Imaging prices at Grove Hill Rural Emergency Hospital

Grove Hill, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $191.40 $319 2.6×
Abdomen 2 views (74019) $257.40 $429 2.9×
Ankle 2 views (73600)
range across 4 matching MRF lines
$39–$191.40 $65–$319 varies
Arthrogram hip (73525) $868.80 $1,448 2.9×
Arthrogram Wrist (73115) $868.80 $1,448 2.9×
Bone age studies (77072) $257.40 $429 2.9×
Bone Imaging 3 Phase (78315) $889.80 $1,483 2.6×
Bone Imaging Limited Area (78300) $889.80 $1,483 2.6×
Bone Imaging Whole Body (78306) $889.80 $1,483 2.6×
Bone survey infant (77076) $257.40 $429 2.9×
Cerebrospinal Fluid Scan (78630) $1,155 $1,925 2.5×
Chest 1 view (71045) $191.40 $319 2.6×
Chest 2 views (71046) $191.40 $319 2.6×
Cisternography Positive Contrast Rs&I (70015) $1,688.40 $2,814 2.5×
Clavicle complete (73000)
range across 4 matching MRF lines
$39–$191.40 $65–$319 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $257.40 $429 2.9×
Contrast X-Ray Bladder (74430) $868.80 $1,448 2.9×
CT abdomen and pelvis without and with contrast (74178) $1,681.20 $2,802 5.6×
CT abdomen and pelvis without contrast (74176) $1,066.20 $1,777 5.2×
CT abdomen w contrast (74160) $638.40 $1,064 4.2×
CT abdomen w wo contrast (74170) $720 $1,200 4.8×
CT abdomen w/o contrast (74150) $470.40 $784 5.2×
CT Angio Abdomen and Pelvis (74174) $1,108.80 $1,848 3.7×
CT Angio Chest (71275) $1,398 $2,330 9.2×
CT Angio Head (70496) $726 $1,210 4.8×
CT angio hrt w/3d image (75574) $532.80 $888 1.8×
Ct Angio Lwr Extr W/O&W/Dye (73706) $726 $1,210 4.8×
CT Angio Neck (70498) $726 $1,210 4.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $726 $1,210 4.8×
CT cervical spine w/ contrast (72126) $868.80 $1,448 2.9×
CT cervical spine w/o contrast (72125) $750 $1,250 8.3×
CT chest w contrast (71260) $1,035 $1,725 6.8×
CT chest w/wo contrast (71270) $720 $1,200 4.8×
CT head/brain with contrast (70460) $638.40 $1,064 4.2×
CT head/brain without and with contrast (70470) $720 $1,200 4.8×
CT heart no contrast quant eval coronry calcium (75571) $191.40 $319 2.6×
CT iac w contrast (70481) $638.40 $1,064 4.2×
CT l-spine w&w/o contrast (72133) $720 $1,200 4.8×
CT lower ext w/o (73700) $470.40 $784 5.2×
CT lower extremity w/contrast material (73701) $638.40 $1,064 4.2×
CT lumbar spine w contrast (72132) $868.80 $1,448 2.9×
CT lumbar spine w/o contrast (72131) $470.40 $784 5.2×
CT maxillofacial w contrast (70487) $638.40 $1,064 4.2×
CT maxillofacial wo contrast (70486) $470.40 $784 5.2×
CT neck tissue combo (70492) $720 $1,200 4.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $720 $1,200 4.8×
CT orbits w/o contrast (70480) $470.40 $784 5.2×
CT pelvis w&w/o contrast (72194) $720 $1,200 4.8×
CT pelvis w/o contrast (72192) $470.40 $784 5.2×
CT scan of leg combo (73702) $720 $1,200 4.8×
CT soft tissue neck w contrast (70491) $638.40 $1,064 4.2×
CT soft tissue neck w/o contrast (70490) $470.40 $784 5.2×
CT thoracic spine w contrast (72129) $638.40 $1,064 4.2×
CT thoracic spine w/o contrast (72128) $470.40 $784 5.2×
CT thorax w/o contrast (71250) $470.40 $784 5.2×
CT upper ext wo (73200) $470.40 $784 5.2×
CT upper extremity with contrast (73201) $868.80 $1,448 2.9×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $726 $1,210 4.8×
Cta Abdomen (74175) $726 $1,210 4.8×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $604.80 $1,008 2.0×
Doppler Echo Fetal Spectral Display Complete (76827) $257.40 $429 2.9×
Dxa Bone Density Axial (77080) $257.40 $429 2.9×
Esophagram (74220) $421.80 $703 2.8×
