Imaging prices at Hardin Medical Center

Savannah, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $92.44 $242 1.2×
Abdomen 2 views (74019)
range across 2 matching MRF lines		 $102.38–$143.25 $268–$375 varies
Acute Gastrointestinal Blood Loss Imaging (78278) $370.16 $969 1.0×
Angiography extremity bilateral rs&i (75716) $495.84 $1,298 0.2×
Ankle 2 views (73600) $38.96 $102 0.5×
Bone age studies (77072) $233.78 $612 2.5×
Bone Imaging 3 Phase (78315) $411.03 $1,076 1.1×
Bone Imaging Limited Area (78300) $326.61 $855 0.9×
Bone Imaging Multiple Areas (78305) $335.40 $878 0.9×
Bone Imaging Whole Body (78306) $359.46 $941 1.0×
Bone survey infant (77076) $67.23 $176 0.7×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $754.83 $1,976 2.1×
Cat Scan Follow-Up Study (76380) $292.99 $767 3.7×
Chest 1 view (71045) $29.03 $76 0.4×
Chest 2 views (71046) $30.56 $80 0.4×
Chest 3 views (71047) $53.86 $141 0.7×
Chest 4 or more views (71048) $76.40 $200 0.8×
Clavicle complete (73000) $37.44 $98 0.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $58.45 $153 0.6×
Contrast X-Ray Bladder (74430) $419.82 $1,099 1.3×
Contrast X-Ray Of Knee Joint (73580) $225.38 $590 0.7×
CT abdomen and pelvis without and with contrast (74178) $9.55 $25 0.0×
CT abdomen and pelvis without contrast (74176) $336.54 $881 1.6×
CT abdomen w contrast (74160) $569.18 $1,490 3.6×
CT abdomen w wo contrast (74170) $9.55 $25 0.1×
CT abdomen w/o contrast (74150) $422.87 $1,107 4.5×
CT Angio Abdomen and Pelvis (74174) $140.58 $368 0.4×
CT Angio Chest (71275) $641.38 $1,679 4.0×
CT Angio Head (70496) $51.95 $136 0.3×
CT angio hrt w/3d image (75574) $411.03 $1,076 1.3×
Ct Angio Lwr Extr W/O&W/Dye (73706) $588.28 $1,540 3.7×
CT Angio Neck (70498) $50.04 $131 0.3×
Ct Angio Upr Extrm W/O&W/Dye (73206) $590.19 $1,545 3.7×
CT cervical spine w/ contrast (72126) $575.29 $1,506 1.8×
CT cervical spine w/o contrast (72125) $435.48 $1,140 4.6×
CT cervical spine w/wo cont (72127) $687.98 $1,801 4.3×
CT head/brain with contrast (70460) $679.58 $1,779 4.3×
CT head/brain without and with contrast (70470) $11.46 $30 0.1×
CT heart no contrast quant eval coronry calcium (75571) $106.20 $278 1.3×
CT iac w contrast (70481) $595.92 $1,560 3.7×
CT l-spine w&w/o contrast (72133) $679.58 $1,779 4.3×
CT lower ext w/o (73700) $382 $1,000 4.0×
CT lower extremity w/contrast material (73701) $421.12 $1,102.40 2.6×
CT lumbar spine w contrast (72132) $574.53 $1,504 1.8×
CT lumbar spine w/o contrast (72131) $441.21 $1,155 4.7×
CT maxillofacial w contrast (70487) $597.45 $1,564 3.8×
CT maxillofacial wo contrast (70486) $588.28 $1,540 6.2×
CT neck tissue combo (70492) $16.81 $44 0.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $16.04 $42 0.1×
CT orbits w/o contrast (70480) $518.37 $1,357 5.5×
CT pelvis w&w/o contrast (72194) $595.92 $1,560 3.7×
CT pelvis w/o contrast (72192) $433.19 $1,134 4.6×
CT scan of leg combo (73702) $573.38 $1,501 3.6×
CT soft tissue neck w contrast (70491) $599.55 $1,569.49 3.8×
CT soft tissue neck w/o contrast (70490) $519.52 $1,360 5.5×
CT thoracic spine w contrast (72129) $574.15 $1,503 3.6×
CT thoracic spine w/o contrast (72128) $438.15 $1,147 4.6×
CT thoracic spine w/wo cont (72130) $679.58 $1,779 4.3×
CT upper ext wo (73200) $385.44 $1,009 4.1×
CT upper extremity w/o & w/contrast material (73202) $573.38 $1,501 3.6×
