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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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $572 $572 6.2×
Acute gastrointestinal blood loss imaging (78278) $1,577 $1,577 4.5×
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 pelvic slctv/supraslctv rs&i (75736) $18,732 $18,732 3.8×
Angiography pulmonary bilateral slctv rs&i (75743) $10,857 $10,857 3.9×
Angiography pulmonary unilateral slctv rs&i (75741) $10,857 $10,857 3.9×
Angiography Spinal Selective Rs&I (75705) $18,732 $18,732 3.8×
Angiography visceral slctv/supraslctv rs&i (75726) $18,732 $18,732 3.8×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $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×
Antegrade urography radiological supvj & interpj (74425) $1,911.50 $1,911.50 6.2×
Aortogram thoracic (75605) $18,732 $18,732 3.8×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $10,857 $10,857 3.9×
Aortography abdominal serialography rs&i (75625) $10,857 $10,857 3.9×
Artery X-Rays Adrenal Gland (75731) $10,857 $10,857 3.9×
Arthrogram elbow (73085) $1,377 $1,377 4.5×
Arthrogram hip (73525) $1,377 $1,377 4.5×
Arthrogram shoulder (73040) $1,377 $1,377 4.5×
Arthrogram wrist (73115) $1,915 $1,915 6.2×
Arthrography knee lt (73580) $1,915 $1,915 6.2×
Bone &/Joint Imaging Limited Area (78300) $1,577 $1,577 4.5×
Bone &/Joint Imaging Multiple Areas (78305) $1,577 $1,577 4.5×
Bone &/joint imaging whole body (78306) $1,577 $1,577 4.5×
Bone age studies (77072) $566 $566 6.1×
Bone Imaging 3 Phase (78315) $1,577 $1,577 4.5×
Bone survey complete (77075) $566 $566 6.1×
Brain imaging < 4 static views w vascular flow (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×
Cervical spine 2 or 3 views (72040) $440 $440 5.7×
Chest 1 view (71045) $317 $317 4.1×
Chest 3 views (71047) $317 $317 4.1×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $938 $938 6.1×
Clavicle complete (73000) $440 $440 5.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $600 $600 6.5×
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 hrt w/3d image (75574) $1,275 $1,275 4.1×
CT angiography upper extremity lt (73206) $3,150 $3,150 20.3×
CT c-spine w/o contrast (72125) $1,157 $1,157 12.5×
CT cervical spine w&w/o contrast (72127) $2,062 $2,062 13.3×
CT cervical spine with contrast (72126) $2,062 $2,062 6.7×
CT chest w/wo contrast (71270) $1,275 $1,275 8.2×
CT chest with contrast (71260) $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 limited/localized follow up study (76380) $1,275 $1,275 16.6×
CT lower ext w/o (73700) $1,275 $1,275 13.8×
CT lower extremity w wo contrast (73702) $1,275 $1,275 8.2×
CT lower extremity with contrast (73701) $1,275 $1,275 8.2×
CT lumbar spine w & w/o contrast (72133) $2,272 $2,272 14.7×
CT lumbar spine w/o contrast (72131) $1,275 $1,275 13.8×
CT lumbar spine with contrast (72132) $2,272 $2,272 7.4×
CT maxillofacial w contrast (70487) $1,157 $1,157 7.5×
CT maxillofacial w/o contrast (70486) $1,157 $1,157 12.5×
CT maxillofacial w/wo contrast (70488) $1,157 $1,157 7.5×
CT neck soft tissue w contrast (70491) $1,157 $1,157 7.5×
CT orbit sella/post fossa/ear w/o & w/contr matr (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 soft tissue neck w/o & w/contrast material (70492) $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 contrast (72130) $2,272 $2,272 14.7×
CT thorax w/o contrast (71250) $1,275 $1,275 13.8×
CT upper extremity w/o & w/contrast material (73202) $2,272 $2,272 14.7×
CT upper extremity w/o contrast rt (73200) $1,275 $1,275 13.8×
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 abdomen pelvis (74174) $3,150 $3,150 10.2×
CTA chest (71275) $3,150 $3,150 20.3×
Cta Head (70496) $2,859 $2,859 18.5×
CTA lwr ext w&w/o contrast (73706) $3,150 $3,150 20.3×
Cta Neck (70498) $2,859 $2,859 18.5×
Cta Pelvis (72191) $3,150 $3,150 20.3×
Cystography minimum 3 views rs&i (74430) $1,937 $1,937 6.3×
Diskography lumbar (72295) $9,120 $9,120 5.3×
Dxa bone density study 1/> sites axial skel (77080) $542 $542 5.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $440 $440 5.7×
Echoencephalography real time imaging (76506) $606 $606 6.6×
Esophagus (74220) $938 $938 6.1×
Fetal biophysical profile non-stress testing (76818) $606 $606 6.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $606 $606 6.6×
Fluoroscopy up to 1 hr (76000) $851 $851 4.0×
Foot 2 views (73620) $440 $440 5.7×
Forearm 2 views (73090) $440 $440 5.7×
Gastric mucosa imaging (78261) $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×
Hand 3 views (73130) $440 $440 5.7×
Heart Infarct Image (78466) $1,577 $1,577 4.5×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $2,047 $2,047 4.3×
Hepatobiliary syst imaging including gallbladder (78226) $1,577 $1,577 4.5×
Ht muscle image spect sing (78451) $5,387 $5,387 4.7×
Humerus Min 2 Views Left (73060) $440 $440 5.7×
Hysterosalpingogram (74740) $1,208 $1,208 5.7×
