Imaging prices at Dorminy Medical Center
Fitzgerald, GA · every code in this section with a posted price and a Medicare benchmark.
213 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) | $160.50 | $321 | 2.1× |
| Abdomen 2 views (74019) | $153.13 | $306.25 | 1.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $499.63 | $999.25 | 1.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$14.25–$160.50 | $28.50–$321 | varies |
| Bone age studies (77072) | $119.13 | $238.25 | 1.3× |
| Bone Imaging 3 Phase (78315) | $614.88 | $1,229.75 | 1.8× |
| Bone Imaging Multiple Areas (78305) | $775.50 | $1,551 | 2.2× |
| Bone Imaging Whole Body (78306) | $812.88 | $1,625.75 | 2.3× |
| Cat Scan Follow-Up Study (76380) | $269.13 | $538.25 | 3.5× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$113.25–$160.50 | $226.50–$321 | varies |
| Chest 2 views (71046) | $147.08 | $294.15 | 1.9× |
| Chest 3 views (71047) | $167.88 | $335.75 | 2.2× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$14–$172.50 | $28–$345 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $111.50 | $223 | 1.2× |
| Contrast X-Ray Bladder (74430) | $268.13 | $536.25 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) | $1,585.49 | $3,170.97 | 5.2× |
| CT abdomen and pelvis without contrast (74176) | $832.45 | $1,664.90 | 4.0× |
| CT abdomen w contrast (74160) | $969.34 | $1,938.68 | 6.3× |
| CT abdomen w wo contrast (74170) | $994.84 | $1,989.68 | 6.5× |
| CT abdomen w/o contrast (74150) | $551.50 | $1,103 | 6.0× |
| CT Angio Abdomen and Pelvis (74174) | $2,480 | $4,960 | 8.1× |
| CT Angio Chest (71275) | $1,077.89 | $2,155.77 | 7.0× |
| CT Angio Head (70496) | $938.50 | $1,877 | 6.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $961.50 | $1,923 | 6.3× |
| CT Angio Neck (70498) | $938.50 | $1,877 | 6.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $845.25 | $1,690.50 | 5.5× |
| CT cervical spine w/ contrast (72126) | $804.63 | $1,609.25 | 2.6× |
| CT cervical spine w/o contrast (72125) | $592.72 | $1,185.44 | 6.5× |
| CT cervical spine w/wo cont (72127) | $919.88 | $1,839.75 | 6.0× |
| CT chest w contrast (71260) | $760.39 | $1,520.77 | 4.9× |
| CT chest w/wo contrast (71270) | $798 | $1,596 | 5.2× |
| CT head/brain with contrast (70460) | $597 | $1,194 | 3.9× |
| CT head/brain without and with contrast (70470) | $795.69 | $1,591.37 | 5.2× |
| CT iac w contrast (70481) | $804.63 | $1,609.25 | 5.2× |
| CT l-spine w&w/o contrast (72133) | $2,125 | $4,250 | 13.8× |
| CT lower ext w/o (73700) | $589.78 | $1,179.55 | 6.4× |
| CT lower extremity w/contrast material (73701) | $672 | $1,344 | 4.4× |
| CT lumbar spine w/o contrast (72131) | $589.78 | $1,179.55 | 6.4× |
| CT maxillofacial w contrast (70487) | $612.50 | $1,225 | 4.0× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$514–$582.42 | $1,028–$1,164.84 | varies |
| CT neck tissue combo (70492) | $898 | $1,796 | 5.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $919.88 | $1,839.75 | 6.0× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$691.75–$914.75 | $1,383.50–$1,829.50 | varies |
| CT pelvis w&w/o contrast (72194) | $1,322.13 | $2,644.25 | 8.6× |
| CT pelvis w/o contrast (72192) | $605.96 | $1,211.91 | 6.6× |
| CT scan of leg combo (73702) | $1,322.13 | $2,644.25 | 8.6× |
| CT scans face/jaw combo (70488) | $919.88 | $1,839.75 | 6.0× |
| CT soft tissue neck w contrast (70491) | $746 | $1,492 | 4.9× |
| CT soft tissue neck w/o contrast (70490) | $604.50 | $1,209 | 6.6× |
| CT thoracic spine w/o contrast (72128) | $591.25 | $1,182.49 | 6.5× |
| CT thorax w/o contrast (71250) | $604.49 | $1,208.97 | 6.6× |
| CT upper ext wo (73200) | $560.50 | $1,121 | 6.1× |
| CT upper extremity w/o & w/contrast material (73202) | $1,322.13 | $2,644.25 | 8.6× |
| CT upper extremity with contrast (73201) | $816.50 | $1,633 | 2.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,187.37 | $2,374.73 | 7.7× |
