Imaging prices at Jackson Hospital
Marianna, FL · every code in this section with a posted price and a Medicare benchmark.
220 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) range across 6 matching MRF lines |
$142–$916.50 | $284–$286 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$143–$150 | $284–$300 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $729 | $1,458 | 1.7× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$150–$283.50 | $300–$599 | varies |
| Bone age studies (77072) | $156 | $300 | 1.4× |
| Bone Imaging 3 Phase (78315) | $807.50 | $1,563 | 1.9× |
| Bone Imaging Limited Area (78300) | $729 | $1,458 | 1.7× |
| Bone Imaging Whole Body (78306) | $729 | $1,615 | 1.7× |
| Bone survey infant (77076) | $251.50 | $300 | 2.3× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$128–$916.50 | $256 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$128–$192 | $256–$384 | varies |
| Chest 3 views (71047) | $150 | $256 | 1.7× |
| Chest 4 or more views (71048) | $128 | $384 | 1.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$142–$283.50 | $284–$567 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$729–$781.50 | $1,458 | varies |
| Contrast X-Ray Bladder (74430) | $419 | $836 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$755–$781.50 | $1,458–$1,563 | varies |
| CT abdomen and pelvis without contrast (74176) | $729 | $1,458 | 2.9× |
| CT abdomen w contrast (74160) | $729 | $1,510 | 4.0× |
| CT abdomen w wo contrast (74170) | $755 | $1,563 | 4.1× |
| CT abdomen w/o contrast (74150) | $150 | $1,458 | 1.4× |
| CT Angio Abdomen and Pelvis (74174) | $781.50 | $1,060 | 2.1× |
| CT Angio Chest (71275) | $729 | $1,458 | 4.0× |
| CT Angio Head (70496) | $781.50 | $1,458 | 4.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$729–$888.50 | $1,458–$1,777 | varies |
| CT Angio Neck (70498) | $729 | $1,458 | 4.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$729–$1,457.50 | $1,458–$1,777 | varies |
| CT cervical spine w/ contrast (72126) | $729 | $1,510 | 2.0× |
| CT cervical spine w/o contrast (72125) | $150 | $1,458 | 1.4× |
| CT cervical spine w/wo cont (72127) | $755 | $1,563 | 4.1× |
| CT chest w contrast (71260) | $729 | $1,510 | 4.0× |
| CT chest w/wo contrast (71270) | $755 | $1,563 | 4.1× |
| CT head/brain with contrast (70460) | $729 | $1,510 | 4.0× |
| CT head/brain without and with contrast (70470) | $755 | $1,563 | 4.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $532 | $104 | 5.9× |
| CT iac w contrast (70481) | $729 | $1,510 | 4.0× |
| CT l-spine w&w/o contrast (72133) | $755 | $1,563 | 4.1× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$142–$1,457.50 | $1,458–$2,915 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$729–$1,457.50 | $1,510–$2,915 | varies |
| CT lumbar spine w contrast (72132) | $729 | $1,510 | 2.0× |
| CT lumbar spine w/o contrast (72131) | $781.50 | $1,458 | 7.2× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$729–$755 | $1,510 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$729–$781.50 | $1,458 | varies |
| CT neck tissue combo (70492) | $755 | $1,563 | 4.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$755–$781.50 | $1,563 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$729–$781.50 | $1,458 | varies |
| CT pelvis w&w/o contrast (72194) | $755 | $1,563 | 4.1× |
| CT pelvis w/o contrast (72192) | $781.50 | $1,458 | 7.2× |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$755–$1,457.50 | $1,563–$2,915 | varies |
| CT scans face/jaw combo (70488) | $755 | $1,563 | 4.1× |
| CT soft tissue neck w contrast (70491) | $729 | $1,510 | 4.0× |
| CT soft tissue neck w/o contrast (70490) | $781.50 | $1,458 | 7.2× |
| CT thoracic spine w contrast (72129) | $729 | $1,510 | 4.0× |
| CT thoracic spine w/o contrast (72128) | $781.50 | $1,458 | 7.2× |
| CT thoracic spine w/wo cont (72130) | $755 | $1,563 | 4.1× |
| CT thorax w/o contrast (71250) | $142 | $1,458 | 1.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$142–$729 | $1,458–$2,915 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$755–$781.50 | $1,563–$2,915 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$755–$1,457.50 | $1,510 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $52 | $1,458 | 0.3× |
| Cta Abdomen (74175) | $530 | $1,458 | 2.9× |
| CTA pelvis (72191) | $150 | $1,563 | 0.8× |
| Dxa Bone Density Axial (77080) | $150 | $300 | 1.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $150 | $284 | 1.7× |
| Esophagram (74220) range across 2 matching MRF lines |
$265–$916.50 | $476–$530 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$213–$294 | $426 | varies |
| Fluoroscopy up to 1 hr (76000) | $729 | $503 | 2.9× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$142–$150 | $284–$374 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$142–$283.50 | $284–$567 | varies |
| Gastric emptying imaging study (78264) | $729 | $1,458 | 1.7× |
| Gated Heart Planar Single (78472) | $1,798 | $1,458 | 4.3× |
| Gated Heart, Multiple (78473) | $729 | $1,458 | 1.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$142–$283.50 | $284–$567 | varies |
