Imaging prices at J. Paul Jones Rural Emergency Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $90.08 $90.08 1.2×
Abdomen 2 views (74019) $114.35 $114.35 1.3×
Bone survey infant (77076) $96.80 $96.80 1.1×
Chest 1 view (71045) $92.50 $92.50 1.2×
Chest 2 views (71046) $121.25 $121.25 1.6×
Chest 3 views (71047) $126.85 $126.85 1.7×
Chest 4 or more views (71048) $190.60 $190.60 2.1×
Contrast X-Ray Bladder (74430) $281.60 $281.60 0.9×
CT abdomen and pelvis without and with contrast (74178) $1,996 $1,996 6.6×
CT abdomen and pelvis without contrast (74176) $1,624.80 $1,624.80 7.9×
CT abdomen w contrast (74160) $921.80 $921.80 6.1×
CT abdomen w wo contrast (74170) $998 $998 6.6×
CT abdomen w/o contrast (74150) $811.80 $811.80 9.0×
CT Angio Abdomen and Pelvis (74174) $2,219 $2,219 7.4×
CT Angio Chest (71275) $1,219 $1,219 8.1×
CT Angio Head (70496) $1,119 $1,119 7.4×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,319 $1,319 8.7×
CT Angio Neck (70498) $1,219 $1,219 8.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,319 $1,319 8.7×
CT cervical spine w/ contrast (72126) $922 $922 3.1×
CT cervical spine w/o contrast (72125) $585 $585 6.5×
CT cervical spine w/wo cont (72127) $998 $998 6.6×
CT chest w contrast (71260) $922 $922 6.1×
CT chest w/wo contrast (71270) $998 $998 6.6×
CT head/brain with contrast (70460) $922 $922 6.1×
CT head/brain without and with contrast (70470) $988 $988 6.5×
CT iac w contrast (70481) $922 $922 6.1×
CT l-spine w&w/o contrast (72133) $998 $998 6.6×
CT lower ext w/o (73700) $813 $813 9.0×
CT lower extremity w/contrast material (73701) $922 $922 6.1×
CT lumbar spine w contrast (72132) $922 $922 3.1×
CT lumbar spine w/o contrast (72131) $585 $585 6.5×
CT maxillofacial w contrast (70487) $922 $922 6.1×
CT maxillofacial wo contrast (70486) $813 $813 9.0×
CT neck tissue combo (70492) $998 $998 6.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $998 $998 6.6×
CT orbits w/o contrast (70480) $813 $813 9.0×
CT pelvis w&w/o contrast (72194) $998 $998 6.6×
CT pelvis w/o contrast (72192) $585 $585 6.5×
CT scan of leg combo (73702) $998 $998 6.6×
CT scans face/jaw combo (70488) $998 $998 6.6×
CT soft tissue neck w contrast (70491) $922 $922 6.1×
CT soft tissue neck w/o contrast (70490) $585 $585 6.5×
CT thoracic spine w contrast (72129) $922 $922 6.1×
CT thoracic spine w/o contrast (72128) $813 $813 9.0×
CT thoracic spine w/wo cont (72130) $998 $998 6.6×
CT thorax w/o contrast (71250) $585 $585 6.5×
CT upper ext wo (73200) $813 $813 9.0×
CT upper extremity w/o & w/contrast material (73202) $998 $998 6.6×
CT upper extremity with contrast (73201) $923 $923 3.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,219 $2,219 14.7×
Cta Abdomen (74175) $1,219 $1,219 8.1×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,129.50 $1,129.50 3.8×
CTA pelvis (72191) $1,219 $1,219 8.1×
Esophagram (74220) $173.44 $173.44 1.1×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$95.85–$114.35 $95.85–$114.35 varies
Mra Head W/O & W/Contrast Material (70546) $2,732 $2,732 9.1×
MRA head w/o contrast (70544) $1,646 $1,646 8.0×
MRA head with contrast (70545) $1,646 $1,646 5.5×
MRA neck w contrast (70548) $1,646 $1,646 5.5×
Mra Neck W/O &W/Contrast Material (70549) $2,138 $2,138 7.1×
MRA neck w/o contrast (70547) $1,646 $1,646 8.0×
MRI abdomen w contrast (74182) $1,501 $1,501 5.0×
MRI abdomen w/o contrast (74181) $1,012 $1,012 4.9×
MRI any jt lower extrem w/contrast material (73722) $1,613 $1,613 2.4×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,395 $2,395 8.0×
MRI cervical spine w contrast (72142) $2,647 $2,647 8.8×
MRI cervical spine w/o cont (72141) $2,033 $2,033 9.9×
MRI chest with contrast (71551) $1,300 $1,300 1.9×
MRI chest wo w contrast (71552) $2,377 $2,377 7.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,625 $1,625 5.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,501 $1,501 5.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$1,927–$4,018 $1,927–$4,018 varies
MRI lumbar spine w contrast (72149) $2,383 $2,383 7.9×
Mri Neck Spine W/O & W/Dye (72156) $3,374 $3,374 11.2×
MRI orbit face neck w contrast (70542) $1,652 $1,652 5.5×
MRI, abdomen, combo (74183) $1,620 $1,620 5.4×
