Imaging prices at Jefferson Hospital
Louisville, GA · every code in this section with a posted price and a Medicare benchmark.
164 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 |
$12.80–$229.92 | $25.59–$459.84 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$16.24–$54.50 | $32.49–$109 | varies |
| Ankle 2 views (73600) | $50.50 | $101 | 0.7× |
| Bone age studies (77072) | $21.75 | $43.50 | 0.2× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$12.80–$63 | $25.59–$126 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$15.28–$336.78 | $30.57–$673.57 | varies |
| Clavicle complete (73000) range across 9 matching MRF lines |
$11.79–$50.50 | $23.58–$101 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $92.64 | $185.28 | 1.0× |
| Contrast X-Ray Bladder (74430) | $19.50 | $39 | 0.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$139.58–$212.75 | $279.15–$425.50 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$121.82–$515.04 | $243.63–$1,030.08 | varies |
| CT abdomen w contrast (74160) | $343 | $686 | 2.2× |
| CT abdomen w wo contrast (74170) | $161.50 | $323 | 1.1× |
| CT abdomen w/o contrast (74150) | $293.75 | $587.50 | 3.2× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$126.78–$608.25 | $253.56–$1,216.50 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$122.32–$403.50 | $244.65–$807 | varies |
| CT Angio Neck (70498) | $405 | $810 | 2.6× |
| CT cervical spine w/ contrast (72126) | $113.50 | $227 | 0.4× |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$69.02–$324.50 | $138.03–$649 | varies |
| CT cervical spine w/wo cont (72127) | $338.25 | $676.50 | 2.2× |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$81.32–$711.45 | $162.63–$1,422.90 | varies |
| CT chest w/wo contrast (71270) | $258.50 | $517 | 1.7× |
| CT head/brain with contrast (70460) | $44 | $88 | 0.3× |
| CT head/brain without and with contrast (70470) range across 4 matching MRF lines |
$88.77–$114.25 | $177.54–$228.50 | varies |
| CT iac w contrast (70481) | $338.25 | $676.50 | 2.2× |
| CT l-spine w&w/o contrast (72133) | $338.25 | $676.50 | 2.2× |
| CT lower ext w/o (73700) range across 7 matching MRF lines |
$67.50–$88.77 | $135–$177.54 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$80.86–$338.25 | $161.73–$676.50 | varies |
| CT lumbar spine w contrast (72132) | $195.75 | $391.50 | 0.6× |
| CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines |
$69.02–$324.50 | $138.03–$649 | varies |
| CT maxillofacial w contrast (70487) | $147.25 | $294.50 | 1.0× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$65.12–$267.50 | $130.23–$535 | varies |
| CT neck tissue combo (70492) | $258.50 | $517 | 1.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $143.25 | $286.50 | 0.9× |
| CT orbits w/o contrast (70480) | $186 | $372 | 2.0× |
| CT pelvis w&w/o contrast (72194) | $338.25 | $676.50 | 2.2× |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$75.96–$114.25 | $151.92–$228.50 | varies |
| CT scan of leg combo (73702) | $338.25 | $676.50 | 2.2× |
| CT scans face/jaw combo (70488) | $338.25 | $676.50 | 2.2× |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$96.60–$494.75 | $193.20–$989.50 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$89.73–$99 | $179.46–$198 | varies |
| CT thoracic spine w contrast (72129) | $203 | $406 | 1.3× |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$69.02–$315 | $138.03–$630 | varies |
| CT thoracic spine w/wo cont (72130) | $338.25 | $676.50 | 2.2× |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$75.46–$166.25 | $150.93–$332.50 | varies |
| CT unlisted procedure (76497) | $258.50 | $517 | 3.4× |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$69.02–$103.50 | $138.03–$207 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $338.25 | $676.50 | 2.2× |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$80.86–$168.75 | $161.73–$337.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$164.46–$178.50 | $328.92–$357 | varies |
| Dxa Bone Density Axial (77080) | $54.50 | $109 | 0.6× |
| Fetal Biophys Profile W/Nst (76818) | $144 | $288 | 1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $82.25 | $164.50 | 0.9× |
