Imaging prices at Effingham Health System
Springfield, GA · every code in this section with a posted price and a Medicare benchmark.
203 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) | $207.97 | $319.95 | 2.7× |
| Abdomen 2 views (74019) | $265.59 | $408.60 | 2.9× |
| Arthrogram ankle (73615) | $547.30 | $842 | 1.8× |
| Arthrogram hip (73525) | $632.60 | $973.23 | 2.0× |
| Arthrogram Wrist (73115) | $430.36 | $662.09 | 1.4× |
| Bone age studies (77072) | $179.86 | $276.70 | 1.9× |
| Bone survey infant (77076) | $391.95 | $603 | 4.2× |
| Chest 1 view (71045) | $462.15 | $711 | 6.0× |
| Chest 2 views (71046) | $549.75 | $845.77 | 7.1× |
| Chest 4 or more views (71048) | $440.34 | $677.44 | 4.7× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$336.40–$373.78 | $517.54–$575.05 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,553.18 | $2,389.50 | 16.7× |
| Contrast X-Ray Of Elbow (73085) | $547.30 | $842 | 1.8× |
| Contrast X-Ray Of Knee Joint (73580) | $262.70 | $404.16 | 0.8× |
| Contrast Xray Throat/Cerv Esopha (74210) | $269.10 | $414 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) | $3,145.68 | $4,839.50 | 10.1× |
| CT abdomen and pelvis without contrast (74176) | $2,967.25 | $4,565 | 14.0× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,705–$2,783.59 | $4,161.54–$4,282.44 | varies |
| CT abdomen w wo contrast (74170) | $3,118 | $4,796.93 | 20.0× |
| CT abdomen w/o contrast (74150) | $2,152.67 | $3,311.80 | 23.1× |
| CT Angio Abdomen and Pelvis (74174) | $4,679.68 | $7,199.50 | 15.1× |
| CT Angio Chest (71275) | $4,487.92 | $6,904.50 | 28.7× |
| CT Angio Head (70496) | $2,748.85 | $4,229 | 17.6× |
| CT angio hrt w/3d image (75574) | $4,608.50 | $7,090 | 14.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,220.32 | $1,877.41 | 7.8× |
| CT Angio Neck (70498) | $593.78 | $913.50 | 3.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,953.25 | $3,005 | 12.5× |
| CT cervical spine w/ contrast (72126) | $1,816.75 | $2,795 | 5.8× |
| CT cervical spine w/o contrast (72125) | $2,632.50 | $4,050 | 28.3× |
| CT cervical spine w/wo cont (72127) | $1,847.95 | $2,843 | 11.8× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,783.59–$2,912.98 | $4,282.44–$4,481.50 | varies |
| CT chest w/wo contrast (71270) | $2,402.46 | $3,696.10 | 15.4× |
| CT head/brain with contrast (70460) | $838.66 | $1,290.24 | 5.4× |
| CT head/brain without and with contrast (70470) | $2,655.65 | $4,085.62 | 17.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $715 | $1,100 | 9.2× |
| CT iac w contrast (70481) | $1,729.80 | $2,661.23 | 11.1× |
| CT l-spine w&w/o contrast (72133) | $1,088.10 | $1,674 | 7.0× |
| CT lower ext w/o (73700) | $1,708.84 | $2,628.98 | 18.4× |
| CT lower extremity w/contrast material (73701) | $1,977.98 | $3,043.04 | 12.7× |
| CT lumbar spine w contrast (72132) | $1,596.40 | $2,456 | 5.1× |
| CT lumbar spine w/o contrast (72131) | $1,949.35 | $2,999 | 20.9× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$898.30–$1,137.89 | $1,382–$1,750.60 | varies |
| CT maxillofacial wo contrast (70486) | $1,418.95 | $2,183 | 15.2× |
| CT neck tissue combo (70492) | $1,190.90 | $1,832.16 | 7.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,099.80 | $1,692 | 7.0× |
| CT orbits w/o contrast (70480) | $680.88 | $1,047.50 | 7.3× |
| CT pelvis w&w/o contrast (72194) | $1,994.85 | $3,069 | 12.8× |
| CT pelvis w/o contrast (72192) | $2,418.26 | $3,720.40 | 26.0× |
| CT scan of leg combo (73702) | $1,741.35 | $2,679 | 11.1× |
| CT scans face/jaw combo (70488) | $1,645.15 | $2,531 | 10.5× |
