Imaging prices at Lakeland Community Hospital

Haleyville, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $77.04 $220.13 1.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $329.87 $942.50 1.0×
Angio pulmonary bilat (75743) $776.12 $2,217.50 0.3×
Angiography extremity bilateral rs&i (75716) $679.35 $1,941 0.2×
Angiography extremity unilateral rs&i (75710) $582.75 $1,665 0.2×
Angiography pulmonary unilateral slctv rs&i (75741) $776.12 $2,217.50 0.3×
Ankle 2 views (73600) $77.04 $220.13 1.0×
Aortography thoracic serialography rs&i (75605) $776.12 $2,217.50 0.2×
Aortography thoracic w/o serialography rs&i (75600) $407.75 $1,165 0.1×
Artery X-Rays Abdomen (75726) $776.12 $2,217.50 0.2×
Bone age studies (77072)
range across 2 matching MRF lines
$93.04–$156.27 $265.85–$446.50 varies
Bone Imaging 3 Phase (78315) $521.50 $1,490 1.5×
Bone Imaging Limited Area (78300) $140.87 $402.50 0.4×
Bone Imaging Multiple Areas (78305) $793.10 $2,266 2.3×
Bone Imaging Whole Body (78306) $853.47 $2,438.50 2.5×
Bone survey infant (77076) $160.12 $457.50 1.8×
Chest 1 view (71045) $77.04 $220.13 1.0×
Chest 2 views (71046) $77.04 $220.13 1.0×
Chest 3 views (71047) $207.20 $592 2.8×
Clavicle complete (73000) $77.04 $220.13 1.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $93.04 $265.85 1.0×
Contrast Exam Abdominl Aorta (75625) $776.12 $2,217.50 0.3×
CT abdomen and pelvis without and with contrast (74178) $312.49 $892.83 1.0×
CT abdomen and pelvis without contrast (74176) $211.50 $604.30 1.0×
CT abdomen w contrast (74160) $155.76 $445.05 1.0×
CT abdomen w wo contrast (74170) $155.76 $445.05 1.0×
CT abdomen w/o contrast (74150) $93.04 $265.85 1.0×
CT Angio Abdomen and Pelvis (74174) $312.49 $892.83 1.0×
CT Angio Chest (71275) $155.76 $445.05 1.0×
CT Angio Head (70496) $155.76 $445.05 1.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,367.62 $3,907.50 9.0×
CT Angio Neck (70498) $155.76 $445.05 1.0×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 4 matching MRF lines
$155.76–$1,367.62 $445.05–$3,907.50 varies
CT cervical spine w/ contrast (72126) $1,037.05 $2,963 3.4×
CT cervical spine w/o contrast (72125) $93.04 $265.85 1.0×
CT cervical spine w/wo cont (72127) $477.68 $1,364.81 3.2×
CT chest w contrast (71260) $155.76 $445.05 1.0×
CT chest w/wo contrast (71270) $155.76 $445.05 1.0×
CT head/brain with contrast (70460) $155.76 $445.05 1.0×
CT head/brain without and with contrast (70470) $155.76 $445.05 1.0×
CT iac w contrast (70481)
range across 6 matching MRF lines
$155.76–$853.47 $445.05–$2,438.50 varies
CT l-spine w&w/o contrast (72133) $1,311.45 $3,747 8.7×
CT lower ext w/o (73700) $93.04 $265.85 1.0×
CT lower extremity w/contrast material (73701)
range across 5 matching MRF lines
$155.76–$1,062.77 $445.05–$3,036.50 varies
CT lumbar spine w contrast (72132) $1,085.35 $3,101 3.6×
CT lumbar spine w/o contrast (72131) $93.04 $265.85 1.0×
CT maxillofacial w contrast (70487)
range across 5 matching MRF lines
$155.76–$853.47 $445.05–$2,438.50 varies
CT maxillofacial wo contrast (70486)
range across 5 matching MRF lines
$93.04–$834.40 $265.85–$2,384 varies
CT neck tissue combo (70492) $155.76 $445.05 1.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 6 matching MRF lines
$155.76–$1,024.80 $445.05–$2,928 varies
CT orbits w/o contrast (70480)
range across 6 matching MRF lines
$93.04–$449.05 $265.85–$1,283 varies
CT pelvis w&w/o contrast (72194) $1,293.07 $3,694.50 8.6×
CT pelvis w/o contrast (72192) $93.04 $265.85 1.0×
CT scan of leg combo (73702)
range across 5 matching MRF lines
$1,003.10–$1,178.10 $2,866–$3,366 varies
CT scans face/jaw combo (70488) $155.76 $445.05 1.0×
CT soft tissue neck w contrast (70491) $155.76 $445.05 1.0×