| Cta Abdomen (74175) | $1,076.74 | $2,153.48 | 7.0× |
| Dxa Bone Density Axial (77080) | $364.38 | $728.75 | 4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $65.75 | $131.50 | 0.9× |
| Esophagram (74220) range across 2 matching MRF lines |
$153.88–$250 | $307.75–$500 | varies |
| Fetal Biophys Profile W/Nst (76818) | $457.50 | $915 | 5.0× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$311.38–$458.13 | $622.75–$916.25 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$14–$167.88 | $28–$335.75 | varies |
| Forearm 2 views (73090) range across 8 matching MRF lines |
$13.50–$112.38 | $27–$224.75 | varies |
| Gastric emptying imaging study (78264) | $653.38 | $1,306.75 | 1.9× |
| Gated Heart Planar Single (78472) | $864.13 | $1,728.25 | 2.5× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$13.75–$144 | $27.50–$288 | varies |
| Hepatobil Syst Image W/Drug (78227) | $939 | $1,878 | 2.0× |
| Hepatobiliary System Imaging (78226) | $609.88 | $1,219.75 | 1.7× |
| Ht Muscle Image Spect Sing (78451) | $1,117.63 | $2,235.25 | 1.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $192.25 | $384.50 | 2.5× |
| Infusion Ivp (74410) | $230.88 | $461.75 | 1.5× |
| K Flow/Funct Image W/Drug (78708) | $614.88 | $1,229.75 | 1.3× |
| K Flow/Funct Image W/O Drug (78707) | $576.38 | $1,152.75 | 1.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $346 | $692 | 1.0× |
| Knee 3 Views (73562) | $159.25 | $318.50 | 2.1× |
| Liver & Spleen Imaging Static Only (78215) | $422.75 | $845.50 | 1.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,117.63 | $2,235.25 | 2.3× |
| Lymph System Imaging (78195) | $499.63 | $999.25 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $1,375.88 | $2,751.75 | 6.6× |
| Mammary ductogram or galactogram single (77053) | $96.38 | $192.75 | 0.5× |
| Meckels Divert Exam (78290) | $384.25 | $768.50 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,536.75 | $3,073.50 | 5.0× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$876–$992.77 | $1,752–$1,985.53 | varies |
| MRA head with contrast (70545) | $1,459.88 | $2,919.75 | 4.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,536.75 | $3,073.50 | 5.0× |
| MRA neck w/o contrast (70547) | $878.50 | $1,757 | 4.2× |
| MRI abdomen w/o contrast (74181) | $904.52 | $1,809.04 | 4.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,596 | $3,192 | 5.2× |
| MRI bone marrow blood supply (77084) | $1,459.88 | $2,919.75 | 7.0× |
| MRI cervical spine w contrast (72142) | $1,536.75 | $3,073.50 | 5.0× |
| MRI cervical spine w/o cont (72141) | $880.99 | $1,761.97 | 4.2× |
| MRI chest w/o contrast (71550) | $1,459.88 | $2,919.75 | 7.0× |
| MRI chest wo w contrast (71552) | $1,536.75 | $3,073.50 | 5.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,459.88 | $2,919.75 | 4.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,386 | $2,772 | 4.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,036.89 | $2,073.78 | 5.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,307 | $2,614 | 4.3× |
| MRI orbit face &/neck w/o contrast (70540) | $926.50 | $1,853 | 4.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,388.50 | $2,777 | 4.5× |
| MRI pelvis w/o & w contrast (72197) | $1,386 | $2,772 | 4.5× |
| MRI pelvis w/o contrast (72195) | $942 | $1,884 | 4.5× |
| MRI thoracic spine w/o contrast (72146) | $776 | $1,552 | 3.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,459.88 | $2,919.75 | 4.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,051.50 | $2,103 | 5.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,536.75 | $3,073.50 | 5.0× |
| MRI, abdomen, combo (74183) | $1,573.72 | $3,147.43 | 5.1× |
| MRI, dorsal spine combo (72157) | $1,308 | $2,616 | 4.3× |
| MRI, joint upper extrem (73221) | $932.47 | $1,864.93 | 4.5× |
| MRI, joint upper extrem combo (73223) | $1,601.50 | $3,203 | 5.2× |
| MRI, lumbar spine combo (72158) | $1,303 | $2,606 | 4.3× |