| CT soft tissue neck w contrast (70491) | $1,595.88 | $2,455.20 | 10.2× |
| CT soft tissue neck w/o contrast (70490) | $729.87 | $1,122.87 | 7.8× |
| CT thoracic spine w contrast (72129) | $1,599 | $2,460 | 10.2× |
| CT thoracic spine w/o contrast (72128) | $1,323.56 | $2,036.25 | 14.2× |
| CT thoracic spine w/wo cont (72130) | $1,761.50 | $2,710 | 11.3× |
| CT thorax w/o contrast (71250) | $1,844.05 | $2,837 | 19.8× |
| CT upper ext wo (73200) | $1,896.18 | $2,917.20 | 20.4× |
| CT upper extremity w/o & w/contrast material (73202) | $2,578.55 | $3,967 | 16.5× |
| CT upper extremity with contrast (73201) | $1,896.18 | $2,917.20 | 6.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,048.15 | $3,151 | 13.1× |
| Cta Abdomen (74175) | $2,216.80 | $3,410.46 | 14.2× |
| CTA pelvis (72191) | $2,475.43 | $3,808.35 | 15.8× |
| Esophagram (74220) | $1,030.91 | $1,586.01 | 6.6× |
| Fluoroscopy up to 1 hr (76000) | $979.58 | $1,507.05 | 4.6× |
| Foot 2 views (73620) | $389.02 | $598.50 | 5.0× |
| Forearm 2 views (73090) | $86.58 | $133.20 | 1.1× |
| Hand 2 views (73120) | $172.80 | $265.85 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $299 | $460 | 3.9× |
| Infant hip ultrasound, limited static exam (76886) | $122.85 | $189 | 1.6× |
| Infusion Ivp (74410) | $637.64 | $980.98 | 4.1× |
| Knee 3 Views (73562) | $667.22 | $1,026.50 | 8.6× |
| Magnetic Image Jaw Joint (70336) | $1,513.20 | $2,328 | 7.1× |
| Mra Head W/O & W/Contrast Material (70546) | $2,624.05 | $4,037 | 8.4× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,331.75–$1,479.72 | $2,048.85–$2,276.50 | varies |
| MRA head with contrast (70545) | $1,729.65 | $2,661 | 5.6× |
| MRA neck w contrast (70548) | $2,068.30 | $3,182 | 6.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,302.30 | $3,542 | 7.4× |
| MRA neck w/o contrast (70547) | $1,343.55 | $2,067 | 6.3× |
| MRI abdomen w contrast (74182) | $1,957.15 | $3,011 | 6.3× |
| MRI abdomen w/o contrast (74181) | $788.87 | $1,213.65 | 3.7× |
| MRI any jt lower extrem w/contrast material (73722) | $3,299.72 | $5,076.50 | 4.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,147.95 | $4,843 | 10.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,057.40 | $4,703.69 | 4.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,829.50 | $7,430 | 22.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,606.50 | $4,010 | 12.3× |
| MRI cervical spine w contrast (72142) | $2,269.80 | $3,492 | 7.3× |
| MRI cervical spine w/o cont (72141) | $3,042.28 | $4,680.43 | 14.3× |
| MRI chest w/o contrast (71550) | $1,738.75 | $2,675 | 8.2× |
| MRI chest with contrast (71551) | $1,972.10 | $3,034 | 2.8× |
| MRI chest wo w contrast (71552) | $2,541.50 | $3,910 | 8.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,709.50 | $2,630 | 5.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,818.39 | $5,874.44 | 12.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,612.30 | $4,018.93 | 12.3× |
| MRI lumbar spine w contrast (72149) | $2,401.18 | $3,694.13 | 7.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,852.50 | $2,850 | 6.0× |
| MRI orbit face &/neck w/o contrast (70540) | $826.80 | $1,272 | 3.9× |
| MRI orbit face neck w contrast (70542) | $1,944.80 | $2,992 | 6.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,725.75 | $2,655 | 5.6× |
| MRI pelvis w contrast (72196) | $1,957.15 | $3,011 | 6.3× |
| MRI pelvis w/o & w contrast (72197) | $1,714.05 | $2,637 | 5.5× |
| MRI pelvis w/o contrast (72195) | $2,684.44 | $4,129.90 | 12.6× |