MRI, joint upper extrem (73221) $2,074 $2,074 10.1×
MRI, lumbar spine combo (72158) $3,037 $3,037 10.1×
Neck soft tissue (70360) $90.08 $90.08 1.2×
Pelvis 1 or 2 views (72170) $90.08 $90.08 1.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $151.72 $151.72 1.7×
Radex Facial Bones Complete Minimum 3 Views (70150) $159.40 $159.40 1.8×
Radex fingr minimum 2 views (73140) $90.08 $90.08 1.2×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $127.10 $127.10 1.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $70.45 $70.45 0.9×
Radex Sinuses Paransl < 3 Views (70210) $90.08 $90.08 1.2×
Radex Sternum Minimum 2 Views (71120) $88.95 $88.95 1.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $95.85 $95.85 1.3×
Radex upper extremity infant minimum 2 views (73092) $70.45 $70.45 0.8×
Radiolog exam mandible compl minimum 4 views (70110)
range across 2 matching MRF lines
$108.55–$127.05 $108.55–$127.05 varies
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $311.49 $311.49 3.5×
Radiologic exam colon double contrast study (74280) $279.50 $279.50 1.8×
Radiologic exam colon single contrast study (74270) $216 $216 1.4×
Radiologic exam pelvis compl minimum 3 views (72190) $127.05 $127.05 1.4×
Radiologic Exam Small Int Single Contrast Study (74250) $177.85 $177.85 1.2×
Radiologic exam upr gi trc double contrast study (74246) $222.90 $222.90 1.5×
Radiologic Examination Osseous Survey Limited (77074) $165 $165 1.8×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $127.05 $127.05 0.3×
Ribs bilateral 3 views (71110) $190.55 $190.55 2.1×
Sella turcica (70240) $76.25 $76.25 1.0×
Skull less than 4 views (70250) $101.65 $101.65 1.1×
Sternoclavicular joints (71130) $127.05 $127.05 1.7×
Thoracic spine 2 views (72070) $108.55 $108.55 1.2×
Thoracic spine 3 views (72072) $127.05 $127.05 1.4×
Thoracolumbar 2 views (72080) $108.55 $108.55 1.4×
Ultrasound Breast Limited (76642) $165.26 $165.26 2.2×
Ultrasound Exam Aaa Screen (76706) $365.79 $365.79 4.1×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$220–$244.05 $220–$244.05 varies
Upper gi w/o kub (74240) $203.30 $203.30 1.3×
Us breast unilateral complete (76641) $218.52 $218.52 2.4×
Us chest (76604) $218.55 $218.55 2.4×
Us complete joint (76881) $327.39 $327.39 3.6×
Us exam, pelvic, limited (76857) $139.75 $139.75 1.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $220 $220 2.4×
Us ob limited 1 or more fetuses (76815) $185.85 $185.85 2.1×
Us ob transvaginal (76817) $205.26 $205.26 2.3×
Us pelvic non ob complete (76856) $282.84 $282.84 3.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $250.17 $250.17 2.8×
Us retroperitoneal complete (76770) $312.48 $312.48 3.5×
Us scrotum and contents (76870) $286.95 $286.95 3.2×
Us thyroid (76536)
range across 2 matching MRF lines
$218.55–$287.97 $218.55–$287.97 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $76.90 $76.90 1.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $254.10 $254.10 2.8×
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines
$152.45–$177.85 $152.45–$177.85 varies
X-Ray Exam L-S Spine Bending (72114) $285.15 $285.15 3.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $95.86 $95.86 1.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $177.90 $177.90 2.0×
X-ray IV pyelogram (ivp) (74400) $352.24 $352.24 2.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $108.55 $108.55 1.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $108.55 $108.55 1.2×
X-ray nose-rectum child f.b. (76010) $70.45 $70.45 0.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $254.10 $254.10 2.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $101.65 $101.65 1.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $101.65 $101.65 1.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $101.65 $101.65 1.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $127.05 $127.05 1.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $152.45 $152.45 1.7×
X-Ray Stress View (77071) $81.40 $81.40 1.1×
X-Rays Bone Survey Complete (77075) $400 $400 4.4×
Xr c-spine 4 or 5 views (72050) $165 $165 1.8×
Xr facial bones less than 3 views (70140) $83.15 $83.15 1.1×
Xr orbits complete 4 views (70200) $127.05 $127.05 1.4×

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.