Interstitial radiation source applic complex (77778) $3,975 $3,975 6.5×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $2,047 $2,047 4.3×
Kidney Img Morphology Vascular Flow Multiple (78709) $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 Ventilation Imaging (78579) $1,577 $1,577 4.5×
Lymphoscintigraphy (78195) $2,047 $2,047 4.3×
Mammary ductogram or galactogram single (77053) $851 $851 4.0×
Meckels Diverticulum (78290) $1,577 $1,577 4.5×
MRA head w & w/o contrast (70546) $2,122 $2,122 6.9×
MRA head w/o contrast (70544) $1,500 $1,500 7.1×
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 & w/contrast material (74183) $2,122 $2,122 6.9×
MRI abdomen w/o contrast (74181) $1,500 $1,500 7.1×
MRI any jnt lwr ext with con lt (73722) $4,050 $4,050 5.9×
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 w/o contrast unilat (77046) $1,500 $1,500 7.1×
MRI c-spine with contrast (72142) $2,122 $2,122 6.9×
MRI cardiac w/o contrast (75557) $1,276 $1,276 6.1×
MRI cervical spine w/o contrast (72141) $1,500 $1,500 7.1×
MRI chest w/o & w/contrast material (71552) $3,806 $3,806 12.4×
MRI chest w/o contrast (71550) $1,500 $1,500 7.1×
MRI chest with contrast (71551) $4,050 $4,050 5.9×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $2,122 $2,122 6.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,122 $2,122 6.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,500 $1,500 7.1×
MRI orbit face &/neck w/o contrast (70540) $1,500 $1,500 7.1×
MRI orbit/face/neck w&w/o cont (70543) $2,122 $2,122 6.9×
MRI orbit/face/neck w/contrast (70542) $2,122 $2,122 6.9×
MRI pelvis w contrast (72196) $2,122 $2,122 6.9×
MRI pelvis w/o & w/contrast material (72197) $2,122 $2,122 6.9×
MRI pelvis w/o contrast (72195) $1,500 $1,500 7.1×
MRI scan of arm joint before and after contrast (73223) $3,806 $3,806 12.4×
MRI scan of leg joint before and after contrast (73723) $3,806 $3,806 12.4×
MRI spinal canal cervical w/o & w/contr matrl (72156) $2,122 $2,122 6.9×
MRI spinal canal lumbar w/contrast material (72149) $2,122 $2,122 6.9×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $2,122 $2,122 6.9×
MRI spinal canal thoracic w/contrast matrl (72147) $2,122 $2,122 6.9×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $2,122 $2,122 6.9×
MRI thoracic spine w/o contrast (72146) $1,500 $1,500 7.1×
MRI tmj (70336) $1,500 $1,500 7.1×
MRI upper ext joint w/o contrast (73221) $1,500 $1,500 7.1×
MRI upper extrem other than jt w/o & w/contras (73220) $2,122 $2,122 6.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,500 $1,500 7.1×
Myelogram Cervical (72240) $2,700 $2,700 3.9×
Myelogram Lumbar (72265) $2,700 $2,700 3.9×
Myelogram thoracic (72255) $2,700 $2,700 3.9×
Myelography 2 or more regions (72270) $2,700 $2,700 3.9×
Myocardial Spect Multiple Studies (78452) $5,387 $5,387 4.7×
Neck soft tissue (70360) $445 $445 5.8×
Nm cisternogram (78630) $2,047 $2,047 4.3×
Nm gastric emptying study (78264) $1,577 $1,577 4.5×
Nm gastroesophageal reflux study (78262) $1,577 $1,577 4.5×
Nuclear Rx Oral Admin (79005) $1,013 $1,013 4.9×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $606 $606 6.6×
Osseous survey infant (77076) $566 $566 6.1×
Osseous survey limited (77074) $566 $566 6.1×
Parathyrd planar w/wo subtrj (78071) $1,577 $1,577 4.5×
Parathyroid imaging (78070) $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, skull-thigh (78815) $7,795 $7,795 6.2×
PET imaging CT for attenuation limited area (78814) $7,795 $7,795 6.2×
PET imaging for CT attenuation whole body (78816) $7,795 $7,795 6.2×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $2,122 $2,122 6.9×
Pr red cell survival study (78130) $1,577 $1,577 4.5×
Pulmonary Perfusion Imaging Particulate (78580) $1,577 $1,577 4.5×
Pulmonary Ventilation & Perfusion Imaging (78582) $2,047 $2,047 4.3×
Radex abscess/fistula/sinus tract rs&i (76080) $2,579 $2,579 5.3×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $566 $566 6.1×
Radiolog exam mandible compl minimum 4 views (70110) $566 $566 6.1×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $445 $445 5.8×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $317 $317 4.1×
Radiologic exam colon single contrast study (74270) $938 $938 6.1×
Radiologic exam upr gi trc double contrast study (74246) $938 $938 6.1×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $440 $440 5.7×
Radiological examination surgical specimen (76098) $1,834 $1,834 3.8×
Ribs bilateral 3 views (71110) $566 $566 6.1×
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×
Sacroiliac Joints < 3 Views (72200) $566 $566 6.1×
Saline Infus Sonohysterography W/Color Doppler (76831) $1,277 $1,277 6.1×
Scanogram (77073) $566 $566 6.1×
Scapula complete (73010) $566 $566 6.1×
Screening digital breast tomosynthesis (77063) $156 $156 6.7×
Shuntogram indwelling nonvascular shunt rs&i (75809) $548 $548 5.9×
Small bowel series (74250) $938 $938 6.1×