| MRI thoracic spine w/o contrast (72146) | $3,333.52 | $5,128.50 | 15.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,977.95 | $3,043 | 6.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,709.50 | $2,630 | 8.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,938 | $4,520 | 9.5× |
| MRI, abdomen, combo (74183) | $5,150.05 | $7,923.15 | 16.6× |
| MRI, dorsal spine combo (72157) | $1,792.75 | $2,758.08 | 5.8× |
| MRI, dorsal spine contrast (72147) | $2,154.10 | $3,314 | 6.9× |
| MRI, joint upper extrem (73221) | $3,188.25 | $4,905 | 15.0× |
| MRI, joint upper extrem combo (73223) | $1,547 | $2,380 | 5.0× |
| MRI, lumbar spine combo (72158) | $1,724.58 | $2,653.20 | 5.6× |
| Myelogram Lumbar (72265) | $1,356.14 | $2,086.37 | 1.9× |
| Myelography thoracic (72255) | $942.50 | $1,450 | 1.4× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$6,352.52–$7,058.35 | $9,773.10–$10,859 | varies |
| Neck soft tissue (70360) | $214.70 | $330.30 | 2.8× |
| Nonvascular Shunt X-Ray (75809) | $353.60 | $544 | 3.8× |
| Optic foramina (70190) | $127.40 | $196 | 1.6× |
| Pelvis 1 or 2 views (72170) | $631.16 | $971.02 | 6.8× |
| PET image w/CT, full body (78816) | $5,880.02 | $9,046.18 | 4.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,708.72 | $14,936.50 | 7.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $115.24 | $177.30 | 1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $324.35 | $499 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $214.70 | $330.30 | 2.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $306.74 | $471.90 | 4.0× |
| Radex elbow complete minimum 3 views (73080) | $214.70 | $330.30 | 2.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $546.96 | $841.48 | 5.9× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$178.13–$197.92 | $274.05–$304.50 | varies |
| Radex foot complete minimum 3 views (73630) | $214.70 | $330.30 | 2.8× |
| Radex Hand Minimum 3 Views (73130) | $288.40 | $443.70 | 3.7× |
| Radex lower extremity infant minimum 2 views (73592) | $161.85 | $249 | 2.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $156.65 | $241 | 1.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $360.21 | $554.17 | 4.6× |
| Radex Ribs Unilateral 2 Views (71100) | $540.64 | $831.75 | 7.0× |
| Radex shoulder complete minimum 2 views (73030) | $674.05 | $1,037 | 8.7× |
| Radex Spine 1 View Specify Level (72020) | $218.40 | $336 | 2.8× |
| Radex Sternum Minimum 2 Views (71120) | $126.36 | $194.40 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $380.17 | $584.87 | 4.9× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$313.30–$469.95 | $482–$723 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $151.45 | $233 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $150.64 | $231.75 | 1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $192.82 | $296.64 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $477.36 | $734.40 | 3.1× |
| Radiologic exam colon single contrast study (74270) | $826.15 | $1,271 | 5.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $564.52 | $868.50 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $176.08 | $270.90 | 1.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $877.45 | $1,349.92 | 5.6× |
| Radiologic examination femur minimum 2 views (73552) | $531.38 | $817.50 | 6.9× |
| Radiologic examination knee 1/2 views (73560) | $465.66 | $716.40 | 6.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $624 | $960 | 6.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $203.58 | $313.20 | 2.6× |