Fetal Biophys Profile W/Nst (76818) $269.40 $449 3.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $269.40 $449 3.0×
Fluoroscopy up to 1 hr (76000)
range across 6 matching MRF lines
$51–$543 $85–$905 varies
Foot 2 views (73620)
range across 4 matching MRF lines
$34.20–$191.40 $57–$319 varies
Forearm 2 views (73090)
range across 4 matching MRF lines
$35.40–$191.40 $59–$319 varies
Gastric emptying imaging study (78264)
range across 2 matching MRF lines
$360.60–$889.80 $601–$1,483 varies
Hand 2 views (73120)
range across 4 matching MRF lines
$37.80–$257.40 $63–$429 varies
Hepatobil Syst Image W/Drug (78227) $1,155 $1,925 2.5×
Ht Muscle Image Spect Sing (78451) $3,083.40 $5,139 2.8×
Hysterosalpingogram (74740) $543 $905 2.6×
K Flow/Funct Image W/Drug (78708) $1,155 $1,925 2.5×
Knee 3 Views (73562)
range across 4 matching MRF lines
$49.20–$191.40 $82–$319 varies
Lung Ventilat&Perfus Imaging (78582) $1,155 $1,925 2.5×
Lung Ventilation Imaging (78579) $889.80 $1,483 2.6×
Lymph System Imaging (78195) $1,155 $1,925 2.5×
Magnetic Image Jaw Joint (70336) $916.20 $1,527 4.5×
Mra Head W/O & W/Contrast Material (70546) $1,326 $2,210 4.4×
MRA head w/o contrast (70544) $916.20 $1,527 4.5×
MRA neck w contrast (70548) $1,079.40 $1,799 3.6×
MRA neck w/o contrast (70547) $916.20 $1,527 4.5×
MRI abdomen w/o contrast (74181) $916.20 $1,527 4.5×
MRI any jt lower extrem w/contrast material (73722) $1,688.40 $2,814 2.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,326 $2,210 4.4×
MRI any jt upper extremity w/contrast matrl (73222) $1,688.40 $2,814 2.5×
MRI cervical spine w/o cont (72141) $1,179 $1,965 5.7×
MRI chest w/o contrast (71550) $916.20 $1,527 4.5×
MRI chest wo w contrast (71552) $1,326 $2,210 4.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,326 $2,210 4.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $916.20 $1,527 4.5×
MRI lumbar spine w contrast (72149) $868.80 $1,448 2.9×
Mri Neck Spine W/O & W/Dye (72156) $1,326 $2,210 4.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,326 $2,210 4.4×
MRI pelvis w/o & w contrast (72197)
range across 2 matching MRF lines
$129–$1,326 $215–$2,210 varies
MRI pelvis w/o contrast (72195) $916.20 $1,527 4.5×
MRI thoracic spine w/o contrast (72146) $916.20 $1,527 4.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $916.20 $1,527 4.5×
Mri Uppr Extremity W/O&W/Dye (73220) $1,282.20 $2,137 4.3×
MRI, abdomen, combo (74183) $1,326 $2,210 4.4×
MRI, dorsal spine combo (72157) $1,326 $2,210 4.4×
MRI, joint upper extrem (73221) $916.20 $1,527 4.5×
MRI, joint upper extrem combo (73223) $1,326 $2,210 4.4×
MRI, lumbar spine combo (72158) $1,326 $2,210 4.4×
Myelogram cervical (72240) $1,688.40 $2,814 2.5×
Myelogram Lumbar (72265) $1,688.40 $2,814 2.5×
Myelography thoracic (72255) $1,688.40 $2,814 2.5×
Myocardial Spect Multiple Studies (78452) $3,083.40 $5,139 2.8×
Neck soft tissue (70360) $191.40 $319 2.6×
Ob us nuchal meas 1 gest (76813) $141.60 $236 1.6×
Parathyroid Planar Imaging (78070) $889.80 $1,483 2.6×
Pelvis 1 or 2 views (72170)
range across 2 matching MRF lines
$33.60–$257.40 $56–$429 varies
Pulmonary Perfusion Imaging Particulate (78580) $889.80 $1,483 2.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $257.40 $429 2.9×
Radex abscess/fistula/sinus tract rs&i (76080) $1,140 $1,900 2.4×
Radex Ankle Complete Minimum 3 Views (73610)
range across 4 matching MRF lines
$43.80–$191.40 $73–$319 varies
Radex Calcaneus Minimum 2 Views (73650) $191.40 $319 2.6×
