Imaging prices at Jeff Davis Hospital
Hazlehurst, GA · every code in this section with a posted price and a Medicare benchmark.
198 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) | $116.05 | $331.58 | 1.5× |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$81.90–$478.80 | $234–$1,368 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $849.80 | $2,428 | 2.4× |
| Ankle 2 views (73600) | $85.05 | $243 | 1.1× |
| Bone age studies (77072) | $61.25 | $175 | 0.7× |
| Bone Imaging 3 Phase (78315) | $912.32 | $2,606.64 | 2.6× |
| Bone Imaging Limited Area (78300) | $687.40 | $1,964 | 2.0× |
| Bone Imaging Whole Body (78306) | $729.14 | $2,083.25 | 2.1× |
| Bone survey infant (77076) | $164.85 | $471 | 1.8× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$33.08–$33.25 | $94.50–$95 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$78.75–$120.22 | $225–$343.50 | varies |
| Cholecystography Oral Contrast (74290) | $102.16 | $291.90 | 0.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$33.60–$167.30 | $96–$478 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 4 matching MRF lines |
$341.59–$477.75 | $975.98–$1,365 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $3,125.38 | $8,929.66 | 10.2× |
| CT abdomen and pelvis without contrast (74176) | $2,158.95 | $6,168.43 | 10.3× |
| CT abdomen w contrast (74160) | $1,272.60 | $3,636 | 8.3× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$507.50–$1,386 | $1,450–$3,960 | varies |
| CT abdomen w/o contrast (74150) | $883.75 | $2,525 | 9.6× |
| CT Angio Abdomen and Pelvis (74174) | $892.85 | $2,551 | 2.9× |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$1,230.25–$1,884.05 | $3,515–$5,383 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,323–$1,442 | $3,780–$4,120 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $888.30 | $2,538 | 5.8× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,580.25–$1,722.52 | $4,515–$4,921.50 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $558.25 | $1,595 | 3.6× |
| CT bone density (77078) | $164.85 | $471 | 2.2× |
| CT cervical spine w/ contrast (72126) | $453.60 | $1,296 | 1.5× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$508.76–$711.55 | $1,453.60–$2,033 | varies |
| CT cervical spine w/wo cont (72127) | $717.50 | $2,050 | 4.7× |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$1,230.25–$2,108.75 | $3,515–$6,025 | varies |
| CT chest w/wo contrast (71270) | $674.10 | $1,926 | 4.4× |
| CT head/brain with contrast (70460) | $418.60 | $1,196 | 2.7× |
| CT head/brain without and with contrast (70470) | $739.20 | $2,112 | 4.8× |
| CT iac w contrast (70481) | $577.46 | $1,649.90 | 3.8× |
| CT l-spine w&w/o contrast (72133) | $1,319.50 | $3,770 | 8.6× |
| CT lower ext w/o (73700) range across 22 matching MRF lines |
$177.80–$941.85 | $508–$2,691 | varies |
| CT lower extremity w/contrast material (73701) range across 12 matching MRF lines |
$101.85–$941.85 | $291–$2,691 | varies |
| CT lumbar spine w contrast (72132) | $558.25 | $1,595 | 1.8× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$633.50–$890.07 | $1,810–$2,543.05 | varies |
| CT maxillofacial w contrast (70487) | $1,261.40 | $3,604 | 8.2× |
| CT maxillofacial wo contrast (70486) | $720.72 | $2,059.20 | 7.9× |
| CT neck tissue combo (70492) | $1,260.35 | $3,601 | 8.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $507.15 | $1,449 | 3.3× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$355.95–$491.02 | $1,017–$1,402.90 | varies |
| CT pelvis w&w/o contrast (72194) | $507.50 | $1,450 | 3.3× |
| CT pelvis w/o contrast (72192) | $408.16 | $1,166.17 | 4.5× |
| CT scan of leg combo (73702) range across 14 matching MRF lines |
$761.25–$888.30 | $2,175–$2,538 | varies |
| CT scans face/jaw combo (70488) | $507.50 | $1,450 | 3.3× |
| CT soft tissue neck w contrast (70491) | $1,453.62 | $4,153.20 | 9.5× |
| CT soft tissue neck w/o contrast (70490) | $567 | $1,620 | 6.2× |
| CT thoracic spine w contrast (72129) | $589.75 | $1,685 | 3.8× |
| CT thoracic spine w/o contrast (72128) | $957.93 | $2,736.94 | 10.5× |
| CT thoracic spine w/wo cont (72130) | $634.20 | $1,812 | 4.1× |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$341.59–$883.75 | $975.98–$2,525 | varies |
| CT upper ext wo (73200) range across 28 matching MRF lines |
$204.40–$935.90 | $584–$2,674 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$420–$437.85 | $1,200–$1,251 | varies |
| CT upper extremity with contrast (73201) range across 10 matching MRF lines |
$544.25–$941.85 | $1,555–$2,691 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,708.70 | $4,882 | 11.1× |
| Cta Abdomen (74175) | $725.55 | $2,073 | 4.7× |
| CTA pelvis (72191) | $558.25 | $1,595 | 3.6× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$128.28–$157.92 | $366.50–$451.20 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $72.45 | $207 | 1.0× |
| Esophagram (74220) | $838.95 | $2,397 | 5.5× |