CT upper extremity with contrast (73201) $411.03 $1,076 1.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $633.74 $1,659 4.0×
Cta Abdomen (74175) $632.97 $1,657 4.0×
CTA pelvis (72191) $638.70 $1,672 4.0×
Discography Cerv/Thor Spine (72285) $1,757.20 $4,600 1.0×
Diskography lumbar (72295) $1,748.03 $4,576 1.0×
Dxa Bone Density Axial (77080) $163.13 $427.04 1.7×
Esophagram (74220) $238.37 $624 1.5×
Fetal Biophys Profile W/Nst (76818) $15.28 $40 0.2×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $317.82 $832 3.4×
Fluoroscopy up to 1 hr (76000) $143.63 $376 0.7×
Foot 2 views (73620) $38.96 $102 0.5×
Forearm 2 views (73090) $38.20 $100 0.5×
Gastric emptying imaging study (78264) $343.04 $898 0.9×
Gated Heart Planar Single (78472) $411.03 $1,076 1.1×
Hand 2 views (73120) $44.69 $117 0.5×
Hepatobil Syst Image W/Drug (78227) $50.04 $131 0.1×
Hepatobiliary System Imaging (78226) $764 $2,000 2.1×
Ht Muscle Image Spect Sing (78451) $339.60 $889 0.3×
Hysterosalpingogram (74740) $679.20 $1,778 3.1×
Joint Survey Single View (77077) $72.20 $189 0.8×
K Flow/Funct Image W/Drug (78708) $432.04 $1,131 0.9×
K Flow/Funct Image W/O Drug (78707) $406.45 $1,064 0.8×
Knee 3 Views (73562) $50.42 $132 0.6×
Liver & Spleen Imaging Static Only (78215) $335.01 $877 0.9×
Liver imaging static only (78201) $331.58 $868 0.7×
Liver imaging w/vascular flow (78202) $341.13 $893 0.7×
Lung Perf&Ventilat Diferentl (78598) $56.92 $149 0.1×
Lung perfusion differential (78597) $463.37 $1,213 1.3×
Lymph System Imaging (78195) $382 $1,000 0.8×
Mammary ductogram or galactogram multiple (77054) $222.32 $582 1.0×
Mammary ductogram or galactogram single (77053) $172.28 $451 0.8×
Meckels Divert Exam (78290) $369.01 $966 1.0×
MRA head w/o contrast (70544) $127.97 $335 0.6×
MRA neck w contrast (70548) $163.11 $427 0.5×
Mra Neck W/O &W/Contrast Material (70549) $206.28 $540 0.7×
MRA neck w/o contrast (70547) $126.44 $331 0.6×
MRI abdomen w contrast (74182) $1,112.38 $2,912 3.5×
MRI abdomen w/o contrast (74181) $123 $322 0.6×
MRI any jt lower extrem w/contrast material (73722) $166.55 $436 0.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $206.28 $540 0.7×
MRI any jt upper extremity w/contrast matrl (73222) $166.55 $436 0.2×
MRI cervical spine w contrast (72142) $156.62 $410 0.5×
MRI cervical spine w/o cont (72141) $126.44 $331 0.6×
MRI chest w/o contrast (71550) $969.90 $2,539 4.5×
MRI chest with contrast (71551) $162.35 $425 0.2×
MRI chest wo w contrast (71552) $202.46 $530 0.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $163.11 $427 0.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $193.67 $507 0.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $123 $322 0.6×
MRI lumbar spine w contrast (72149) $163.11 $427 0.5×
Mri Neck Spine W/O & W/Dye (72156) $206.28 $540 0.7×
MRI orbit face &/neck w/o contrast (70540) $123 $322 0.6×
MRI orbit face neck w contrast (70542) $163.11 $427 0.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $191 $500 0.6×
MRI pelvis w contrast (72196) $166.55 $436 0.5×
MRI pelvis w/o & w contrast (72197) $200.55 $525 0.6×
MRI pelvis w/o contrast (72195) $126.44 $331 0.6×
MRI thoracic spine w/o contrast (72146) $123 $322 0.6×
MRI upper extremity oth than jt w/contr matrl (73219) $166.55 $436 0.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $126.06 $330 0.6×
