Imaging prices at Emory Hospital Perry

Perry, GA · every code in this section with a posted price and a Medicare benchmark.

293 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $445 $445 5.8×
Abdomen 2 views (74019) $572 $572 6.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,577 $1,577 4.5×
Angio pulmonary bilat (75743) $10,857 $10,857 3.9×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $10,857 $10,857 3.9×
Angiography extremity bilateral rs&i (75716) $10,857 $10,857 3.9×
Angiography extremity unilateral rs&i (75710) $10,857 $10,857 3.9×
Angiography pulmonary unilateral slctv rs&i (75741) $10,857 $10,857 3.9×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $10,857 $10,857 3.9×
Ankle 2 views (73600) $440 $440 5.7×
Aortography thoracic serialography rs&i (75605) $18,732 $18,732 3.8×
Artery X-Rays Abdomen (75726) $18,732 $18,732 3.8×
Artery X-Rays Adrenal Gland (75731) $10,857 $10,857 3.9×
Artery X-Rays Pelvis (75736) $18,732 $18,732 3.8×
Artery X-Rays Spine (75705) $18,732 $18,732 3.8×
Arthrogram ankle (73615) $1,915 $1,915 6.2×
Arthrogram hip (73525) $1,377 $1,377 4.5×
Arthrogram Wrist (73115) $1,915 $1,915 6.2×
Bone age studies (77072) $566 $566 6.1×
Bone Imaging 3 Phase (78315) $1,577 $1,577 4.5×
Bone Imaging Limited Area (78300) $1,577 $1,577 4.5×
Bone Imaging Multiple Areas (78305) $1,577 $1,577 4.5×
Bone Imaging Whole Body (78306) $1,577 $1,577 4.5×
Bone survey infant (77076) $566 $566 6.1×
Brain Image W/Flow < 4 Views (78601) $1,577 $1,577 4.5×
Brain Imaging Pet Metabolic Evaluation (78608) $7,795 $7,795 6.2×
Cardiac MRI w/w/o contrast & further seq (75561) $2,003 $2,003 6.5×
Cat Scan Follow-Up Study (76380) $1,275 $1,275 16.6×
Cerebrospinal Fluid Scan (78630) $2,047 $2,047 4.3×
Chest 1 view (71045) $317 $317 4.1×
Chest 2 views (71046) $317 $317 4.1×
Chest 3 views (71047) $317 $317 4.1×
Clavicle complete (73000) $440 $440 5.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $600 $600 6.5×
Contrast Exam Abdominl Aorta (75625) $10,857 $10,857 3.9×
Contrast X-Ray Bladder (74430) $1,937 $1,937 6.3×
Contrast X-Ray Of Elbow (73085) $1,377 $1,377 4.5×
Contrast X-Ray Of Knee Joint (73580) $1,915 $1,915 6.2×
CT abdomen and pelvis without and with contrast (74178) $2,272 $2,272 7.4×
CT abdomen and pelvis without contrast (74176) $1,418 $1,418 6.7×
CT abdomen w contrast (74160) $1,275 $1,275 8.2×
CT abdomen w wo contrast (74170) $1,275 $1,275 8.2×
CT abdomen w/o contrast (74150) $1,275 $1,275 13.8×
CT Angio Abdomen and Pelvis (74174) $3,150 $3,150 10.2×
CT Angio Chest (71275) $3,150 $3,150 20.3×
CT Angio Head (70496) $2,859 $2,859 18.5×
CT angio hrt w/3d image (75574) $1,275 $1,275 4.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,150 $3,150 20.3×
CT Angio Neck (70498) $2,859 $2,859 18.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $3,150 $3,150 20.3×
CT cervical spine w/ contrast (72126) $2,062 $2,062 6.7×
CT cervical spine w/o contrast (72125) $1,157 $1,157 12.5×
CT cervical spine w/wo cont (72127) $2,062 $2,062 13.3×
CT chest w contrast (71260) $1,275 $1,275 8.2×
CT chest w/wo contrast (71270) $1,275 $1,275 8.2×
CT head/brain with contrast (70460) $1,157 $1,157 7.5×
CT head/brain without and with contrast (70470) $1,157 $1,157 7.5×
CT heart contrast eval cardiac structure&morph (75572) $1,275 $1,275 4.1×
CT heart no contrast quant eval coronry calcium (75571) $224 $224 2.9×
