Imaging prices at Evergreen Medical Center
Evergreen, AL · every code in this section with a posted price and a Medicare benchmark.
183 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) | $114.40 | $176 | 1.5× |
| Abdomen 2 views (74019) | $131.95 | $203 | 1.5× |
| Ankle 2 views (73600) | $78 | $120 | 1.0× |
| Bone age studies (77072) | $68.90 | $106 | 0.8× |
| Bone Imaging Whole Body (78306) | $227.50 | $350 | 0.7× |
| Bone survey infant (77076) | $173.55 | $267 | 1.9× |
| Chest 1 view (71045) | $86.45 | $133 | 1.2× |
| Chest 2 views (71046) | $107.25 | $165 | 1.4× |
| Cholecystography Oral Contrast (74290) | $70.20 | $108 | 0.5× |
| Clavicle complete (73000) | $87.10 | $134 | 1.2× |
| Contrast X-Ray Bladder (74430) | $185.25 | $285 | 0.6× |
| CT abdomen and pelvis without and with contrast (74178) | $1,686.75 | $2,595 | 5.6× |
| CT abdomen and pelvis without contrast (74176) | $1,397.50 | $2,150 | 6.8× |
| CT abdomen w contrast (74160) | $804.70 | $1,238 | 5.3× |
| CT abdomen w wo contrast (74170) | $908.70 | $1,398 | 6.0× |
| CT abdomen w/o contrast (74150) | $695.50 | $1,070 | 7.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,480.70 | $2,278 | 4.9× |
| CT Angio Chest (71275) | $1,049.10 | $1,614 | 6.9× |
| CT Angio Head (70496) | $1,495 | $2,300 | 9.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,495–$3,055 | $2,300–$4,700 | varies |
| CT Angio Neck (70498) | $1,495 | $2,300 | 9.9× |
| CT cervical spine w/ contrast (72126) | $746.85 | $1,149 | 2.5× |
| CT cervical spine w/o contrast (72125) | $643.50 | $990 | 7.1× |
| CT cervical spine w/wo cont (72127) | $838.50 | $1,290 | 5.5× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$754.65–$2,600 | $1,161–$4,000 | varies |
| CT chest w/wo contrast (71270) | $973.05 | $1,497 | 6.4× |
| CT head/brain with contrast (70460) | $719.55 | $1,107 | 4.8× |
| CT head/brain without and with contrast (70470) | $838.50 | $1,290 | 5.5× |
| CT iac w contrast (70481) | $819 | $1,260 | 5.4× |
| CT l-spine w&w/o contrast (72133) | $838.50 | $1,290 | 5.5× |
| CT lower ext w/o (73700) range across 13 matching MRF lines |
$654.55–$1,525.55 | $1,007–$2,347 | varies |
| CT lower extremity w/contrast material (73701) | $666.25 | $1,025 | 4.4× |
| CT lumbar spine w contrast (72132) | $768.30 | $1,182 | 2.6× |
| CT lumbar spine w/o contrast (72131) | $643.50 | $990 | 7.1× |
| CT maxillofacial w contrast (70487) | $627.25 | $965 | 4.1× |
| CT maxillofacial wo contrast (70486) | $585 | $900 | 6.5× |
| CT neck tissue combo (70492) | $865.15 | $1,331 | 5.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$962–$1,264.90 | $1,480–$1,946 | varies |
| CT orbits w/o contrast (70480) | $680.55 | $1,047 | 7.6× |
| CT pelvis w&w/o contrast (72194) | $869.70 | $1,338 | 5.8× |
| CT pelvis w/o contrast (72192) | $700.05 | $1,077 | 7.8× |
| CT scan of leg combo (73702) | $750.75 | $1,155 | 5.0× |
| CT scans face/jaw combo (70488) | $719.55 | $1,107 | 4.8× |
| CT soft tissue neck w contrast (70491) | $773.50 | $1,190 | 5.1× |
| CT soft tissue neck w/o contrast (70490) | $679.90 | $1,046 | 7.5× |
| CT thoracic spine w contrast (72129) | $746.85 | $1,149 | 4.9× |
| CT thoracic spine w/o contrast (72128) | $643.50 | $990 | 7.1× |
| CT thoracic spine w/wo cont (72130) | $838.50 | $1,290 | 5.5× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$683.15–$1,950 | $1,051–$3,000 | varies |
| CT upper ext wo (73200) | $564.85 | $869 | 6.3× |
| CT upper extremity w/o & w/contrast material (73202) | $768.30 | $1,182 | 5.1× |
| CT upper extremity with contrast (73201) | $658.45 | $1,013 | 2.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,495–$1,625 | $2,300–$2,500 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,480.70–$1,495 | $2,278–$2,300 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$217.75–$237.25 | $335–$365 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $96.85 | $149 | 1.3× |
| Esophagram (74220) | $166.40 | $256 | 1.1× |
| Fluoroscopy up to 1 hr (76000) | $227.50 | $350 | 1.1× |
| Foot 2 views (73620) | $72.80 | $112 | 1.0× |
| Forearm 2 views (73090) | $88.40 | $136 | 1.2× |