Spine thoracic 3 views (72072) $566 $566 6.1×
Thyroid carcinoma metastases img whole body (78018) $2,047 $2,047 4.3×
Thyroid Imaging With Vascular Flow (78013) $1,577 $1,577 4.5×
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×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $5,387 $5,387 11.2×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $4,392 $4,392 12.4×
Ultrasound elastography first target lesion (76982) $584 $584 6.3×
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 Ultrasound Procedure (76999) $475 $475 6.2×
Upper Extremity Infant (73092) $566 $566 6.1×
Ureteral Reflux Study Rp Voiding Cystogram (78740) $1,577 $1,577 4.5×
Urethrocystography voiding (74455) $1,208 $1,208 5.7×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $938 $938 6.1×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $938 $938 6.1×
Us abdl aorta screen aaa (76706) $606 $606 6.6×
Us breast unilateral complete (76641) $606 $606 6.6×
Us breast unilateral limited (76642) $475 $475 6.2×
Us chest (76604) $606 $606 6.6×
Us elastography parenchyma (76981) $584 $584 6.3×
Us guided compression repair (76936) $1,021 $1,021 5.4×
Us infant hips dynamic (76885) $475 $475 6.2×
Us ob transvaginal (76817) $606 $606 6.6×
Us pelvic non ob complete (76856) $606 $606 6.6×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $606 $606 6.6×
Us pregnancy ltd (76815) $606 $606 6.6×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $606 $606 6.6×
Us retroperitoneal complete (76770) $606 $606 6.6×
Us retroperitoneal limited (76775) $606 $606 6.6×
Us soft tissue head/neck (76536) $606 $606 6.6×
Us spinal canal and contents (76800) $606 $606 6.6×
Us xtr non-vasc lmtd (76882) $606 $606 6.6×
Venogram extremity bilateral (75822) $5,423 $5,423 3.9×
Venography caval inferior serialography rs&i (75825) $10,857 $10,857 3.9×
Venography caval superior serialography rs&i (75827) $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 selective rs&i (75831) $10,857 $10,857 3.9×
Venous sampling thru cath w/wo angiography rs& (75893) $18,732 $18,732 3.8×
Wrist 2 views (73100) $440 $440 5.7×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $572 $572 6.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $440 $440 5.7×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $440 $440 5.7×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $938 $938 6.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $440 $440 5.7×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $440 $440 5.7×
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 eye for foreign body (70030) $445 $445 5.8×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $566 $566 6.1×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $440 $440 5.7×
X-ray guide gu dilation - ir nephrostomy dilation (74485) $9,508 $9,508 5.2×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $440 $440 5.7×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $566 $566 6.1×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $440 $440 5.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $566 $566 6.1×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $566 $566 6.1×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $566 $566 6.1×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $440 $440 5.7×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $445 $445 5.8×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $566 $566 6.1×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $566 $566 6.1×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $1,937 $1,937 6.3×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $440 $440 5.7×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $566 $566 6.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $566 $566 6.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $440 $440 5.7×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $440 $440 5.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $440 $440 5.7×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $440 $440 5.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $566 $566 6.1×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $566 $566 6.1×
X-Ray Spine One View - Xr Spine (72020) $440 $440 5.7×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $440 $440 5.7×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $440 $440 5.7×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $566 $566 6.1×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $440 $440 5.7×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $440 $440 5.7×
Xr arthrogram ankle (73615) $1,915 $1,915 6.2×
Xr c-spine 6 or more views (72052) $566 $566 6.1×
Xr finger(s) 2+ views (73140) $440 $440 5.7×
Xr shoulder 1 view (73020) $440 $440 5.7×
Xr spine cervical 4 or 5 views (72050) $566 $566 6.1×
Xr tibia/fibula 2 views (73590) $440 $440 5.7×
Xr tmj bilateral (70330) $440 $440 5.7×
Xray knee 1 or 2 views rt (73560) $440 $440 5.7×