CT hrt w/3d image congen (75573) $1,275 $1,275 4.1×
CT iac w contrast (70481) $1,157 $1,157 7.5×
CT l-spine w&w/o contrast (72133) $2,272 $2,272 14.7×
CT lower ext w/o (73700) $1,275 $1,275 13.8×
CT lower extremity w/contrast material (73701) $1,275 $1,275 8.2×
CT lumbar spine w contrast (72132) $2,272 $2,272 7.4×
CT lumbar spine w/o contrast (72131) $1,275 $1,275 13.8×
CT maxillofacial w contrast (70487) $1,157 $1,157 7.5×
CT maxillofacial wo contrast (70486) $1,157 $1,157 12.5×
CT neck tissue combo (70492) $1,157 $1,157 7.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,157 $1,157 7.5×
CT orbits w/o contrast (70480) $1,157 $1,157 12.5×
CT pelvis w&w/o contrast (72194) $1,275 $1,275 8.2×
CT pelvis w/o contrast (72192) $1,275 $1,275 13.8×
CT scan of leg combo (73702) $1,275 $1,275 8.2×
CT scans face/jaw combo (70488) $1,157 $1,157 7.5×
CT soft tissue neck w contrast (70491) $1,157 $1,157 7.5×
CT soft tissue neck w/o contrast (70490) $1,157 $1,157 12.5×
CT thoracic spine w contrast (72129) $2,272 $2,272 14.7×
CT thoracic spine w/o contrast (72128) $1,275 $1,275 13.8×
CT thoracic spine w/wo cont (72130) $2,272 $2,272 14.7×
CT thorax w/o contrast (71250) $1,275 $1,275 13.8×
CT upper ext wo (73200) $1,275 $1,275 13.8×
CT upper extremity w/o & w/contrast material (73202) $2,272 $2,272 14.7×
CT upper extremity with contrast (73201) $2,272 $2,272 7.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,150 $3,150 20.3×
Cta Abdomen (74175) $3,150 $3,150 20.3×
CTA pelvis (72191) $3,150 $3,150 20.3×
Dilation ureters/urethra rs&i (74485) $9,508 $9,508 5.2×
Diskography lumbar (72295) $9,120 $9,120 5.3×
Dxa Bone Density Axial (77080) $542 $542 5.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $440 $440 5.7×
Echo exam uterus (76831) $1,277 $1,277 6.1×
Echo Guide For Artery Repair (76936) $1,021 $1,021 5.4×
Esophagram (74220) $938 $938 6.1×
Fetal Biophys Profile W/Nst (76818) $606 $606 6.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $606 $606 6.6×
Fluoroscopy up to 1 hr (76000)
range across 3 matching MRF lines		 $851–$859 $851–$859 varies
Follow-Up Angiography (75898) $10,857 $10,857 3.9×
Foot 2 views (73620) $440 $440 5.7×
Forearm 2 views (73090) $440 $440 5.7×
Gastric emptying imaging study (78264) $1,577 $1,577 4.5×
Gastric Mucosa Imaging (78261) $1,577 $1,577 4.5×
Gastroesophageal Reflux Exam (78262) $1,577 $1,577 4.5×
Gated Heart Planar Single (78472) $1,577 $1,577 4.5×
Hand 2 views (73120) $566 $566 6.1×
Hepatobil Syst Image W/Drug (78227) $2,047 $2,047 4.3×
Hepatobiliary System Imaging (78226) $1,577 $1,577 4.5×
Ht Muscle Image Spect Sing (78451) $5,387 $5,387 4.7×
Hysterosalpingogram (74740) $1,208 $1,208 5.7×
Infant hip ultrasound with hip movement (dynamic) (76885) $475 $475 6.2×
Interstitial radiation source applic complex (77778) $3,975 $3,975 6.5×
K Flow/Funct Image Multiple (78709) $2,047 $2,047 4.3×
K Flow/Funct Image W/O Drug (78707) $2,047 $2,047 4.3×
Knee 3 Views (73562) $440 $440 5.7×
Liver & Spleen Imaging Static Only (78215) $1,577 $1,577 4.5×
Lung perfusion differential (78597) $1,577 $1,577 4.5×
Lung Ventilat&Perfus Imaging (78582) $2,047 $2,047 4.3×
Lung Ventilation Imaging (78579) $1,577 $1,577 4.5×
Lymph System Imaging (78195) $2,047 $2,047 4.3×
Magnetic Image Jaw Joint (70336) $1,500 $1,500 7.1×
Mammary ductogram or galactogram single (77053) $851 $851 4.0×