| Hepatobil Syst Image W/Drug (78227) | $729 | $1,458 | 1.3× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$729–$1,457.50 | $1,458 | varies |
| Ht Muscle Image Spect Sing (78451) | $781.50 | $3,594 | 0.6× |
| Hysterosalpingogram (74740) | $419 | $1,064 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $729 | $2,426 | 1.3× |
| K Flow/Funct Image W/O Drug (78707) | $729 | $1,458 | 1.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$142–$283.50 | $284–$567 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $729 | $1,458 | 1.3× |
| Lung Ventilation Imaging (78579) | $729 | $1,458 | 1.7× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$606.50–$729 | $1,458–$2,915 | varies |
| Meckels Divert Exam (78290) | $729 | $1,458 | 1.7× |
| MRA head w/o contrast (70544) | $916.50 | $1,728 | 3.7× |
| MRA neck w/o contrast (70547) | $864 | $1,728 | 3.5× |
| MRI abdomen w contrast (74182) | $864 | $1,780 | 2.4× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$729–$864 | $1,728 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$864–$890 | $1,780–$3,665 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$916.50–$1,832.50 | $1,833–$3,665 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$864–$890 | $1,780 | varies |
| MRI cervical spine w contrast (72142) | $864 | $1,780 | 2.4× |
| MRI cervical spine w/o cont (72141) | $781.50 | $1,728 | 3.1× |
| MRI chest w/o contrast (71550) | $729 | $1,728 | 2.9× |
| MRI chest wo w contrast (71552) | $864 | $1,833 | 2.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$865–$1,727.50 | $1,730–$1,782 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$891–$1,832.50 | $1,833–$3,665 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$729–$890 | $1,780–$3,455 | varies |
| MRI lumbar spine w contrast (72149) | $864 | $1,780 | 2.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $890 | $1,833 | 2.4× |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$729–$864 | $1,728 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$864–$916.50 | $1,833 | varies |
| MRI pelvis w/o & w contrast (72197) | $864 | $1,833 | 2.4× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$781.50–$864 | $1,728 | varies |
| MRI thoracic spine w/o contrast (72146) | $890 | $1,728 | 3.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$864–$890 | $1,780 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$864–$1,727.50 | $1,728–$3,455 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$890–$1,832.50 | $1,833–$3,665 | varies |
| MRI, abdomen, combo (74183) | $890 | $1,833 | 2.4× |
| MRI, dorsal spine combo (72157) | $916.50 | $1,833 | 2.5× |
| MRI, dorsal spine contrast (72147) | $864 | $1,780 | 2.4× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$864–$1,727.50 | $1,728–$3,455 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$890–$916.50 | $1,833 | varies |
| MRI, lumbar spine combo (72158) | $916.50 | $1,833 | 2.5× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,797 | $3,594–$3,596 | 1.3× |
| Neck soft tissue (70360) | $283.50 | $284 | 3.1× |
| Pelvis 1 or 2 views (72170) | $916.50 | $300 | 8.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $729 | $1,458 | 1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $142 | $300 | 1.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $130.50 | $1,062 | 0.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$150–$299.50 | $300–$599 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$142–$283.50 | $284 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$142–$283.50 | $284–$567 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $142 | $300 | 1.3× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$142–$283.50 | $284–$567 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$142–$187 | $284–$567 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$142–$283.50 | $284–$567 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$150–$299.50 | $300–$599 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $150 | $300 | 1.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $150 | $284 | 1.7× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$142–$192 | $284 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$142–$299.50 | $300–$599 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $150 | $284 | 1.7× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$142–$916.50 | $284 | varies |
| Radex Sternum Minimum 2 Views (71120) | $192 | $284 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $142 | $567 | 1.6× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$142–$283.50 | $284–$567 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$142–$150 | $300–$599 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$142–$283.50 | $284–$567 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $142 | $300 | 1.3× |
| Radiologic exam colon double contrast study (74280) | $238 | $476 | 1.3× |
| Radiologic exam colon single contrast study (74270) | $265 | $476 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$142–$150 | $300–$599 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $150 | $300 | 1.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$160.50–$265 | $321–$530 | varies |
