383.55 | — |
| X-Ray Exam L-S Spine Bending (72114) | — | $412.12 | — |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | — | $770.37 | — |
| X-Ray Exam Neck Spine 6/>Vws (72052) | — | $511.52 | — |
| X-Ray Exam Unilat Ribs/Chest (71101) | — | $375.30 | — |
| X-ray eye for foreign body (70030) | — | $255.91 | — |
| X-ray humerus (73060) range across 3 matching MRF lines |
— | $110.36–$359.95 | — |
| X-ray IV pyelogram (ivp) (74400) | — | $770.06 | — |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | — | $196.22 | — |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | — | $397.34 | — |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | — | $841.40 | — |
| X-ray nose-rectum child f.b. (76010) | — | $248.37 | — |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | — | $448.35 | — |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | — | $335.03 | — |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | — | $306.92 | — |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | — | $175.92 | — |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | — | $345.46 | — |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | — | $1,203.62 | — |
| X-Rays Bone Length Studies (77073) | — | $1,844.86 | — |
| X-Rays Bone Survey Complete (77075) | — | $921.06 | — |
| Xr c-spine 4 or 5 views (72050) | — | $217.45 | — |
| Xr facial bones less than 3 views (70140) | — | $257.07 | — |
| XR Mastoids < 3 Views Bilateral (70120) | — | $301.40 | — |
| Xr orbits complete 4 views (70200) | — | $344.60 | — |
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.