CT soft tissue neck w/o contrast (70490) $93.04 $265.85 1.0×
CT thoracic spine w contrast (72129) $1,037.05 $2,963 6.9×
CT thoracic spine w/o contrast (72128) $93.04 $265.85 1.0×
CT thoracic spine w/wo cont (72130) $1,320.02 $3,771.50 8.7×
CT thorax w/o contrast (71250) $93.04 $265.85 1.0×
CT upper ext wo (73200) $93.04 $265.85 1.0×
CT upper extremity w/o & w/contrast material (73202) $526.92 $1,505.50 3.5×
CT upper extremity with contrast (73201) $312.49 $892.83 1.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $155.76 $445.05 1.0×
Cta Abdomen (74175) $155.76 $445.05 1.0×
CTA pelvis (72191) $1,562.57 $4,464.50 10.3×
Dxa Bone Density Axial (77080)
range across 4 matching MRF lines
$84.87–$93.04 $242.50–$265.85 varies
Dxa bone density study (77085) $80.85 $231 0.9×
Dxa bone density study 1/>sites appendiclr skel (77081)
range across 4 matching MRF lines
$38.15–$77.04 $109–$220.13 varies
Esophagram (74220) $249.37 $712.50 1.6×
Follow-Up Angiography (75898) $368.55 $1,053 0.1×
Foot 2 views (73620) $77.04 $220.13 1.0×
Forearm 2 views (73090) $77.04 $220.13 1.0×
Hand 2 views (73120) $93.04 $265.85 1.0×
Hepatobil Syst Image W/Drug (78227) $528.85 $1,511 1.1×
Hepatobiliary System Imaging (78226) $886.02 $2,531.50 2.6×
Infant hip ultrasound, limited static exam (76886) $77.04 $220.13 1.0×
Joint Survey Single View (77077) $71.92 $205.50 0.8×
Knee 3 Views (73562) $77.04 $220.13 1.0×
Liver & Spleen Imaging Static Only (78215) $949.72 $2,713.50 2.8×
Liver & Spleen Imaging W/Vascular Flow (78216) $528.85 $1,511 1.5×
Liver imaging static only (78201) $528.85 $1,511 1.1×
Liver imaging w/vascular flow (78202) $521.50 $1,490 1.1×
Lung perfusion differential (78597) $380.97 $1,088.50 1.1×
Magnetic Image Jaw Joint (70336) $155.92 $445.50 0.8×
Meckels Divert Exam (78290) $529.72 $1,513.50 1.5×
Mra Head W/O & W/Contrast Material (70546) $576.71 $1,647.75 1.9×
MRA head w/o contrast (70544) $302.24 $863.55 1.5×
MRA head with contrast (70545) $373.27 $1,066.50 1.2×
MRA neck w contrast (70548) $429.08 $1,225.95 1.4×
Mra Neck W/O &W/Contrast Material (70549) $663.07 $1,894.50 2.2×
MRA neck w/o contrast (70547) $317.31 $906.60 1.5×
MRI any jt lower extrem w/contrast material (73722) $361.09 $1,031.70 0.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $663.07 $1,894.50 2.2×
MRI any jt upper extremity w/contrast matrl (73222)
range across 4 matching MRF lines
$417.21–$625.74 $1,192.05–$1,787.85 varies
MRI cervical spine w contrast (72142) $439.79 $1,256.55 1.5×
MRI cervical spine w/o cont (72141) $211.50 $604.30 1.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $492.18 $1,406.25 1.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $523.95 $1,497 1.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 4 matching MRF lines
$211.50–$523.95 $604.30–$1,497 varies
MRI lumbar spine w contrast (72149)
range across 4 matching MRF lines
$405.24–$986.47 $1,157.85–$2,818.50 varies
Mri Neck Spine W/O & W/Dye (72156) $312.49 $892.83 1.0×
MRI orbit face &/neck w/o contrast (70540) $183.64 $524.70 0.9×
MRI orbit face neck w contrast (70542) $432.49 $1,235.70 1.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 5 matching MRF lines
$549.25–$576.71 $1,569.30–$1,647.75 varies
MRI pelvis w contrast (72196) $317.31 $906.60 1.1×
MRI pelvis w/o & w contrast (72197) $663.07 $1,894.50 2.2×
MRI pelvis w/o contrast (72195) $314 $897.15 1.5×
MRI thoracic spine w/o contrast (72146) $211.50 $604.30 1.0×
MRI upper extremity oth than jt w/contr matrl (73219) $491.82 $1,405.20 1.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $211.50 $604.30 1.0×
Mri Uppr Extremity W/O&W/Dye (73220)
range across 4 matching MRF lines
$312.49–$586.21 $892.83–$1,674.90 varies
MRI, dorsal spine combo (72157) $673.99 $1,925.70 2.2×