| Knee 3 Views (73562) | $102.70 | $158 | 1.4× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$910–$1,248 | $1,400–$1,920 | varies |
| MRA head with contrast (70545) | $1,404 | $2,160 | 4.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,467.70 | $2,258 | 4.9× |
| MRA neck w/o contrast (70547) | $1,248 | $1,920 | 6.1× |
| MRI abdomen w contrast (74182) | $1,216.80 | $1,872 | 4.0× |
| MRI abdomen w/o contrast (74181) | $1,045.20 | $1,608 | 5.1× |
| MRI any jt lower extrem w/contrast material (73722) | $997.75 | $1,535 | 1.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,443.65 | $2,221 | 4.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,015.30 | $1,562 | 1.5× |
| MRI cervical spine w contrast (72142) | $1,199.25 | $1,845 | 4.0× |
| MRI cervical spine w/o cont (72141) | $1,690 | $2,600 | 8.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,007.50 | $1,550 | 3.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,248 | $1,920 | 4.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $932.75 | $1,435 | 4.5× |
| MRI lumbar spine w contrast (72149) | $1,207.70 | $1,858 | 4.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,430 | $2,200 | 4.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,527.50 | $2,350 | 7.4× |
| MRI orbit face neck w contrast (70542) | $1,105 | $1,700 | 3.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,755 | $2,700 | 5.8× |
| MRI pelvis w/o & w contrast (72197) | $1,625 | $2,500 | 5.4× |
| MRI pelvis w/o contrast (72195) | $889.20 | $1,368 | 4.3× |
| MRI thoracic spine w/o contrast (72146) | $1,067.95 | $1,643 | 5.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,055.60 | $1,624 | 3.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $961.35 | $1,479 | 4.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,218.75 | $1,875 | 4.1× |
| MRI, abdomen, combo (74183) | $1,376.70 | $2,118 | 4.6× |
| MRI, dorsal spine combo (72157) | $1,446.90 | $2,226 | 4.8× |
| MRI, dorsal spine contrast (72147) | $1,199.25 | $1,845 | 4.0× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$564.85–$912.60 | $869–$1,404 | varies |
| MRI, joint upper extrem combo (73223) | $1,469 | $2,260 | 4.9× |
| MRI, lumbar spine combo (72158) | $1,428.05 | $2,197 | 4.7× |
| Neck soft tissue (70360) | $84.50 | $130 | 1.1× |
| Pelvis 1 or 2 views (72170) | $86.45 | $133 | 1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $162.50 | $250 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $94.25 | $145 | 1.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $79.30 | $122 | 1.1× |
| Radex elbow complete minimum 3 views (73080) | $98.80 | $152 | 1.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $120.25 | $185 | 1.3× |
| Radex fingr minimum 2 views (73140) | $77.35 | $119 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $92.95 | $143 | 1.2× |
| Radex Hand Minimum 3 Views (73130) | $92.30 | $142 | 1.2× |
| Radex lower extremity infant minimum 2 views (73592) | $81.25 | $125 | 1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $98.15 | $151 | 1.3× |
| Radex Ribs Unilateral 2 Views (71100) | $108.55 | $167 | 1.4× |
| Radex shoulder complete minimum 2 views (73030) | $96.85 | $149 | 1.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $83.20 | $128 | 1.1× |
| Radex Spine 1 View Specify Level (72020) | $81.90 | $126 | 1.1× |
| Radex Sternum Minimum 2 Views (71120) | $102.05 | $157 | 1.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $109.20 | $168 | 1.5× |
| Radex Toe Minimum 2 Views (73660) | $80.60 | $124 | 1.1× |
| Radex upper extremity infant minimum 2 views (73092) | $81.25 | $125 | 0.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $95.55 | $147 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $128.05 | $197 | 1.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $163.80 | $252 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $278.85 | $429 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $218.40 | $336 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) | $117 | $180 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $111.15 | $171 | 0.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $227.50 | $350 | 1.5× |
| Radiologic examination femur minimum 2 views (73552) | $102.70 | $158 | 1.4× |