| Fetal Biophys Profile W/Nst (76818) | $254.45 | $727 | 2.8× |
| Fluoroscopy up to 1 hr (76000) | $124.25 | $355 | 0.6× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$55.65–$98.35 | $159–$281 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$76.30–$252.27 | $218–$720.77 | varies |
| Gastric emptying imaging study (78264) | $682.50 | $1,950 | 1.9× |
| Gated Heart Planar Single (78472) | $854.70 | $2,442 | 2.4× |
| Hand 2 views (73120) | $213.42 | $609.77 | 2.3× |
| Hepatobil Syst Image W/Drug (78227) | $902.30 | $2,578 | 1.9× |
| Hepatobiliary System Imaging (78226) | $795.90 | $2,274 | 2.3× |
| Ht Muscle Image Spect Sing (78451) | $1,071.88 | $3,062.50 | 0.9× |
| K Flow/Funct Image W/Drug (78708) | $925.75 | $2,645 | 1.9× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$50.75–$160.82 | $145–$459.50 | varies |
| Liver & Spleen Imaging Static Only (78215) | $782.95 | $2,237 | 2.2× |
| Liver imaging w/vascular flow (78202) | $872.55 | $2,493 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $913.85 | $2,611 | 1.9× |
| Magnetic Image Jaw Joint (70336) | $609 | $1,740 | 2.9× |
| Meckels Divert Exam (78290) | $673.75 | $1,925 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,116.50 | $3,190 | 3.7× |
| MRA head w/o contrast (70544) | $1,116.50 | $3,190 | 5.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,116.50 | $3,190 | 3.7× |
| MRA neck w/o contrast (70547) | $1,116.50 | $3,190 | 5.3× |
| MRI abdomen w contrast (74182) | $490 | $1,400 | 1.6× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$502.25–$561.75 | $1,435–$1,605 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 6 matching MRF lines |
$420–$455 | $1,200–$1,300 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,043.35 | $2,981 | 3.4× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$420–$945 | $1,200–$2,700 | varies |
| MRI cervical spine w/o cont (72141) | $648.55 | $1,853 | 3.1× |
| MRI chest w/o contrast (71550) | $456.75 | $1,305 | 2.2× |
| MRI chest wo w contrast (71552) | $964.25 | $2,755 | 3.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$560–$1,050 | $1,600–$3,000 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$1,043.35–$1,782.55 | $2,981–$5,093 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$456.75–$561.75 | $1,305–$1,605 | varies |
| MRI lumbar spine w contrast (72149) | $1,470 | $4,200 | 4.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $964.25 | $2,755 | 3.2× |
| MRI orbit face &/neck w/o contrast (70540) | $456.75 | $1,305 | 2.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $700 | $2,000 | 2.3× |
| MRI pelvis w contrast (72196) | $490 | $1,400 | 1.6× |
| MRI pelvis w/o & w contrast (72197) | $2,050.65 | $5,859 | 6.7× |
| MRI pelvis w/o contrast (72195) | $456.75 | $1,305 | 2.2× |
| MRI thoracic spine w/o contrast (72146) | $1,433.25 | $4,095 | 6.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,075.52 | $3,072.90 | 3.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$228.55–$697.55 | $653–$1,993 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,060.50 | $3,030 | 3.5× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$964.25–$2,068.50 | $2,755–$5,910 | varies |
| MRI, dorsal spine combo (72157) | $2,032.10 | $5,806 | 6.6× |
| MRI, dorsal spine contrast (72147) | $609 | $1,740 | 2.0× |
| MRI, joint upper extrem (73221) range across 8 matching MRF lines |
$456.75–$964.25 | $1,305–$2,755 | varies |
| MRI, joint upper extrem combo (73223) | $964.25 | $2,755 | 3.2× |
| MRI, lumbar spine combo (72158) | $1,108.80 | $3,168 | 3.6× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,128.70–$2,143.75 | $6,082–$6,125 | varies |
| Neck soft tissue (70360) | $100.80 | $288 | 1.3× |
| Nonvascular Shunt X-Ray (75809) | $205.80 | $588 | 2.2× |
| Ob us nuchal meas 1 gest (76813) | $155.05 | $443 | 1.7× |
| Parathyroid Planar Imaging (78070) | $683.55 | $1,953 | 2.0× |
| Pelvis 1 or 2 views (72170) | $104.65 | $299 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $86.06 | $245.88 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$157.36–$182.35 | $449.60–$521 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$43.75–$108.15 | $125–$309 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$40.60–$151.90 | $116–$434 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$175.39–$182.70 | $501.12–$522 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$75.60–$78.75 | $216–$225 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$55.65–$150.68 | $159–$430.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$92.45–$100.80 | $264.14–$288 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $63.35 | $181 | 0.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $68.60 | $196 | 0.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $51.45 | $147 | 0.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$75.94–$82.78 | $216.96–$236.50 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $72.45 | $207 | 1.0× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$36.40–$110.95 | $104–$317 | varies |