MRI, dorsal spine contrast (72147) $439.79 $1,256.55 1.5×
MRI, joint upper extrem (73221)
range across 6 matching MRF lines
$211.50–$1,430.27 $604.30–$4,086.50 varies
MRI, joint upper extrem combo (73223) $663.07 $1,894.50 2.2×
MRI, lumbar spine combo (72158) $312.49 $892.83 1.0×
Neck soft tissue (70360) $77.04 $220.13 1.0×
Optic foramina (70190) $62.65 $179 0.8×
Parathyroid Planar Imaging (78070) $483.52 $1,381.50 1.4×
Parathyroid planar imaging w/wo subtraction (78071) $439.95 $1,257 1.3×
Pelvis 1 or 2 views (72170)
range across 4 matching MRF lines
$93.04–$179.37 $265.85–$512.50 varies
Pulmonary Perfusion Imaging Particulate (78580) $215.95 $617 0.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $93.04 $265.85 1.0×
Radex abscess/fistula/sinus tract rs&i (76080) $291.55 $833 0.6×
Radex Ankle Complete Minimum 3 Views (73610) $77.04 $220.13 1.0×
Radex Calcaneus Minimum 2 Views (73650) $77.04 $220.13 1.0×
Radex elbow complete minimum 3 views (73080) $77.04 $220.13 1.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $93.04 $265.85 1.0×
Radex fingr minimum 2 views (73140) $77.04 $220.13 1.0×
Radex foot complete minimum 3 views (73630) $77.04 $220.13 1.0×
Radex Hand Minimum 3 Views (73130) $77.04 $220.13 1.0×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $333.02 $951.50 3.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $77.04 $220.13 1.0×
Radex Ribs Unilateral 2 Views (71100) $77.04 $220.13 1.0×
Radex shoulder complete minimum 2 views (73030) $77.04 $220.13 1.0×
Radex Spine 1 View Specify Level (72020)
range across 8 matching MRF lines
$68.77–$110.42 $196.50–$315.50 varies
Radex Sternum Minimum 2 Views (71120) $149.62 $427.50 2.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $179.72 $513.50 2.4×
Radex Toe Minimum 2 Views (73660) $77.04 $220.13 1.0×
Radex Wrist Complete Minimum 3 Views (73110) $77.04 $220.13 1.0×
Radiolog exam mandible compl minimum 4 views (70110) $93.04 $265.85 1.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $93.04 $265.85 1.0×
Radiologic exam knee complete 4/more views (73564) $186.72 $533.50 2.1×
Radiologic exam pelvis compl minimum 3 views (72190) $93.04 $265.85 1.0×
Radiologic Exam Small Int Single Contrast Study (74250) $366.97 $1,048.50 2.4×
Radiologic exam swallow function contrast study (74230) $256.20 $732 1.7×
Radiologic examination femur 1 view (73551) $89.25 $255 1.2×
Radiologic examination femur minimum 2 views (73552) $77.04 $220.13 1.0×
Radiologic examination knee 1/2 views (73560) $77.04 $220.13 1.0×
Radiologic Examination Osseous Survey Limited (77074) $78.75 $225 0.9×
Radiologic Examination Salivary Gland Calculus (70380) $174.30 $498 2.3×
Radiologic examination tibia & fibula 2 views (73590)
range across 6 matching MRF lines
$77.04–$111.12 $220.13–$317.50 varies
Ribs bilateral 3 views (71110) $93.04 $265.85 1.0×
Scapula (73010)
range across 4 matching MRF lines
$93.04–$160.12 $265.85–$457.50 varies
Screening Digital Breast Tomosynthesis Bi (77063) $29.40 $84 1.3×
Shoulder 1 view (73020) $77.04 $220.13 1.0×
Skull less than 4 views (70250) $93.04 $265.85 1.0×
Sternoclavicular joints (71130) $176.40 $504 2.4×
Thoracic spine 2 views (72070)
range across 4 matching MRF lines
$93.04–$129.85 $265.85–$371 varies
Thoracic spine 3 views (72072)
range across 4 matching MRF lines
$93.04–$173.25 $265.85–$495 varies
Thoracolumbar 2 views (72080)
range across 4 matching MRF lines
$217.17–$239.92 $620.50–$685.50 varies
Thyroid Imaging With Vascular Flow (78013) $225.57 $644.50 0.7×
Thyroid Uptake Measurement (78012) $161 $460 0.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $339.50 $970 1.0×
Ultrasound Breast Limited (76642) $77.04 $220.13 1.0×
Ultrasound Exam Aaa Screen (76706) $93.04 $265.85 1.0×