| Fluoroscopy up to 1 hr (76000) | $84.75 | $169.50 | 0.4× |
| Foot 2 views (73620) | $112.25 | $224.50 | 1.5× |
| Forearm 2 views (73090) range across 9 matching MRF lines |
$11.34–$365.54 | $22.68–$731.07 | varies |
| Hand 2 views (73120) | $123.50 | $247 | 1.3× |
| Knee 3 Views (73562) range across 9 matching MRF lines |
$13.24–$427.76 | $26.49–$855.53 | varies |
| MRA head w/o contrast (70544) | $473 | $946 | 2.3× |
| MRA neck w/o contrast (70547) | $473 | $946 | 2.3× |
| MRI abdomen w contrast (74182) | $543.75 | $1,087.50 | 1.8× |
| MRI abdomen w/o contrast (74181) | $525 | $1,050 | 2.5× |
| MRI any jt lower extrem w/contrast material (73722) | $837.50 | $1,675 | 1.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $543.75 | $1,087.50 | 1.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $837.50 | $1,675 | 1.2× |
| MRI cervical spine w contrast (72142) | $543.75 | $1,087.50 | 1.8× |
| MRI cervical spine w/o cont (72141) | $630 | $1,260 | 3.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $449.25 | $898.50 | 2.1× |
| MRI lumbar spine w contrast (72149) | $543.75 | $1,087.50 | 1.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $710.75 | $1,421.50 | 2.3× |
| MRI orbit face &/neck w/o contrast (70540) | $584.50 | $1,169 | 2.8× |
| MRI pelvis w contrast (72196) | $543.75 | $1,087.50 | 1.8× |
| MRI pelvis w/o & w contrast (72197) | $326.25 | $652.50 | 1.1× |
| MRI pelvis w/o contrast (72195) | $154 | $308 | 0.7× |
| MRI thoracic spine w/o contrast (72146) | $473 | $946 | 2.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $473 | $946 | 2.3× |
| MRI, abdomen, combo (74183) | $543.75 | $1,087.50 | 1.8× |
| MRI, dorsal spine combo (72157) | $214 | $428 | 0.7× |
| MRI, dorsal spine contrast (72147) | $543.75 | $1,087.50 | 1.8× |
| MRI, joint upper extrem (73221) | $629.75 | $1,259.50 | 3.0× |
| MRI, joint upper extrem combo (73223) | $543.75 | $1,087.50 | 1.8× |
| MRI, lumbar spine combo (72158) | $213.25 | $426.50 | 0.7× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$12.30–$92.65 | $24.60–$185.30 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$22.66–$84.50 | $45.33–$169 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 8 matching MRF lines |
$12.30–$385.98 | $24.60–$771.95 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 9 matching MRF lines |
$11.34–$132.25 | $22.68–$264.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 9 matching MRF lines |
$12.30–$310.25 | $24.60–$620.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$18.21–$65.50 | $36.42–$131 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$9.81–$235.02 | $19.62–$470.05 | varies |
| Radex foot complete minimum 3 views (73630) range across 9 matching MRF lines |
$11.85–$367.52 | $23.70–$735.04 | varies |
| Radex Hand Minimum 3 Views (73130) range across 9 matching MRF lines |
$12.30–$400.18 | $24.60–$800.37 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $44.75 | $89.50 | 0.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $144 | $288 | 1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $21 | $42 | 0.3× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $51.75 | $103.50 | 0.7× |
| Radex shoulder complete minimum 2 views (73030) range across 11 matching MRF lines |
$13.24–$398.67 | $26.49–$797.34 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $34.50 | $69 | 0.5× |
| Radex Spine 1 View Specify Level (72020) | $76.50 | $153 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $76.50 | $153 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $76.50 | $153 | 1.0× |
| Radex Toe Minimum 2 Views (73660) | $34.75 | $69.50 | 0.5× |
| Radex upper extremity infant minimum 2 views (73092) | $42.50 | $85 | 0.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 9 matching MRF lines |
$12.30–$350.75 | $24.60–$701.50 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $49.25 | $98.50 | 0.5× |
| Radiologic exam colon double contrast study (74280) | $144 | $288 | 0.9× |
| Radiologic exam colon single contrast study (74270) | $86.50 | $173 | 0.6× |
