Imaging prices at Lauderdale Community Hospital

Ripley, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $67.27 $268 0.9×
Abdomen 2 views (74019) $94.13 $375 1.0×
Ankle 2 views (73600) $72.79 $290 0.9×
Bone age studies (77072) $112.20 $447 1.2×
Bone Imaging Limited Area (78300) $221.63 $883 0.6×
Bone Imaging Whole Body (78306) $414.15 $1,650 1.1×
Bone survey infant (77076) $325.80 $1,298 3.4×
Cat Scan Follow-Up Study (76380) $299.19 $1,192 3.8×
Chest 1 view (71045) $71.28 $284 0.9×
Chest 2 views (71046) $94.38 $376 1.2×
Cholecystography Oral Contrast (74290) $104.67 $417 0.7×
Clavicle complete (73000) $89.11 $355 1.1×
CT abdomen and pelvis without and with contrast (74178) $881.26 $3,511 2.8×
CT abdomen and pelvis without contrast (74176) $822.53 $3,277 3.8×
CT abdomen w contrast (74160) $798.68 $3,182 5.0×
CT abdomen w wo contrast (74170) $895.82 $3,569 5.6×
CT abdomen w/o contrast (74150) $627.50 $2,500 6.6×
CT Angio Abdomen and Pelvis (74174) $881.26 $3,511 2.8×
CT Angio Chest (71275) $881.26 $3,511 5.5×
CT Angio Head (70496) $567.51 $2,261 3.6×
CT Angio Neck (70498) $822.53 $3,277 5.2×
CT cervical spine w/ contrast (72126) $779.61 $3,106 2.5×
CT cervical spine w/o contrast (72125) $706.06 $2,813 7.4×
CT cervical spine w/wo cont (72127) $883.77 $3,521 5.6×
CT chest w contrast (71260) $798.68 $3,182 5.0×
CT chest w/wo contrast (71270) $881.26 $3,511 5.5×
CT head/brain with contrast (70460) $779.61 $3,106 4.9×
CT head/brain without and with contrast (70470) $895.82 $3,569 5.6×
CT iac w contrast (70481)
range across 2 matching MRF lines
$567.26–$779.61 $2,260–$3,106 varies
CT l-spine w&w/o contrast (72133) $883.77 $3,521 5.6×
CT lower ext w/o (73700) $565.75 $2,254 6.0×
CT lower extremity w/contrast material (73701) $779.61 $3,106 4.9×
CT lumbar spine w contrast (72132) $779.61 $3,106 2.5×
CT lumbar spine w/o contrast (72131) $706.06 $2,813 7.4×
CT maxillofacial w contrast (70487) $779.61 $3,106 4.9×
CT maxillofacial wo contrast (70486) $567.26 $2,260 6.0×
CT neck tissue combo (70492) $883.77 $3,521 5.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $883.77 $3,521 5.6×
CT pelvis w&w/o contrast (72194) $883.77 $3,521 5.6×
CT pelvis w/o contrast (72192) $627.50 $2,500 6.6×
CT scan of leg combo (73702) $883.77 $3,521 5.6×
CT scans face/jaw combo (70488)
range across 2 matching MRF lines
$883.77–$895.82 $3,521–$3,569 varies
CT soft tissue neck w contrast (70491) $779.61 $3,106 4.9×
CT soft tissue neck w/o contrast (70490) $567.26 $2,260 6.0×
CT thoracic spine w contrast (72129) $779.61 $3,106 4.9×
CT thoracic spine w/o contrast (72128) $706.06 $2,813 7.4×
CT thoracic spine w/wo cont (72130) $883.77 $3,521 5.6×
CT thorax w/o contrast (71250) $627.50 $2,500 6.6×
CT upper ext wo (73200) $565.75 $2,254 6.0×
CT upper extremity with contrast (73201) $779.61 $3,106 2.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $881.26 $3,511 5.5×
Cta Abdomen (74175) $881.26 $3,511 5.5×
Esophagram (74220) $152.11 $606 1.0×
Fluoroscopy up to 1 hr (76000) $135.04 $538 0.6×
Foot 2 views (73620) $72.79 $290 0.9×
Forearm 2 views (73090) $78.31 $312 1.0×
Gastric emptying imaging study (78264) $322.79 $1,286 0.9×
Hand 2 views (73120) $72.79 $290 0.8×
Hepatobiliary System Imaging (78226) $403.36 $1,607 1.1×
Ht Muscle Image Spect Sing (78451) $767.06 $3,056 0.7×
K Flow/Funct Image W/O Drug (78707) $287.40 $1,145 0.6×
Knee 3 Views (73562) $93.37 $372 1.2×
Liver & Spleen Imaging Static Only (78215) $221.63 $883 0.6×
Lung Ventilat&Perfus Imaging (78582) $349.64 $1,393 0.7×
Lung Ventilation Imaging (78579) $221.63 $883 0.6×
Magnetic Image Jaw Joint (70336) $678.45 $2,703 3.1×
MRA head w/o contrast (70544) $732.92 $2,920 3.4×
MRA neck w contrast (70548) $802.45 $3,197 2.5×