Ultrasound, abdomen limited (76705) $93.04 $265.85 1.0×
Us breast unilateral complete (76641)
range across 8 matching MRF lines
$93.04–$255.32 $265.85–$729.50 varies
Us chest (76604) $93.04 $265.85 1.0×
Us complete joint (76881)
range across 4 matching MRF lines
$93.04–$207.20 $265.85–$592 varies
Us exam, pelvic, limited (76857) $93.04 $265.85 1.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $93.04 $265.85 1.0×
Us ob limited 1 or more fetuses (76815) $93.04 $265.85 1.0×
Us pelvic non ob complete (76856) $93.04 $265.85 1.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $93.04 $265.85 1.0×
Us retroperitoneal complete (76770) $93.04 $265.85 1.0×
Us retroperitoneal limited (76775) $93.04 $265.85 1.0×
Us scrotum and contents (76870) $93.04 $265.85 1.0×
Us spinal canal and contents (76800) $93.04 $265.85 1.0×
Us thyroid (76536) $93.04 $265.85 1.0×
Vein X-Ray Chest (75827) $430.15 $1,229 0.3×
Venography caval inferior serialography rs&i (75825) $424.02 $1,211.50 0.2×
Venography extremity unilateral rs&i (75820) $278.77 $796.50 0.2×
Vertebral fracture assessment via dxa (77086) $36.40 $104 0.5×
Wrist 2 views (73100)
range across 6 matching MRF lines
$77.04–$101.32 $220.13–$289.50 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $119.17 $340.50 1.6×
X-Ray Aorta Leg Arteries (75630) $834.40 $2,384 0.3×
X-Ray Bend Only L-S Spine (72120) $138.25 $395 1.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $77.04 $220.13 1.0×
X-Ray Exam Breast Specimen (76098) $540.57 $1,544.50 1.1×
X-Ray Exam Entire Spi 1 Vw (72081) $77.04 $220.13 1.0×
X-Ray Exam Hip Uni 1 View (73501)
range across 5 matching MRF lines
$77.04–$104.30 $220.13–$298 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 6 matching MRF lines
$77.04–$160.12 $220.13–$457.50 varies
X-Ray Exam Hips Bi 2 Views (73521)
range across 4 matching MRF lines
$93.04–$279.65 $265.85–$799 varies
X-Ray Exam Hips Bi 3-4 Views (73522) $141.05 $403 1.6×
X-Ray Exam L-S Spine Bending (72114) $599.90 $1,714 6.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $77.04 $220.13 1.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $93.04 $265.85 1.0×
X-Ray Exam Unilat Ribs/Chest (71101)
range across 5 matching MRF lines
$93.04–$204.57 $265.85–$584.50 varies
X-ray eye for foreign body (70030) $212.45 $607 2.8×
X-ray humerus (73060)
range across 8 matching MRF lines
$77.04–$116.90 $220.13–$334 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $77.04 $220.13 1.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $77.04 $220.13 1.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $93.04 $265.85 1.0×
X-ray nose-rectum child f.b. (76010)
range across 4 matching MRF lines
$71.92–$77.04 $205.50–$220.13 varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $93.04 $265.85 1.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $93.04 $265.85 1.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $77.04 $220.13 1.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $77.04 $220.13 1.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $93.04 $265.85 1.0×
X-ray thoracic spine 4 vw (72074) $184.10 $526 2.0×
X-Ray Tmj Unilat (70328)
range across 5 matching MRF lines
$132.65–$146.47 $379–$418.50 varies
X-Rays Bone Length Studies (77073)
range across 2 matching MRF lines
$114.80–$145.77 $328–$416.50 varies
X-Rays Bone Survey Complete (77075)
range across 4 matching MRF lines
$239.92–$240.80 $685.50–$688 varies
Xr c-spine 4 or 5 views (72050) $93.04 $265.85 1.0×
Xr facial bones less than 3 views (70140) $178.67 $510.50 2.4×
Xr orbits complete 4 views (70200) $187.77 $536.50 2.1×
Xr Tomogram Single Plane (76100) $316.22 $903.50 3.5×

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.