Radex elbow complete minimum 3 views (73080)
range across 4 matching MRF lines
$39.60–$191.40 $66–$319 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $257.40 $429 2.9×
Radex fingr minimum 2 views (73140)
range across 5 matching MRF lines
$45.60–$191.40 $76–$319 varies
Radex foot complete minimum 3 views (73630)
range across 4 matching MRF lines
$41.40–$191.40 $69–$319 varies
Radex Hand Minimum 3 Views (73130)
range across 4 matching MRF lines
$44.40–$191.40 $74–$319 varies
Radex lower extremity infant minimum 2 views (73592) $191.40 $319 2.6×
Radex Nasal Bones Complete Minimum 3 Views (70160) $191.40 $319 2.6×
Radex Ribs Unilateral 2 Views (71100) $191.40 $319 2.6×
Radex shoulder complete minimum 2 views (73030)
range across 4 matching MRF lines
$42–$191.40 $70–$319 varies
Radex Sinuses Paransl < 3 Views (70210) $191.40 $319 2.6×
Radex Sternum Minimum 2 Views (71120) $191.40 $319 2.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $191.40 $319 2.6×
Radex Toe Minimum 2 Views (73660)
range across 4 matching MRF lines
$34.80–$191.40 $58–$319 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 4 matching MRF lines
$49.20–$191.40 $82–$319 varies
Radiolog exam mandible compl minimum 4 views (70110) $257.40 $429 2.9×
Radiologic exam colon double contrast study (74280) $421.80 $703 2.8×
Radiologic exam colon single contrast study (74270) $421.80 $703 2.8×
Radiologic Exam Esophagus Double Contrast Study (74221) $421.80 $703 2.8×
Radiologic exam knee complete 4/more views (73564)
range across 7 matching MRF lines
$57–$257.40 $95–$429 varies
Radiologic exam pelvis compl minimum 3 views (72190)
range across 3 matching MRF lines
$51–$256.80 $85–$428 varies
Radiologic Exam Small Int Single Contrast Study (74250) $421.80 $703 2.8×
Radiologic exam swallow function contrast study (74230) $421.80 $703 2.8×
Radiologic exam upr gi trc double contrast study (74246) $421.80 $703 2.8×
Radiologic examination femur 1 view (73551)
range across 4 matching MRF lines
$35.40–$191.40 $59–$319 varies
Radiologic examination femur minimum 2 views (73552)
range across 4 matching MRF lines
$42.60–$191.40 $71–$319 varies
Radiologic examination knee 1/2 views (73560)
range across 4 matching MRF lines
$40.80–$191.40 $68–$319 varies
Radiologic Examination Osseous Survey Limited (77074) $257.40 $429 2.9×
Radiologic examination tibia & fibula 2 views (73590)
range across 4 matching MRF lines
$37.80–$191.40 $63–$319 varies
Ribs bilateral 3 views (71110) $257.40 $429 2.9×
Scapula (73010)
range across 4 matching MRF lines
$28.80–$257.40 $48–$429 varies
Screening Digital Breast Tomosynthesis Bi (77063) $28.20 $47 1.2×
Shoulder 1 view (73020)
range across 4 matching MRF lines
$25.80–$191.40 $43–$319 varies
Shoulder Arthrography (73040) $868.80 $1,448 2.9×
Skull less than 4 views (70250) $257.40 $429 2.9×
Sternoclavicular joints (71130) $191.40 $319 2.6×
Thoracic spine 2 views (72070) $257.40 $429 2.9×
Thoracic spine 3 views (72072) $257.40 $429 2.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $889.80 $1,483 2.6×
Ultrasound Breast Limited (76642) $191.40 $319 2.6×
Ultrasound Exam Aaa Screen (76706) $359.40 $599 4.0×
Ultrasound, abdomen limited (76705) $269.40 $449 3.0×
Umbilical-artery Doppler (OB) (76820) $257.40 $429 2.9×
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) $75 $125 0.2×
Upper gi w/o kub (74240) $421.80 $703 2.8×
Urethrocystography retrograde (74450) $543 $905 2.6×
Us breast unilateral complete (76641) $257.40 $429 2.9×
Us chest (76604)
