Imaging prices at Jay Hospital

Jay, FL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ankle 2 views (73600) $74.78 $498.50 0.8×
Bone age studies (77072) $64.65 $431 0.6×
Clavicle complete (73000) $77.70 $518 0.9×
Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s) Age… (70481) $226.35 $1,509 1.2×
CT - st neck w&wo contr (70492) $230.85 $1,539 1.3×
CT abdomen and pelvis without and with contrast (74178) $255 $1,700 0.7×
CT abdomen and pelvis without contrast (74176) $255 $1,700 1.0×
CT abdomen w wo contrast (74170) $230.85 $1,539 1.3×
CT abdomen w/contrast (74160) $230.85 $1,539 1.3×
CT abdomen w/o contrast (74150) $230.85 $1,539 2.1×
CT angio abd&plvis cntrst mtrl w/wo cntrst imges (74174) $230.85 $1,539 0.6×
CT angio abdom w/o & w/dye (74175) $230.85 $1,539 1.3×
CT angio abdominal arteries (75635) $230.85 $1,539 1.3×
CT cervical spine w/o contrast (72125) $230.85 $1,539 2.1×
CT chest w/contrast (71260) $230.85 $1,539 1.3×
CT head/brain with contrast (70460) $230.85 $1,539 1.3×
CT head/brain without and with contrast (70470) $230.85 $1,539 1.3×
CT limited/localized follow up study (76380) $78.45 $523 0.9×
CT lower ext w/wo contrast (73702) $230.85 $1,539 1.3×
CT lower extremity w contrast (73701) $230.85 $1,539 1.3×
CT lower extremity w/o contrast unilateral (73700) $230.85 $1,539 2.1×
CT lumbar spine w/contrast (72132) $230.85 $1,539 0.6×
CT lumbar spine w/o contrast (72131) $230.85 $1,539 2.1×
CT maxillofacial area w/o contrast (70486) $230.85 $1,539 2.1×
CT maxillofacial w/contrast (70487) $230.85 $1,539 1.3×
CT maxillofacial w/o then w/ con (70488) $226.35 $1,509 1.2×
CT orbit sella ear w/o con (70480) $230.85 $1,539 2.1×
CT orbit/ear/fossa w/o then w/ con (70482) $230.85 $1,539 1.3×
CT pelvis w & w/o contrast (72194) $230.85 $1,539 1.3×
CT pelvis w/o contrast (72192) $230.85 $1,539 2.1×
CT soft tissue neck w/contrast (70491) $230.85 $1,539 1.3×
CT soft tissue neck w/o contrast (70490) $230.85 $1,539 2.1×
CT thoracic spine w/contrast (72129) $230.85 $1,539 1.3×
CT thoracic spine w/o contrast (72128) $230.85 $1,539 2.1×
CT thorax lung cancer scr c- (71271) $32.85 $219 0.3×
CT thorax w/o contrast (71250) $230.85 $1,539 2.1×
CT thorax w/o then w/ contrast (71270) $230.85 $1,539 1.3×
CT upper extremity w/dye (73201) $230.85 $1,539 0.6×
CT upper extremity w/o contrast rt (73200) $230.85 $1,539 2.1×
CTA chest w/wo contrast (71275) $230.85 $1,539 1.3×
CTA head w contrast (70496) $230.85 $1,539 1.3×
CTA lower extremity w/wo contrast unilateral (73706) $230.85 $1,539 1.3×
Cta Neck (70498) $230.85 $1,539 1.3×
Humerus min 2 views (73060) $77.70 $518 0.9×
Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by… (73723) $319.65 $2,131 0.9×
Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by… (73720) $319.65 $2,131 0.9×
MRA head w/o contrast (70544) $319.65 $2,131 1.3×
MRA neck w/o contrast (70547) $319.65 $2,131 1.3×
MRI abdomen w/o contrast (74181) $319.65 $2,131 1.3×
MRI cervical spine w/o contrast (72141) $319.65 $2,131 1.3×
MRI joint upr extr w/o&w/dye (73223) $319.65 $2,131 0.9×
MRI joint upr extrem w/o dye (73221) $319.65 $2,131 1.3×
Mri Lower Extremity W/O Dye (73718) $319.65 $2,131 1.3×
MRI lumbar w/wo contrast (72158) $319.65 $2,131 0.9×
MRI pelvis w/o contrast (72195) $319.65 $2,131 1.3×
MRI pelvis w/wo contrast (72197) $319.65 $2,131 0.9×
MRI spine cervical wo/w contrast (72156) $319.65 $2,131 0.9×
MRI thoracic spine w wo contrast (72157) $319.65 $2,131 0.9×
MRI thoracic spine w/o contrast (72146) $319.65 $2,131 1.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $476.32 $3,175.50 1.9×
MRI upr ext w/o jnts w/o-w/con rt (73220) $319.65 $2,131 0.9×
Nose to rectum for fb child (76010) $43.95 $293 0.5×
Ob us < 14 wks single fetus (76801) $105 $700 1.0×
Radex hip unilateral with pelvis 2-3 views (73502) $77.70 $518 0.9×
Radex hip unilateral with pelvis minimum 4 views (73503) $77.70 $518 0.7×
Radex hips bilateral with pelvis 2 views (73521) $37.50 $250 0.3×
Radex spine cervical 2 or 3 views (72040) $77.70 $518 0.9×