Mri Uppr Extremity W/O&W/Dye (73220) $197.88 $518 0.6×
MRI, abdomen, combo (74183) $191 $500 0.6×
MRI, dorsal spine combo (72157) $208.95 $547 0.7×
MRI, dorsal spine contrast (72147) $166.55 $436 0.5×
MRI, joint upper extrem (73221) $123.77 $324 0.6×
MRI, joint upper extrem combo (73223) $208.95 $547 0.7×
MRI, lumbar spine combo (72158) $206.28 $540 0.7×
Myocardial Spect Multiple Studies (78452)
range across 3 matching MRF lines		 $52.72–$599.76 $138–$1,570.05 varies
Neck soft tissue (70360) $86.71 $227 1.1×
Parathyroid Planar Imaging (78070) $331.19 $867 0.9×
Pelvis 1 or 2 views (72170) $44.31 $116 0.5×
Pulmonary Perfusion Imaging Particulate (78580) $323.17 $846 0.9×
Radex Ankle Complete Minimum 3 Views (73610) $45.84 $120 0.6×
Radex Calcaneus Minimum 2 Views (73650) $37.82 $99 0.5×
Radex elbow complete minimum 3 views (73080) $45.84 $120 0.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $50.42 $132 0.5×
Radex fingr minimum 2 views (73140) $36.29 $95 0.5×
Radex foot complete minimum 3 views (73630) $46.22 $121 0.6×
Radex Hand Minimum 3 Views (73130) $46.22 $121 0.6×
Radex lower extremity infant minimum 2 views (73592) $35.53 $93 0.4×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $49.66 $130 0.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $35.53 $93 0.4×
Radex Ribs Unilateral 2 Views (71100) $38.58 $101 0.5×
Radex shoulder complete minimum 2 views (73030) $36.67 $96 0.5×
Radex Sinuses Paransl < 3 Views (70210) $35.91 $94 0.5×
Radex Sternum Minimum 2 Views (71120) $49.66 $130 0.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $64.18 $168 0.8×
Radex Toe Minimum 2 Views (73660) $37.05 $97 0.5×
Radex upper extremity infant minimum 2 views (73092) $43.93 $115 0.5×
Radex Wrist Complete Minimum 3 Views (73110) $45.84 $120 0.6×
Radiolog exam mandible compl minimum 4 views (70110) $45.46 $119 0.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $114.98 $301 1.2×
Radiologic exam colon double contrast study (74280) $418.67 $1,096 2.6×
Radiologic exam colon single contrast study (74270) $327.76 $858 2.1×
Radiologic exam knee complete 4/more views (73564) $75.64 $198 0.8×
Radiologic Exam Small Int Single Contrast Study (74250) $238.37 $624 1.5×
Radiologic exam swallow function contrast study (74230) $374.36 $980 2.4×
Radiologic exam upr gi trc double contrast study (74246)
range across 3 matching MRF lines		 $194.82–$482.08 $510–$1,262 varies
Radiologic examination femur minimum 2 views (73552) $37.05 $97 0.5×
Radiologic examination knee 1/2 views (73560) $36.67 $96 0.5×
Radiologic Examination Osseous Survey Limited (77074) $142.87 $374 1.5×
Radiologic Examination Salivary Gland Calculus (70380) $72.96 $191 0.9×
Radiologic examination tibia & fibula 2 views (73590) $38.20 $100 0.5×
Ribs bilateral 3 views (71110) $49.66 $130 0.5×
Rp loclzj tum plnr 1 area single day imaging (78800)
range across 2 matching MRF lines		 $92.83–$357.93 $243–$937 varies
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $406.45 $1,064 1.1×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $112.69 $295 0.2×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 5 matching MRF lines		 $112.69–$953.47 $295–$2,496 varies
Scapula (73010) $44.31 $116 0.5×
Shoulder 1 view (73020) $38.96 $102 0.5×
Skull less than 4 views (70250) $43.93 $115 0.5×
Sternoclavicular joints (71130) $34.38 $90 0.4×
Thoracic spine 2 views (72070) $44.31 $116 0.5×