| Radiologic examination knee 1/2 views (73560) | $90.35 | $139 | 1.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $224.25 | $345 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $93.60 | $144 | 1.2× |
| Ribs bilateral 3 views (71110) | $116.35 | $179 | 1.3× |
| Scapula (73010) | $92.30 | $142 | 1.0× |
| Sella turcica (70240) | $37.05 | $57 | 0.5× |
| Shoulder 1 view (73020) | $73.45 | $113 | 1.0× |
| Shoulder Arthrography (73040) | $269.75 | $415 | 0.9× |
| Skull less than 4 views (70250) | $90.35 | $139 | 1.0× |
| Sternoclavicular joints (71130) | $97.50 | $150 | 1.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$20.80–$165.75 | $32–$255 | varies |
| Thoracic spine 3 views (72072) | $126.75 | $195 | 1.4× |
| Thoracolumbar 2 views (72080) | $104 | $160 | 1.4× |
| Ultrasound Breast Limited (76642) | $306.15 | $471 | 4.1× |
| Ultrasound, abdomen limited (76705) | $228.15 | $351 | 2.5× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$216.45–$231.40 | $333–$356 | varies |
| Urethrocystogram voiding (74455) | $176.80 | $272 | 0.9× |
| Us breast unilateral complete (76641) | $166.40 | $256 | 1.8× |
| Us chest (76604) | $162.50 | $250 | 1.8× |
| Us complete joint (76881) range across 4 matching MRF lines |
$102.05–$204.75 | $157–$315 | varies |
| Us exam, pelvic, limited (76857) | $115.05 | $177 | 1.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$102.05–$204.75 | $157–$315 | varies |
| Us ob detailed single fetus (76811) | $261.95 | $403 | 1.3× |
| Us ob limited 1 or more fetuses (76815) | $152.10 | $234 | 1.7× |
| Us ob transvaginal (76817) | $181.35 | $279 | 2.0× |
| Us pelvic non ob complete (76856) | $231.40 | $356 | 2.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $216.45 | $333 | 2.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $143.65 | $221 | 1.6× |
| Us retroperitoneal complete (76770) | $487.50 | $750 | 5.4× |
| Us retroperitoneal limited (76775) | $208.65 | $321 | 2.3× |
| Us scrotum and contents (76870) | $223.60 | $344 | 2.5× |
| Us thyroid (76536) | $211.25 | $325 | 2.3× |
| Us transrectal (76872) | $307.45 | $473 | 3.4× |
| Venography extremity bilateral rs&i (75822) | $487.50 | $750 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $487.50 | $750 | 0.4× |
| Vertebral fracture assessment via dxa (77086) | $146.25 | $225 | 2.0× |
| Wrist 2 views (73100) | $78 | $120 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $100.75 | $155 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$78.65–$176.15 | $121–$271 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$115.05–$117.65 | $177–$181 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $84.50 | $130 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$74.75–$100.10 | $115–$154 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $144.30 | $222 | 1.6× |
| X-Ray Exam L-S Spine Bending (72114) | $215.15 | $331 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $102.70 | $158 | 1.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $178.10 | $274 | 2.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $125.45 | $193 | 1.4× |
| X-ray humerus (73060) | $86.45 | $133 | 1.2× |
| X-ray IV pyelogram (ivp) (74400) | $287.95 | $443 | 1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $79.30 | $122 | 1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $119.60 | $184 | 1.3× |
| X-ray nose-rectum child f.b. (76010) | $75.40 | $116 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $141.70 | $218 | 1.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $98.15 | $151 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $99.45 | $153 | 1.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $124.80 | $192 | 1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $133.90 | $206 | 1.5× |
| X-Ray Tmj Unilat (70328) | $102.70 | $158 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $266.50 | $410 | 3.0× |
| Xr c-spine 4 or 5 views (72050) | $146.25 | $225 | 1.6× |
| Xr facial bones less than 3 views (70140) | $94.90 | $146 | 1.3× |
| Xr orbits complete 4 views (70200) | $117.65 | $181 | 1.3× |
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.