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
Abdomen 2 views (74019) $77.70 $518 0.7×
Ankle 2 views (73600) $74.78 $498.50 0.8×
Bone age studies (77072) $64.65 $431 0.6×
Cervical spine 2 or 3 views (72040) $77.70 $518 0.9×
Chest 1 view (71045) $44.70 $298 0.5×
Clavicle complete (73000) $77.70 $518 0.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $32.85 $219 0.3×
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 contrast (74160) $230.85 $1,539 1.3×
CT abdomen w wo contrast (74170) $230.85 $1,539 1.3×
CT abdomen w/o contrast (74150) $230.85 $1,539 2.1×
CT angio lwr extr w/o&w/dye (73706) $230.85 $1,539 1.3×
CT c-spine w/o contrast (72125) $230.85 $1,539 2.1×
CT chest w contrast (71260) $230.85 $1,539 1.3×
CT chest w/wo contrast (71270) $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 iac w contrast (70481) $226.35 $1,509 1.2×
CT limited/localized follow up study (76380) $78.45 $523 0.9×
CT lower ext w/o (73700) $230.85 $1,539 2.1×
CT lower extremity w wo contrast (73702) $230.85 $1,539 1.3×
CT lower extremity w/contrast material (73701) $230.85 $1,539 1.3×
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 w contrast (70487) $230.85 $1,539 1.3×
CT maxillofacial w/wo contrast (70488) $226.35 $1,509 1.2×
CT maxillofacial wo contrast (70486) $230.85 $1,539 2.1×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $230.85 $1,539 1.3×
CT orbits w/o contrast (70480) $230.85 $1,539 2.1×
CT pelvis w/o contrast (72192) $230.85 $1,539 2.1×
CT pelvis w/wo contrast (72194) $230.85 $1,539 1.3×
CT soft tissue neck w contrast (70491) $230.85 $1,539 1.3×
CT soft tissue neck w/o & w/contrast material (70492) $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 w/o contrast (71250) $230.85 $1,539 2.1×
CT upper ext wo (73200) $230.85 $1,539 2.1×
CT upper extremity with contrast (73201) $230.85 $1,539 0.6×
Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) $230.85 $1,539 1.3×
Cta Abdomen (74175) $230.85 $1,539 1.3×
CTA abdomen pelvis (74174) $230.85 $1,539 0.6×
CTA chest (71275) $230.85 $1,539 1.3×
Cta Head (70496) $230.85 $1,539 1.3×
Cta Neck (70498) $230.85 $1,539 1.3×
Dxa bone density study 1/> sites axial skel (77080) $65.55 $437 0.6×
Facial bones min 3 views (70150) $77.70 $518 0.7×
Foot 2 views (73620) $77.70 $518 0.9×
Forearm 2 views (73090) $77.70 $518 0.9×
Hand 2 views (73120) $77.70 $518 0.7×
Knee 3 views (73562) $76.72 $511.50 0.8×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) $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 any jt lower extrem w/o & w/contrast matrl (73723) $319.65 $2,131 0.9×
MRI cervical spine w/o contrast (72141) $319.65 $2,131 1.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $319.65 $2,131 0.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $319.65 $2,131 1.3×
MRI pelvis w/o & w/contrast material (72197) $319.65 $2,131 0.9×
MRI pelvis w/o contrast (72195) $319.65 $2,131 1.3×
MRI spinal canal cervical w/o & w/contr matrl (72156) $319.65 $2,131 0.9×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $319.65 $2,131 0.9×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $319.65 $2,131 0.9×
MRI thoracic spine w/o contrast (72146) $319.65 $2,131 1.3×
MRI up ext w/o contrast (73218) $476.32 $3,175.50 1.9×
MRI upper ext joint w/o contrast (73221) $319.65 $2,131 1.3×
MRI, joint upper extrem combo (73223) $319.65 $2,131 0.9×
Neck soft tissue (70360) $77.70 $518 0.9×
Pelvis 1 or 2 views (72170) $77.70 $518 0.7×
Radex Ankle Compl Minimum 3 Views (73610) $77.70 $518 0.9×
Radex Calcaneus Minimum 2 Views (73650) $77.70 $518 0.9×
Radex Elbw Compl Minimum 3 Views (73080) $77.70 $518 0.9×
Radex fingr minimum 2 views (73140) $77.70 $518 0.9×
Radex Foot Compl Minimum 3 Views (73630) $77.70 $518 0.9×
Radex Hand Minimum 3 Views (73130) $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 Humerus Minimum 2 Views (73060) $77.70 $518 0.9×
Radex Kne 1/2 Views (73560) $77.70 $518 0.9×
Radex Kne Compl 4/More Views (73564) $77.70 $518 0.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $77.70 $518 0.9×
Radex Pelvis Compl Minimum 3 Views (72190) $77.70 $518 0.7×
Radex Sho Compl Minimum 2 Views (73030) $77.70 $518 0.9×
Radex Sinuses Paransl < 3 Views (70210) $55.50 $370 0.6×
Radex Spine Lumbosacral Only Bending 2/3 Views (72120) $77.70 $518 0.7×
Radex Toe Minimum 2 Views (73660) $77.70 $518 0.9×
Radex Wrst Compl Minimum 3 Views (73110) $77.70 $518 0.9×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $74.40 $496 0.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $77.70 $518 0.7×
Radiologic exam chest 2 views (71046) $57.15 $381 0.6×
Radiologic examination femur 1 view (73551) $77.70 $518 0.9×
Radiologic examination tibia & fibula 2 views (73590) $77.70 $518 0.9×
Ribs bilateral 3 views (71110) $77.70 $518 0.7×
Scapula (73010) $63 $420 0.6×
Shoulder 1 view (73020) $77.70 $518 0.9×
Spine thoracic 3 views (72072) $77.70 $518 0.7×
Thoracolumbar 2 views (72080) $77.70 $518 0.9×
Ultrasound Exam Aaa Screen (76706) $74.70 $498 0.7×
Ultrasound, abdomen limited (76705) $105 $700 1.0×
Us chest (76604) $105 $700 1.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $105 $700 1.0×
Us ob limited (76815) $105 $700 1.0×
Us ob transvaginal (76817) $46.05 $307 0.4×
Us pelvic non ob complete (76856) $105 $700 1.0×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $105 $700 1.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $105 $700 1.0×
Us retroperitoneal complete (76770) $105 $700 1.0×
Us retroperitoneal limited (76775) $105 $700 1.0×
Us scrotum and contents (76870) $105 $700 1.0×
Us soft tissue head/neck (76536) $105 $700 1.0×
Wrist 2 views (73100) $71.85 $479 0.8×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $77.70 $518 0.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $77.70 $518 0.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $77.70 $518 0.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $77.70 $518 0.7×
X-ray exam of femur 2/> (73552) $77.70 $518 0.9×
X-ray eye for foreign body (70030) $76.20 $508 0.8×
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 nose-rectum child f.b. (76010) $43.95 $293 0.5×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $77.70 $518 0.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $77.70 $518 0.7×
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 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 Spine One View - Xr Spine (72020) $77.70 $518 0.9×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $77.70 $518 0.7×
Xr c-spine 4 or 5 views (72050) $77.70 $518 0.7×
Xr c-spine 6 or more views (72052) $77.70 $518 0.7×
Xr chest 4+ views (71048) $57.15 $381 0.5×