| Radiologic exam swallow function contrast study (74230) | $238 | $530 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$238–$239 | $476–$478 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$142–$150 | $284–$567 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$142–$283.50 | $284–$567 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $150 | $300 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$142 | $284–$567 | 1.6× |
| Ribs bilateral 3 views (71110) | $150 | $300 | 1.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,213 | $2,226 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,113 | $2,226 | 2.0× |
| Rp Therapy Intravenous Administration (79101) | $1,113 | $728 | 4.6× |
| Scapula (73010) range across 3 matching MRF lines |
$142–$283.50 | $284–$567 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $729 | $312 | 31.2× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$142–$283.50 | $284–$567 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$150–$533.50 | $1,067 | varies |
| Sternoclavicular joints (71130) | $142 | $284 | 1.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $238 | $476 | 1.3× |
| Thoracic spine 2 views (72070) | $251.50 | $300 | 2.3× |
| Thoracic spine 3 views (72072) | $150 | $300 | 1.4× |
| Thoracolumbar 2 views (72080) | $150 | $300 | 1.7× |
| Thyroid Imaging With Vascular Flow (78013) | $142 | $1,458 | 0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $729 | $1,213 | 1.7× |
| Ultrasound Breast Limited (76642) | $184.50 | $369 | 2.0× |
| Ultrasound Elastography Parenchyma (76981) | $184.50 | $353 | 1.7× |
| Ultrasound Exam Aaa Screen (76706) | $213 | $557 | 2.0× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$213–$279 | $426–$558 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$238–$265 | $476–$530 | varies |
| Urethrocystogram voiding (74455) | $418 | $838 | 1.7× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$184.50–$220 | $369–$440 | varies |
| Us chest (76604) | $213 | $426 | 2.0× |
| Us complete joint (76881) | $283.50 | $565 | 2.6× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$184.50–$213 | $369 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$270.50–$282.50 | $369–$541 | varies |
| Us ob detailed single fetus (76811) | $184.50 | $683 | 0.7× |
| Us ob limited 1 or more fetuses (76815) | $341.50 | $426 | 3.1× |
| Us ob transvaginal (76817) | $184.50 | $588 | 1.7× |
| Us pelvic non ob complete (76856) | $288.50 | $426 | 2.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $213 | $426 | 2.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $213 | $369 | 2.0× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$278.50–$291.50 | $583 | varies |
| Us retroperitoneal limited (76775) | $291.50 | $426 | 2.7× |
| Us scrotum and contents (76870) | $184.50 | $567 | 1.7× |
| Us spinal canal and contents (76800) | $213 | $426 | 2.0× |
| Us thyroid (76536) range across 2 matching MRF lines |
$169–$277.50 | $426–$555 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$142–$299.50 | $284–$567 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $533.50 | $599 | 5.9× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$418 | $836–$838 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) | $150 | $300 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$142–$283.50 | $284–$567 | varies |
| X-Ray Exam Breast Specimen (76098) | $531 | $1,062 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $150 | $284 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$142–$916.50 | $284 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $142 | $284 | 1.6× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$142–$150 | $300 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $150 | $300 | 1.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$142–$150 | $300–$503 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $150 | $503 | 1.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$142–$150 | $300 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$142–$283.50 | $284–$567 | varies |
| X-ray IV pyelogram (ivp) (74400) | $142 | $836 | 0.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $114.50 | $284 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $299.50 | $284 | 3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $142 | $300 | 1.3× |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$150.50–$251.50 | $261–$301 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $150 | $384 | 1.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $916.50 | $300 | 8.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $150 | $284 | 1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $142 | $300 | 1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $150 | $300 | 1.4× |
| X-Ray Tmj Unilat (70328) | $150 | $284 | 1.7× |
| X-Rays Bone Length Studies (77073) | $150 | $300 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $150 | $503 | 1.4× |
| Xr c-spine 4 or 5 views (72050) | $251.50 | $300 | 2.3× |
| Xr facial bones less than 3 views (70140) | $150 | $284 | 1.7× |
| Xr orbits complete 4 views (70200) | $142 | $300 | 1.3× |
| Xr Tomogram Single Plane (76100) | $531 | $300 | 4.9× |
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.