Meckels Divert Exam (78290) $1,577 $1,577 4.5×
Mra Head W/O & W/Contrast Material (70546) $2,122 $2,122 6.9×
MRA head w/o contrast (70544)
range across 4 matching MRF lines		 $1,500–$1,948 $1,500–$1,948 varies
MRA head with contrast (70545) $2,122 $2,122 6.9×
MRA neck w contrast (70548) $2,122 $2,122 6.9×
Mra Neck W/O &W/Contrast Material (70549) $2,122 $2,122 6.9×
MRA neck w/o contrast (70547) $1,500 $1,500 7.1×
MRI abdomen w contrast (74182) $2,122 $2,122 6.9×
MRI abdomen w/o contrast (74181) $1,500 $1,500 7.1×
MRI any jt lower extrem w/contrast material (73722) $4,050 $4,050 5.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,806 $3,806 12.4×
MRI any jt upper extremity w/contrast matrl (73222) $4,050 $4,050 5.9×
MRI Breast W/O Contrast Bilateral (77047) $2,250 $2,250 10.7×
MRI Breast Without Contrast Material Unilateral (77046) $1,500 $1,500 7.1×
MRI cardiac w/o contrast (75557) $1,276 $1,276 6.1×
MRI cervical spine w contrast (72142) $2,122 $2,122 6.9×
MRI cervical spine w/o cont (72141) $1,500 $1,500 7.1×
MRI chest w/o contrast (71550) $1,500 $1,500 7.1×
MRI chest with contrast (71551) $4,050 $4,050 5.9×
MRI chest wo w contrast (71552) $3,806 $3,806 12.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,122 $2,122 6.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,122 $2,122 6.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,500 $1,500 7.1×
MRI lumbar spine w contrast (72149) $2,122 $2,122 6.9×
Mri Neck Spine W/O & W/Dye (72156) $2,122 $2,122 6.9×
MRI orbit face &/neck w/o contrast (70540) $1,500 $1,500 7.1×
MRI orbit face neck w contrast (70542) $2,122 $2,122 6.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,122 $2,122 6.9×
MRI pelvis w contrast (72196) $2,122 $2,122 6.9×
MRI pelvis w/o & w contrast (72197) $2,122 $2,122 6.9×
MRI pelvis w/o contrast (72195) $1,500 $1,500 7.1×
MRI thoracic spine w/o contrast (72146) $1,500 $1,500 7.1×
MRI upper extremity oth than jt w/contr matrl (73219) $2,122 $2,122 6.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,500 $1,500 7.1×
Mri Uppr Extremity W/O&W/Dye (73220) $2,122 $2,122 6.9×
MRI, abdomen, combo (74183) $2,122 $2,122 6.9×
MRI, dorsal spine combo (72157) $2,122 $2,122 6.9×
MRI, dorsal spine contrast (72147) $2,122 $2,122 6.9×
MRI, joint upper extrem (73221) $1,500 $1,500 7.1×
MRI, joint upper extrem combo (73223) $3,806 $3,806 12.4×
MRI, lumbar spine combo (72158) $2,122 $2,122 6.9×
Myelogram cervical (72240) $2,700 $2,700 3.9×
Myelogram Lumbar (72265) $2,700 $2,700 3.9×
Myelography thoracic (72255) $2,700 $2,700 3.9×
Myelograpy 2/more regions rs&i (72270) $2,700 $2,700 3.9×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $1,577 $1,577 4.5×
Myocardial Spect Multiple Studies (78452) $5,387 $5,387 4.7×
Neck soft tissue (70360) $445 $445 5.8×
Nm red cell survival study (78130) $1,577 $1,577 4.5×
Nonvascular Shunt X-Ray (75809) $548 $548 5.9×
Nuclear Rx Oral Admin (79005) $1,013 $1,013 4.9×
Parathyroid Planar Imaging (78070) $1,577 $1,577 4.5×
Parathyroid planar imaging w/wo subtraction (78071) $1,577 $1,577 4.5×
Pelvis 1 or 2 views (72170) $566 $566 6.1×
Peritoneogram Rs&I (74190) $2,579 $2,579 5.3×
Pet Image W/Ct Lmtd (78814) $7,795 $7,795 6.2×
PET image w/CT, full body (78816) $7,795 $7,795 6.2×
PET imaging CT attenuation skull base mid-thigh (78815) $7,795 $7,795 6.2×