Thoracic spine 3 views (72072) $58.06 $152 0.6×
Thyroid Imaging With Vascular Flow (78013) $208.95 $547 0.6×
Thyroid Uptake Measurement (78012) $257.47 $674 0.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $331.19 $867 0.9×
Ultrasound Breast Limited (76642) $233.78 $612 3.0×
Ultrasound Exam Aaa Screen (76706) $70.29 $184 0.7×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines		 $234.55–$235.31 $614–$616 varies
Umbilical-artery Doppler (OB) (76820) $72.58 $190 0.8×
Upper gi w/o kub (74240)
range across 2 matching MRF lines		 $238.37–$292.99 $624–$767 varies
Urethrocystogram voiding (74455) $418.67 $1,096 1.9×
Us breast unilateral complete (76641) $292.99 $767 3.1×
Us chest (76604) $355.64 $931 3.7×
Us exam, pelvic, limited (76857) $235.31 $616 2.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $181.83 $476 1.9×
Us ob detailed single fetus (76811)
range across 2 matching MRF lines		 $317.82–$404.92 $832–$1,060 varies
Us ob limited 1 or more fetuses (76815) $219.27 $574 2.3×
Us ob transvaginal (76817) $359.84 $942 3.8×
Us pelvic non ob complete (76856) $307.89 $806 3.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $337.31 $883 3.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $337.69 $884 3.6×
Us retroperitoneal complete (76770) $366.72 $960 3.9×
Us retroperitoneal limited (76775) $208.95 $547 2.2×
Us scrotum and contents (76870) $238.37 $624 2.5×
Us spinal canal and contents (76800) $335.01 $877 3.5×
Us thyroid (76536) $234.93 $615 2.5×
Vertebral fracture assessment via dxa (77086) $29.03 $76 0.4×
Wrist 2 views (73100) $38.58 $101 0.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $38.96 $102 0.5×
X-Ray Bend Only L-S Spine (72120) $79.46 $208 0.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $38.96 $102 0.5×
X-Ray Exam Breast Specimen (76098) $335.40 $878 0.7×
X-Ray Exam Entire Spi 4/5 Vw (72083) $292.99 $767 3.1×
X-Ray Exam Hip Uni 1 View (73501) $87.48 $229 1.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $120.71 $316 1.5×
X-Ray Exam Hips Bi 2 Views (73521) $121.09 $317 1.3×
X-Ray Exam L-S Spine Bending (72114) $113.45 $297 1.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $36.67 $96 0.5×
X-Ray Exam Unilat Ribs/Chest (71101) $49.66 $130 0.5×
X-ray humerus (73060) $37.05 $97 0.5×
X-ray IV pyelogram (ivp) (74400) $490.49 $1,284 3.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $35.53 $93 0.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $42.02 $110 0.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $46.60 $122 0.5×
X-ray nose-rectum child f.b. (76010) $86.71 $227 1.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $79.46 $208 0.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $45.46 $119 0.5×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $43.93 $115 0.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $45.46 $119 0.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $35.24 $92.24 0.4×
X-Ray Stress View (77071) $126.06 $330 1.6×
X-ray thoracic spine 4 vw (72074) $66.09 $173 0.7×
X-Rays Bone Length Studies (77073) $161.97 $424 1.7×
X-Rays Bone Survey Complete (77075) $313.24 $820 3.3×
Xr c-spine 4 or 5 views (72050) $79.84 $209 0.8×
Xr facial bones less than 3 views (70140) $35.91 $94 0.5×
Xr orbits complete 4 views (70200) $45.08 $118 0.5×

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.