Mra Neck W/O &W/Contrast Material (70549) $873.98 $3,482 2.8×
MRA neck w/o contrast (70547) $682.47 $2,719 3.2×
MRI abdomen w/o contrast (74181) $732.92 $2,920 3.4×
MRI any jt lower extrem w/contrast material (73722) $802.45 $3,197 1.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $902.60 $3,596 2.9×
MRI any jt upper extremity w/contrast matrl (73222) $802.45 $3,197 1.1×
MRI cervical spine w contrast (72142) $802.45 $3,197 2.5×
MRI cervical spine w/o cont (72141) $678.45 $2,703 3.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $802.45 $3,197 2.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $873.98 $3,482 2.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $682.47 $2,719 3.2×
MRI lumbar spine w contrast (72149) $802.45 $3,197 2.5×
Mri Neck Spine W/O & W/Dye (72156) $1,067.25 $4,252 3.4×
MRI orbit face &/neck w/o contrast (70540) $682.47 $2,719 3.2×
MRI orbit face neck w contrast (70542) $802.45 $3,197 2.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $825.29 $3,288 2.6×
MRI pelvis w contrast (72196) $802.45 $3,197 2.5×
MRI pelvis w/o & w contrast (72197) $873.98 $3,482 2.8×
MRI pelvis w/o contrast (72195) $696.02 $2,773 3.2×
MRI thoracic spine w/o contrast (72146) $678.45 $2,703 3.1×
MRI upper extremity oth than jt w/contr matrl (73219) $802.45 $3,197 2.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $682.47 $2,719 3.2×
Mri Uppr Extremity W/O&W/Dye (73220) $822.78 $3,278 2.6×
MRI, abdomen, combo (74183) $873.98 $3,482 2.8×
MRI, dorsal spine combo (72157)
range across 2 matching MRF lines
$678.45–$1,067.25 $2,703–$4,252 varies
MRI, dorsal spine contrast (72147) $802.45 $3,197 2.5×
MRI, joint upper extrem (73221) $702.55 $2,799 3.2×
MRI, joint upper extrem combo (73223) $873.98 $3,482 2.8×
MRI, lumbar spine combo (72158) $1,067.25 $4,252 3.4×
Myocardial Spect Multiple Studies (78452) $825.79 $3,290 0.7×
Neck soft tissue (70360) $65.51 $261 0.8×
Optic foramina (70190) $63.25 $252 0.8×
Parathyroid Planar Imaging (78070) $301.20 $1,200 0.8×
Pelvis 1 or 2 views (72170) $64.01 $255 0.7×
Pulmonary Perfusion Imaging Particulate (78580) $221.63 $883 0.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $160.39 $639 1.7×
Radex Ankle Complete Minimum 3 Views (73610) $92.12 $367 1.2×
Radex Calcaneus Minimum 2 Views (73650) $68.27 $272 0.9×
Radex elbow complete minimum 3 views (73080) $88.85 $354 1.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $102.91 $410 1.1×
Radex fingr minimum 2 views (73140) $55.72 $222 0.7×
Radex foot complete minimum 3 views (73630) $92.12 $367 1.2×
Radex Hand Minimum 3 Views (73130) $92.12 $367 1.2×
Radex lower extremity infant minimum 2 views (73592) $55.72 $222 0.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $66.26 $264 0.8×
Radex Ribs Unilateral 2 Views (71100) $95.38 $380 1.2×
Radex shoulder complete minimum 2 views (73030) $78.31 $312 1.0×
Radex Sinuses Paransl < 3 Views (70210) $68.27 $272 0.9×
Radex Spine 1 View Specify Level (72020)
range across 3 matching MRF lines
$53.21–$65.01 $212–$259 varies
Radex Sternum Minimum 2 Views (71120) $71.28 $284 0.9×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $110.19 $439 1.4×
Radex Toe Minimum 2 Views (73660) $55.72 $222 0.7×
Radex upper extremity infant minimum 2 views (73092) $64.01 $255 0.7×
Radex Wrist Complete Minimum 3 Views (73110) $92.12 $367 1.2×
Radiolog exam mandible compl minimum 4 views (70110) $110.19 $439 1.2×
Radiologic exam colon double contrast study (74280) $345.63 $1,377 2.2×
Radiologic exam colon single contrast study (74270) $188.75 $752 1.2×
Radiologic exam knee complete 4/more views (73564) $107.43 $428 1.1×
Radiologic exam pelvis compl minimum 3 views (72190) $67.77 $270 0.7×