Pulmonary Perfusion Imaging Particulate (78580) $1,577 $1,577 4.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $572 $572 6.2×
Radex abscess/fistula/sinus tract rs&i (76080) $2,579 $2,579 5.3×
Radex Ankle Complete Minimum 3 Views (73610) $440 $440 5.7×
Radex Calcaneus Minimum 2 Views (73650) $440 $440 5.7×
Radex elbow complete minimum 3 views (73080) $440 $440 5.7×
Radex Facial Bones Complete Minimum 3 Views (70150) $566 $566 6.1×
Radex fingr minimum 2 views (73140) $440 $440 5.7×
Radex foot complete minimum 3 views (73630) $440 $440 5.7×
Radex Hand Minimum 3 Views (73130)
range across 5 matching MRF lines		 $440–$881 $440–$881 varies
Radex lower extremity infant minimum 2 views (73592) $440 $440 5.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $440 $440 5.7×
Radex Ribs Unilateral 2 Views (71100) $440 $440 5.7×
Radex shoulder complete minimum 2 views (73030) $440 $440 5.7×
Radex Sinuses Paransl < 3 Views (70210) $440 $440 5.7×
Radex Spine 1 View Specify Level (72020) $440 $440 5.7×
Radex Sternum Minimum 2 Views (71120) $440 $440 5.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $440 $440 5.7×
Radex Toe Minimum 2 Views (73660) $440 $440 5.7×
Radex upper extremity infant minimum 2 views (73092) $566 $566 6.1×
Radex Wrist Complete Minimum 3 Views (73110) $440 $440 5.7×
Radiolog exam mandible compl minimum 4 views (70110) $566 $566 6.1×
Radiologic exam colon double contrast study (74280) $938 $938 6.1×
Radiologic exam colon single contrast study (74270) $938 $938 6.1×
Radiologic exam knee complete 4/more views (73564) $566 $566 6.1×
Radiologic exam pelvis compl minimum 3 views (72190) $566 $566 6.1×
Radiologic Exam Small Int Single Contrast Study (74250) $938 $938 6.1×
Radiologic exam swallow function contrast study (74230) $938 $938 6.1×
Radiologic exam upr gi trc double contrast study (74246) $938 $938 6.1×
Radiologic examination femur minimum 2 views (73552) $440 $440 5.7×
Radiologic examination knee 1/2 views (73560) $440 $440 5.7×
Radiologic Examination Osseous Survey Limited (77074) $566 $566 6.1×
Radiologic examination tibia & fibula 2 views (73590) $440 $440 5.7×
Ribs bilateral 3 views (71110) $566 $566 6.1×
Rp loclzj tum plnr 1 area single day imaging (78800) $4,392 $4,392 12.4×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $5,387 $5,387 11.2×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $5,387 $5,387 11.2×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $5,387 $5,387 11.2×
Scapula (73010) $566 $566 6.1×
Screening Digital Breast Tomosynthesis Bi (77063) $156 $156 6.7×
Shoulder 1 view (73020) $440 $440 5.7×
Shoulder Arthrography (73040) $1,377 $1,377 4.5×
Skull less than 4 views (70250) $566 $566 6.1×
Sternoclavicular joints (71130) $440 $440 5.7×
Thoracic spine 2 views (72070) $566 $566 6.1×
Thoracic spine 3 views (72072) $566 $566 6.1×
Thyroid Imaging With Vascular Flow (78013) $1,577 $1,577 4.5×
Thyroid Met Imaging Body (78018) $2,047 $2,047 4.3×
Thyroid Uptake Measurement (78012) $1,594 $1,594 4.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,577 $1,577 4.5×
Ultrasound Breast Limited (76642) $475 $475 6.2×
Ultrasound elastography first target lesion (76982) $584 $584 6.3×
Ultrasound Elastography Parenchyma (76981) $584 $584 6.3×
Ultrasound Exam Aaa Screen (76706) $606 $606 6.6×
Ultrasound, abdomen limited (76705) $606 $606 6.6×
Umbilical-artery Doppler (OB) (76820) $404 $404 4.4×