range across 3 matching MRF lines
$69.60–$257.40 $116–$429 varies
Us complete joint (76881) $269.40 $449 3.0×
Us exam, pelvic, limited (76857)
range across 4 matching MRF lines
$60–$257.40 $100–$429 varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $257.40 $429 2.9×
Us ob detailed single fetus (76811)
range across 2 matching MRF lines
$217.20–$543 $362–$905 varies
Us ob limited 1 or more fetuses (76815)
range across 3 matching MRF lines
$98.40–$257.40 $164–$429 varies
Us ob transvaginal (76817)
range across 2 matching MRF lines
$112.20–$257.40 $187–$429 varies
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$127.20–$269.40 $212–$449 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $269.40 $449 3.0×
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines
$133.80–$257.40 $223–$429 varies
Us retroperitoneal complete (76770) $269.40 $449 3.0×
Us retroperitoneal limited (76775)
range across 4 matching MRF lines
$72.60–$269.40 $121–$449 varies
Us scrotum and contents (76870) $269.40 $449 3.0×
Us thyroid (76536) $269.40 $449 3.0×
Us transrectal (76872)
range across 2 matching MRF lines
$166.80–$256.80 $278–$428 varies
Wrist 2 views (73100)
range across 4 matching MRF lines
$40.80–$191.40 $68–$319 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $191.40 $319 2.6×
X-Ray Bend Only L-S Spine (72120) $257.40 $429 2.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 4 matching MRF lines
$35.40–$191.40 $59–$319 varies
X-Ray Exam Breast Specimen (76098) $1,140 $1,900 2.4×
X-Ray Exam Entire Spi 1 Vw (72081) $191.40 $319 2.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $257.40 $429 2.9×
X-Ray Exam Hip Uni 1 View (73501)
range across 4 matching MRF lines
$39.60–$191.40 $66–$319 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 4 matching MRF lines
$57–$191.40 $95–$319 varies
X-Ray Exam Hips Bi 2 Views (73521) $257.40 $429 2.9×
X-Ray Exam L-S Spine Bending (72114) $257.40 $429 2.9×
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 3 matching MRF lines
$47.40–$191.40 $79–$319 varies
X-Ray Exam Neck Spine 6/>Vws (72052) $257.40 $429 2.9×
X-Ray Exam Unilat Ribs/Chest (71101) $257.40 $429 2.9×
X-ray eye for foreign body (70030) $191.40 $319 2.6×
X-ray humerus (73060)
range across 4 matching MRF lines
$38.40–$191.40 $64–$319 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $191.40 $319 2.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565)
range across 2 matching MRF lines
$48–$191.40 $80–$319 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $257.40 $429 2.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $257.40 $429 2.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $257.40 $429 2.9×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $257.40 $429 2.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $191.40 $319 2.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $192 $320 2.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $257.40 $429 2.9×
X-Ray Stress View (77071)
range across 26 matching MRF lines
$65.40–$191.40 $109–$319 varies
X-Ray Urinary Tract Exam With Contrast Material (74420)
range across 3 matching MRF lines
$94.20–$868.80 $157–$1,448 varies
X-Rays Bone Length Studies (77073) $257.40 $429 2.9×
X-Rays Bone Survey Complete (77075) $257.40 $429 2.9×
Xr c-spine 4 or 5 views (72050) $257.40 $429 2.9×
Xr facial bones less than 3 views (70140) $191.40 $319 2.6×
Xr orbits complete 4 views (70200) $257.40 $429 2.9×

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.