| Myelogram cervical (72240) | $691.75 | $1,383.50 | 1.0× |
| Myelogram Lumbar (72265) | $672.63 | $1,345.25 | 1.0× |
| Myelography thoracic (72255) | $672.63 | $1,345.25 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $691.75 | $1,383.50 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $2,332.50 | $4,665 | 2.1× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$14–$172.50 | $28–$345 | varies |
| Parathyroid Planar Imaging (78070) | $558.88 | $1,117.75 | 1.6× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$15.50–$143.75 | $31–$287.50 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $422.75 | $845.50 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$15.50–$311.38 | $31–$622.75 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $115.63 | $231.25 | 0.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 8 matching MRF lines |
$15.50–$172.50 | $31–$345 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $144 | $288 | 1.9× |
| Radex elbow complete minimum 3 views (73080) range across 8 matching MRF lines |
$14–$102.38 | $28–$204.75 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $229.25 | $458.50 | 2.5× |
| Radex foot complete minimum 3 views (73630) range across 8 matching MRF lines |
$14–$152.63 | $28–$305.25 | varies |
| Radex Hand Minimum 3 Views (73130) range across 8 matching MRF lines |
$12.88–$138.25 | $25.75–$276.50 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $96.38 | $192.75 | 1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$16–$191.75 | $32–$383.50 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$16–$77.25 | $32–$154.50 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$15–$159.50 | $30–$319 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $69.50 | $139 | 0.9× |
| Radex Spine 1 View Specify Level (72020) | $96.38 | $192.75 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $144.88 | $289.75 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $93.38 | $186.75 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$14–$133.75 | $28–$267.50 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$14–$163 | $28–$326 | varies |
| Radiologic exam colon double contrast study (74280) | $389 | $778 | 2.5× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$307.63–$383.25 | $615.25–$766.50 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$15.50–$180.50 | $31–$361 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $115.63 | $231.25 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $221 | $442 | 1.4× |
| Radiologic exam swallow function contrast study (74230) | $229.25 | $458.50 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$405.50–$468.63 | $811–$937.25 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$100.25–$115.63 | $200.50–$231.25 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$111.38–$126.75 | $222.75–$253.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$15.50–$172.50 | $31–$345 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $225.50 | $451 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 8 matching MRF lines |
$13.50–$138.38 | $27–$276.75 | varies |
| Ribs bilateral 3 views (71110) | $289.75 | $579.50 | 3.2× |
| Scapula (73010) range across 2 matching MRF lines |
$96.38–$144 | $192.75–$288 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $75 | $150 | 3.2× |
| Shoulder 1 view (73020) | $115.25 | $230.50 | 1.5× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$18.13–$217.38 | $36.25–$434.75 | varies |
| Sternoclavicular joints (71130) | $77.13 | $154.25 | 1.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $219.50 | $439 | 1.4× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$16.50–$208.38 | $33–$416.75 | varies |
| Thoracic spine 3 views (72072) | $208.38 | $416.75 | 2.3× |
| Thoracolumbar 2 views (72080) | $82.88 | $165.75 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $689.50 | $1,379 | 2.0× |