| Radiologic exam knee complete 4/more views (73564) | $107.75 | $215.50 | 1.2× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$12.80–$50.50 | $25.59–$101 | varies |
| Radiologic examination knee 1/2 views (73560) | $154 | $308 | 2.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $144 | $288 | 1.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 9 matching MRF lines |
$11.34–$219.72 | $22.68–$439.45 | varies |
| Scapula (73010) range across 7 matching MRF lines |
$12.74–$76.50 | $25.47–$153 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $61 | $122 | 2.6× |
| Sella turcica (70240) | $76.50 | $153 | 1.0× |
| Shoulder Arthrography (73040) | $168.75 | $337.50 | 0.6× |
| Skull less than 4 views (70250) | $20.50 | $41 | 0.2× |
| Sternoclavicular joints (71130) | $76.50 | $153 | 1.0× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$68–$115.60 | $136–$231.20 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$15.80–$295 | $31.59–$590 | varies |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$41.46–$796.98 | $82.92–$1,593.97 | varies |
| Unlisted us procedure (76999) | $22.50 | $45 | 0.3× |
| Upper gi w/o kub (74240) | $70 | $140 | 0.5× |
| Us breast unilateral complete (76641) | $467 | $934 | 5.1× |
| Us chest (76604) | $82.25 | $164.50 | 0.9× |
| Us complete joint (76881) | $45.50 | $91 | 0.5× |
| Us ob limited 1 or more fetuses (76815) | $49.25 | $98.50 | 0.5× |
| Us ob transvaginal (76817) | $144 | $288 | 1.6× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$214.25–$364.22 | $428.50–$728.45 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $213.84 | $427.68 | 2.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $66.25 | $132.50 | 0.7× |
| Us retroperitoneal complete (76770) | $69.25 | $138.50 | 0.8× |
| Us retroperitoneal limited (76775) | $54.50 | $109 | 0.6× |
| Us scrotum and contents (76870) | $498 | $996 | 5.4× |
| Us thyroid (76536) range across 2 matching MRF lines |
$697.25–$809.71 | $1,394.50–$1,619.42 | varies |
| Us transrectal (76872) | $144 | $288 | 1.6× |
| Venography extremity bilateral rs&i (75822) | $872.25 | $1,744.50 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $872.25 | $1,744.50 | 0.6× |
| Wrist 2 views (73100) | $31.75 | $63.50 | 0.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $33.75 | $67.50 | 0.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $139.25 | $278.50 | 1.8× |
| X-Ray Exam Breast Specimen (76098) | $573.25 | $1,146.50 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $28.75 | $57.50 | 0.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $108.75 | $217.50 | 1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$12.30–$110.64 | $24.60–$221.28 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $314.50 | $629 | 3.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$15.74–$456 | $31.47–$912 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $372.50 | $745 | 4.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $54.50 | $109 | 0.6× |
| X-ray humerus (73060) range across 9 matching MRF lines |
$11.79–$128.75 | $23.58–$257.50 | varies |
| X-ray IV pyelogram (ivp) (74400) | $288.25 | $576.50 | 1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $21.25 | $42.50 | 0.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $40.75 | $81.50 | 0.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines |
$15.74–$503.34 | $31.47–$1,006.68 | varies |
| X-ray nose-rectum child f.b. (76010) | $28.75 | $57.50 | 0.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$22.66–$36 | $45.33–$72 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $51.75 | $103.50 | 0.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $82.25 | $164.50 | 0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$15.74–$18 | $31.47–$36 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $92 | $184 | 1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $249.25 | $498.50 | 2.7× |
| X-Ray Tmj Unilat (70328) | $46 | $92 | 0.6× |
| X-Rays Bone Survey Complete (77075) | $144 | $288 | 1.6× |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$19.17–$450.50 | $38.34–$901 | varies |
| Xr orbits complete 4 views (70200) | $141 | $282 | 1.5× |
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.