| Ribs bilateral 3 views (71110) | $151.94 | $233.76 | 1.6× |
| Scapula (73010) | $369.52 | $568.50 | 4.0× |
| Sella turcica (70240) | $127.40 | $196 | 1.6× |
| Shoulder 1 view (73020) | $232.70 | $358 | 3.0× |
| Shoulder Arthrography (73040) | $904.62 | $1,391.72 | 2.9× |
| Skull less than 4 views (70250) | $423.62 | $651.72 | 4.6× |
| Sternoclavicular joints (71130) | $263.25 | $405 | 3.4× |
| Thoracic spine 2 views (72070) | $289.28 | $445.05 | 3.1× |
| Ultrasound Breast Limited (76642) | $861.90 | $1,326 | 11.1× |
| Ultrasound Exam Aaa Screen (76706) | $370.50 | $570 | 4.0× |
| Ultrasound, abdomen limited (76705) | $333.45 | $513 | 3.6× |
| Upper gi w/o kub (74240) | $1,059.82 | $1,630.50 | 6.8× |
| Urethrocystogram voiding (74455) | $455.65 | $701 | 2.1× |
| Us chest (76604) | $429.91 | $661.40 | 4.6× |
| Us complete joint (76881) | $744.54 | $1,145.45 | 8.0× |
| Us exam, pelvic, limited (76857) | $401.21 | $617.25 | 4.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $680.88 | $1,047.50 | 7.3× |
| Us ob limited 1 or more fetuses (76815) | $61.42 | $94.50 | 0.7× |
| Us ob transvaginal (76817) | $289.28 | $445.05 | 3.1× |
| Us pelvic non ob complete (76856) | $548.44 | $843.75 | 5.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $203.58 | $313.20 | 2.2× |
| Us retroperitoneal complete (76770) | $680.88 | $1,047.50 | 7.3× |
| Us retroperitoneal limited (76775) | $604.89 | $930.60 | 6.5× |
| Us scrotum and contents (76870) | $324.38 | $499.05 | 3.5× |
| Us spinal canal and contents (76800) | $295.75 | $455 | 3.2× |
| Us thyroid (76536) | $680.88 | $1,047.50 | 7.3× |
| Wrist 2 views (73100) | $295.51 | $454.63 | 3.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $169.42 | $260.64 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $287.22 | $441.87 | 3.7× |
| X-Ray Exam Breast Specimen (76098) | $32.50 | $50 | 0.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $227.56 | $350.10 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $154.44 | $237.60 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $562.77 | $865.80 | 7.3× |
| X-Ray Exam L-S Spine Bending (72114) | $703.03 | $1,081.59 | 7.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $172.58 | $265.50 | 2.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $551.28 | $848.13 | 5.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $231.58 | $356.28 | 2.5× |
| X-ray humerus (73060) | $606.12 | $932.50 | 7.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $143.65 | $221 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $142.21 | $218.79 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $482.14 | $741.75 | 5.2× |
| X-ray nose-rectum child f.b. (76010) | $141.05 | $217 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$172.90–$259.35 | $266–$399 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $411.38 | $632.89 | 4.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $298.84 | $459.75 | 3.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $502.35 | $772.85 | 6.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $600.68 | $924.13 | 6.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,119.95 | $1,723 | 3.6× |
| X-Rays Bone Length Studies (77073) | $269.56 | $414.70 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $299.52 | $460.80 | 3.2× |
| Xr c-spine 4 or 5 views (72050) | $770.58 | $1,185.50 | 8.3× |
| Xr facial bones less than 3 views (70140) | $81.12 | $124.80 | 1.0× |
| Xr orbits complete 4 views (70200) | $484.42 | $745.26 | 5.2× |
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.