| Ultrasound Breast Limited (76642) | $172.50 | $345 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) | $330.50 | $661 | 3.6× |
| Ultrasound, abdomen limited (76705) | $344.88 | $689.75 | 3.8× |
| Unlisted Dx Radiographic Procedure (76499) | $117.88 | $235.75 | 1.5× |
| Upper gi w/o kub (74240) | $300 | $600 | 2.0× |
| Urethrocystogram voiding (74455) | $334.25 | $668.50 | 1.6× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$153.88–$250.75 | $307.75–$501.50 | varies |
| Us breast unilateral complete (76641) | $344.88 | $689.75 | 3.8× |
| Us chest (76604) | $230.88 | $461.75 | 2.5× |
| Us complete joint (76881) | $276.38 | $552.75 | 3.0× |
| Us exam, pelvic, limited (76857) | $194.63 | $389.25 | 2.1× |
| Us ob limited 1 or more fetuses (76815) | $243.13 | $486.25 | 2.7× |
| Us ob transvaginal (76817) | $330.50 | $661 | 3.6× |
| Us pelvic non ob complete (76856) | $371.75 | $743.50 | 4.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $230.88 | $461.75 | 2.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $153.88 | $307.75 | 1.7× |
| Us retroperitoneal complete (76770) | $340.50 | $681 | 3.7× |
| Us scrotum and contents (76870) | $373.75 | $747.50 | 4.1× |
| Us thyroid (76536) | $331.88 | $663.75 | 3.6× |
| Us transrectal (76872) | $250 | $500 | 2.7× |
| Venography extremity bilateral rs&i (75822) | $365.25 | $730.50 | 0.3× |
| Venography extremity unilateral rs&i (75820) | $307.63 | $615.25 | 0.2× |
| Vertebral fracture assessment via dxa (77086) | $57.88 | $115.75 | 0.8× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$15.50–$182.38 | $31–$364.75 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $189.50 | $379 | 2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$14–$144 | $28–$288 | varies |
| X-Ray Exam Breast Specimen (76098) | $271.75 | $543.50 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $90.13 | $180.25 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$149.38–$216.63 | $298.75–$433.25 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $293.63 | $587.25 | 3.2× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$72.25–$117.13 | $144.50–$234.25 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $127.25 | $254.50 | 1.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $133.88 | $267.75 | 1.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $239.50 | $479 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $265.25 | $530.50 | 2.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$19.63–$312.50 | $39.25–$625 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $287.75 | $575.50 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $102 | $204 | 1.1× |
| X-ray humerus (73060) range across 8 matching MRF lines |
$13.50–$122.25 | $27–$244.50 | varies |
| X-ray IV pyelogram (ivp) (74400) | $434.63 | $869.25 | 2.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $79.50 | $159 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$18.13–$191.75 | $36.25–$383.50 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $180.25 | $360.50 | 2.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $216.63 | $433.25 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$14–$191.75 | $28–$383.50 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$19.13–$261.75 | $38.25–$523.50 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $15.50 | $31 | 0.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $230.88 | $461.75 | 0.8× |
| X-Rays Bone Length Studies (77073) | $88 | $176 | 1.0× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$225.50–$358.13 | $451–$716.25 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$18.13–$325 | $36.25–$650 | varies |
| Xr facial bones less than 3 views (70140) | $77.13 | $154.25 | 1.0× |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$14–$166.13 | $28–$332.25 | varies |
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.