Radex spine cervical 4 or 5 views (72050) $77.70 $518 0.7×
Radex spine cervical 6 or more views (72052) $77.70 $518 0.7×
Radex X-Ray Exam Thoracolmb 2+ Vw - Xr Thoracolumbar Spine 2 Views (72080) $77.70 $518 0.9×
Radiologic Exam Chest 4+ Views - Xr Chest 4+ Views (71048) $57.15 $381 0.5×
Radiologic Examination Femur 1 View - Xr Femur 1 Vw Right (73551) $77.70 $518 0.9×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $77.70 $518 0.9×
Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect,… (74022) $77.70 $518 0.7×
Ultrasound, abdomen limited (76705) $105 $700 1.0×
Us abdominal aorta real time screen study aaa (76706) $74.70 $498 0.7×
Us chest (76604) $105 $700 1.0×
Us lmtd jt/fcl eval nonvasc xtr strux r-t w/img (76882) $105 $700 1.0×
Us ob limited 1 or more fetuses (76815) $105 $700 1.0×
Us obstetric transvaginal (76817) $46.05 $307 0.4×
Us pelvic limited or f/u non-ob (76857) $105 $700 1.0×
Us pelvis complete (76856) $105 $700 1.0×
Us retroperitoneal complete (76770) $105 $700 1.0×
Us retroperitoneal limited (76775) $105 $700 1.0×
Us scrotum (76870) $105 $700 1.0×
Us soft tissue head/neck (76536) $105 $700 1.0×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $77.70 $518 0.9×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $77.70 $518 0.9×
X-ray exam hips bi 3-4 views (73522) $77.70 $518 0.7×
X-ray exam of finger(s) (73140) $77.70 $518 0.9×
X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right (73620) $77.70 $518 0.9×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $77.70 $518 0.9×
X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right (73120) $77.70 $518 0.7×
X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right (73130) $77.70 $518 0.9×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $77.70 $518 0.9×
X-Ray Knee 3 View - Xr Knee 3 Views Right (73562) $76.72 $511.50 0.8×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $77.70 $518 0.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $46.65 $311 0.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $59.70 $398 0.5×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $77.70 $518 0.7×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $77.70 $518 0.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $77.70 $518 0.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $71.70 $478 0.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $77.70 $518 0.9×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $77.70 $518 0.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $77.70 $518 0.9×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $77.70 $518 0.7×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $77.70 $518 0.9×
X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right (73100) $71.85 $479 0.8×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $77.70 $518 0.9×
Xr abdomen 1 view (74018) $74.40 $496 0.8×
Xr abdomen 2 views (74019) $77.70 $518 0.7×
Xr abdomen 3 views (74021) $77.70 $518 0.7×
Xr bone density axial (77080) $65.55 $437 0.6×
Xr chest 1 view (71045) $44.70 $298 0.5×
Xr chest 2 views (71046) $57.15 $381 0.6×
Xr eye foreign body (70030) $76.20 $508 0.8×
Xr facial bones 3 views (70150) $77.70 $518 0.7×
Xr lumbar spine 4 views w/ flex ext (72120) $77.70 $518 0.7×
Xr nasal bones (70160) $77.70 $518 0.9×
Xr pelvis 3 views (72190) $77.70 $518 0.7×
Xr spine 1 view (72020) $77.70 $518 0.9×
Xray elbow 2 views (73070) $77.70 $518 0.9×
Xray forearm 2 views (73090) $77.70 $518 0.9×
Xray knee 1 or 2 views rt (73560) $77.70 $518 0.9×
Xray neck soft tissue (70360) $77.70 $518 0.9×
Xray pelvis 1 or 2 views (72170) $77.70 $518 0.7×
Xray ribs bilateral 3 views (71110) $77.70 $518 0.7×
Xray ribs unilat w/ pa chest 3v rt (71101) $77.70 $518 0.7×
Xray scapula complete (73010) $63 $420 0.6×
Xray shoulder 1 view (73020) $77.70 $518 0.9×
Xray sinuses paranasal <3 views (70210) $55.50 $370 0.6×
Xray spine thoracic 2 views (72070) $77.70 $518 0.7×
Xray spine thoracic 3 views (72072) $77.70 $518 0.7×
Xray tibia-fibula 2 views bil (73590) $77.70 $518 0.9×