Radiologic Exam Small Int Single Contrast Study (74250) $158.13 $630 1.0×
Radiologic exam swallow function contrast study (74230) $104.67 $417 0.7×
Radiologic exam upr gi trc double contrast study (74246) $240.46 $958 1.5×
Radiologic examination femur 1 view (73551) $53.21 $212 0.7×
Radiologic examination femur minimum 2 views (73552) $94.63 $377 1.2×
Radiologic examination knee 1/2 views (73560) $80.82 $322 1.0×
Radiologic Examination Osseous Survey Limited (77074) $153.36 $611 1.6×
Radiologic examination tibia & fibula 2 views (73590) $78.31 $312 1.0×
Ribs bilateral 3 views (71110) $107.43 $428 1.1×
Scapula (73010) $78.31 $312 0.8×
Shoulder 1 view (73020) $53.21 $212 0.7×
Skull less than 4 views (70250) $64.01 $255 0.7×
Thoracic spine 3 views (72072) $91.11 $363 1.0×
Thoracolumbar 2 views (72080) $50.20 $200 0.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $221.63 $883 0.6×
Ultrasound Breast Limited (76642) $144.83 $577 1.8×
Ultrasound Exam Aaa Screen (76706) $98.89 $394 1.0×
Ultrasound, abdomen limited (76705) $192.77 $768 2.0×
Upper gi w/o kub (74240) $219.37 $874 1.4×
Urethrocystogram voiding (74455) $158.13 $630 0.7×
Us breast unilateral complete (76641) $140.56 $560 1.5×
Us chest (76604) $87.60 $349 0.9×
Us exam, pelvic, limited (76857) $169.93 $677 1.8×
Us kidney transplant (76776) $75.30 $300 0.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $132.03 $526 1.4×
Us ob limited 1 or more fetuses (76815) $147.59 $588 1.6×
Us pelvic non ob complete (76856) $203.81 $812 2.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $240.46 $958 2.5×
Us retroperitoneal complete (76770) $254.01 $1,012 2.7×
Us retroperitoneal limited (76775)
range across 2 matching MRF lines
$130.02–$166.41 $518–$663 varies
Us scrotum and contents (76870) $187.75 $748 2.0×
Us thyroid (76536) $166.66 $664 1.8×
Wrist 2 views (73100) $72.79 $290 0.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $61.50 $245 0.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $78.31 $312 1.0×
X-Ray Exam Entire Spi 1 Vw (72081) $94.38 $376 1.2×
X-Ray Exam Hip Uni 1 View (73501) $59.74 $238 0.8×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 3 matching MRF lines
$102.91–$118.47 $410–$472 varies
X-Ray Exam Hip Uni 4/> Views (73503) $132.03 $526 1.4×
X-Ray Exam Hips Bi 2 Views (73521) $86.60 $345 0.9×
X-Ray Exam L-S Spine Bending (72114) $148.09 $590 1.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $91.11 $363 1.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $149.09 $594 1.6×
X-Ray Exam Unilat Ribs/Chest (71101) $120.48 $480 1.3×
X-ray humerus (73060) $78.31 $312 1.0×
X-ray IV pyelogram (ivp) (74400) $359.68 $1,433 2.3×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $65.51 $261 0.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $73.54 $293 0.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $91.11 $363 1.0×
X-ray nose-rectum child f.b. (76010) $72.54 $289 0.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $89.86 $358 0.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $91.11 $363 1.0×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $64.01 $255 0.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220)
range across 2 matching MRF lines
$65.26–$83.83 $260–$334 varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $87.60 $349 1.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $102.91 $410 1.1×
X-Rays Bone Survey Complete (77075) $188.75 $752 2.0×
Xr c-spine 4 or 5 views (72050) $118.22 $471 1.2×
Xr facial bones less than 3 views (70140) $72.54 $289 0.9×
XR Mastoids < 3 Views Bilateral (70120) $74.05 $295 0.8×
Xr orbits complete 4 views (70200) $64.01 $255 0.7×

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.