| Radex Sternum Minimum 2 Views (71120) | $33.25 | $95 | 0.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $106.75 | $305 | 1.4× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$73.92–$77 | $211.20–$220 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $63.35 | $181 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$129.38–$173.71 | $369.66–$496.32 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $87.50 | $250 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) | $202.30 | $578 | 2.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $420 | $1,200 | 4.6× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$101.50–$169.05 | $290–$483 | varies |
| Radiologic examination knee 1/2 views (73560) range across 7 matching MRF lines |
$33.60–$157.15 | $96–$449 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $304.50 | $870 | 3.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $110.95 | $317 | 1.5× |
| Ribs bilateral 3 views (71110) | $145.82 | $416.64 | 1.6× |
| Scapula (73010) | $65.10 | $186 | 0.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $265.30 | $758 | 11.3× |
| Shoulder 1 view (73020) | $33.25 | $95 | 0.4× |
| Skull less than 4 views (70250) | $189 | $540 | 2.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $186.20 | $532 | 1.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$151.90–$213.42 | $434–$609.77 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$228.20–$248.68 | $652–$710.50 | varies |
| Thyroid Uptake Measurement (78012) | $630 | $1,800 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $660.45 | $1,887 | 1.9× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$257.60–$280.70 | $736–$802 | varies |
| Ultrasound Exam Aaa Screen (76706) | $88.90 | $254 | 1.0× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$165.55–$346.32 | $473–$989.50 | varies |
| Us breast unilateral complete (76641) | $238 | $680 | 2.6× |
| Us chest (76604) | $157.50 | $450 | 1.7× |
| Us complete joint (76881) | $232.05 | $663 | 2.5× |
| Us exam, pelvic, limited (76857) | $118.65 | $339 | 1.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$148.40–$150.85 | $424–$431 | varies |
| Us ob limited 1 or more fetuses (76815) | $280.70 | $802 | 3.1× |
| Us ob transvaginal (76817) | $125.65 | $359 | 1.4× |
| Us pelvic non ob complete (76856) | $294.56 | $841.60 | 3.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$113.75–$155.05 | $325–$443 | varies |
| Us retroperitoneal complete (76770) range across 5 matching MRF lines |
$103.25–$476 | $295–$1,360 | varies |
| Us retroperitoneal limited (76775) | $310.10 | $886 | 3.4× |
| Us scrotum and contents (76870) | $489.78 | $1,399.38 | 5.3× |
| Us spinal canal and contents (76800) | $158.55 | $453 | 1.7× |
| Us thyroid (76536) range across 4 matching MRF lines |
$103.25–$462.52 | $295–$1,321.50 | varies |
| Vertebral fracture assessment via dxa (77086) | $82.60 | $236 | 1.1× |
| Wrist 2 views (73100) | $136.15 | $389 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $48.65 | $139 | 0.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$33.25–$157.50 | $95–$450 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $76.62 | $218.90 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$106.36–$184.10 | $303.90–$526 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $68.92 | $196.90 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $186.90 | $534 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $126.52 | $361.50 | 1.4× |
| X-Ray Exam L-S Spine Bending (72114) | $143.50 | $410 | 1.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$126.70–$232.05 | $362–$663 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $151.90 | $434 | 1.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $152.60 | $436 | 1.7× |
| X-ray eye for foreign body (70030) | $44.45 | $127 | 0.6× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$114.10–$116.05 | $326–$331.58 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$347.49–$378.70 | $992.84–$1,082 | varies |
| X-ray nose-rectum child f.b. (76010) | $139.96 | $399.90 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $61.25 | $175 | 0.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $151.90 | $434 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $33.25 | $95 | 0.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $60.90 | $174 | 0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $95.20 | $272 | 1.0× |
| X-Ray Tmj Unilat (70328) | $69.96 | $199.90 | 0.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $143.46 | $409.90 | 0.5× |
| X-Rays Bone Length Studies (77073) | $118.65 | $339 | 1.3× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$374.71–$408.45 | $1,070.61–$1,167 | varies |
| Xr orbits complete 4 views (70200) | $75.95 | $217 | 0.8× |
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.