Unlisted fluoroscopic procedure (76496) $317 $317 4.1×
Unlisted us procedure (76999) $475 $475 6.2×
Ureteral Reflux Study (78740) $1,577 $1,577 4.5×
Urethrocystogram voiding (74455) $1,208 $1,208 5.7×
Us breast unilateral complete (76641)
range across 4 matching MRF lines		 $606–$1,212 $606–$1,212 varies
Us chest (76604)
range across 3 matching MRF lines		 $600–$606 $600–$606 varies
Us exam, pelvic, limited (76857) $606 $606 6.6×
Us head (76506) $606 $606 6.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $606 $606 6.6×
Us ob limited 1 or more fetuses (76815) $606 $606 6.6×
Us ob transvaginal (76817) $606 $606 6.6×
Us pelvic non ob complete (76856) $606 $606 6.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $606 $606 6.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $606 $606 6.6×
Us retroperitoneal complete (76770) $606 $606 6.6×
Us retroperitoneal limited (76775) $606 $606 6.6×
Us spinal canal and contents (76800) $606 $606 6.6×
Us thyroid (76536) $606 $606 6.6×
Vein X-Ray Chest (75827) $5,423 $5,423 3.9×
Venography caval inferior serialography rs&i (75825) $10,857 $10,857 3.9×
Venography extremity bilateral rs&i (75822) $5,423 $5,423 3.9×
Venography extremity unilateral rs&i (75820) $5,423 $5,423 3.9×
Venography Renal Bilateral (75833) $10,857 $10,857 3.9×
Venography Renal Unilateral (75831) $10,857 $10,857 3.9×
Venous sampling by catheter (75893) $18,732 $18,732 3.8×
Wrist 2 views (73100) $440 $440 5.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $440 $440 5.7×
X-ray antegrade pyelogram tube (74425)
range across 2 matching MRF lines		 $1,889–$1,934 $1,889–$1,934 varies
X-Ray Aorta Leg Arteries (75630) $10,857 $10,857 3.9×
X-Ray Bend Only L-S Spine (72120) $566 $566 6.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $440 $440 5.7×
X-Ray Exam Breast Specimen (76098) $1,834 $1,834 3.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $566 $566 6.1×
X-Ray Exam Entire Spi 4/5 Vw (72083) $566 $566 6.1×
X-Ray Exam Hip Uni 1 View (73501) $440 $440 5.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $440 $440 5.7×
X-Ray Exam Hip Uni 4/> Views (73503) $566 $566 6.1×
X-Ray Exam Hips Bi 5/> Views (73523) $566 $566 6.1×
X-Ray Exam L-S Spine Bending (72114) $566 $566 6.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $440 $440 5.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $566 $566 6.1×
X-Ray Exam Unilat Ribs/Chest (71101) $566 $566 6.1×
X-ray eye for foreign body (70030) $445 $445 5.8×
X-ray humerus (73060) $440 $440 5.7×
X-ray IV pyelogram (ivp) (74400) $938 $938 6.1×
X-ray IV pyelogram+tomography (74415) $938 $938 6.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $566 $566 6.1×
X-ray nose-rectum child f.b. (76010) $445 $445 5.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $566 $566 6.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $566 $566 6.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $440 $440 5.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $440 $440 5.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $566 $566 6.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,937 $1,937 6.3×
X-Rays Bone Length Studies (77073) $566 $566 6.1×
X-Rays Bone Survey Complete (77075) $566 $566 6.1×
Xr c-spine 4 or 5 views (72050) $566 $566 6.1×
Xr orbits complete 4 views (70200) $566 $566 6.1×

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.