Imaging prices at Liberty Regional Medical Center

Hinesville, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 3 matching MRF lines
$64.88–$69.83 $86.50–$93.10 varies
Abdomen 2 views (74019) $25.41 $33.88 0.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $401.25 $535 1.0×
Ankle 2 views (73600) $391.71 $522.28 4.7×
Arthrogram hip (73525) $432 $576 1.3×
Arthrogram Wrist (73115) $239.25 $319 0.7×
Bone age studies (77072) $53.12 $70.83 0.5×
Bone Imaging 3 Phase (78315) $725.40 $967.20 1.9×
Bone Imaging Limited Area (78300) $444.75 $593 1.2×
Bone Imaging Multiple Areas (78305) $432.75 $577 1.1×
Bone Imaging Whole Body (78306) $896.25 $1,195 2.3×
Bone survey infant (77076) $108.75 $145 1.1×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $429 $572 0.8×
Brain Imaging Minimum 4 Static Views (78605) $429 $572 0.8×
Chest 1 view (71045)
range across 2 matching MRF lines
$112.13–$125.58 $149.50–$167.44 varies
Chest 2 views (71046)
range across 3 matching MRF lines
$602.10–$677.10 $802.80–$902.80 varies
Chest 3 views (71047) $77.25 $103 0.9×
Chest 4 or more views (71048) $108 $144 1.1×
Clavicle complete (73000) $196.44 $261.92 2.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $279.38 $372.50 2.8×
Contrast X-Ray Bladder (74430) $239.25 $319 0.7×
Contrast X-Ray Of Knee Joint (73580) $432 $576 1.3×
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
$3,244.13–$5,074.07 $4,325.50–$6,765.43 varies
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines
$1,018.61–$1,407 $1,358.15–$1,876 varies
CT abdomen w contrast (74160) $883.89 $1,178.52 5.2×
CT abdomen w wo contrast (74170) $1,365.40 $1,820.53 8.1×
CT abdomen w/o contrast (74150) $1,050.65 $1,400.86 10.4×
CT Angio Abdomen and Pelvis (74174) $496.88 $662.50 1.5×
CT Angio Chest (71275)
range across 2 matching MRF lines
$1,743.78–$2,118.38 $2,325.04–$2,824.50 varies
CT Angio Head (70496) $314.63 $419.50 1.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,029.15 $1,372.20 6.1×
CT Angio Neck (70498) $285.75 $381 1.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,016.64 $1,355.52 6.0×
CT bone density (77078)
range across 2 matching MRF lines
$64.88–$68.07 $86.50–$90.76 varies
CT cervical spine w/ contrast (72126) $1,830.35 $2,440.47 5.4×
CT cervical spine w/o contrast (72125) $2,899.88 $3,866.50 28.7×
CT cervical spine w/wo cont (72127) $870.24 $1,160.32 5.1×
CT chest w contrast (71260) $2,886.38 $3,848.50 17.0×
CT chest w/wo contrast (71270) $456.12 $608.16 2.7×
CT head/brain with contrast (70460) $1,539.49 $2,052.65 9.1×
CT head/brain without and with contrast (70470) $574.75 $766.33 3.4×
CT iac w contrast (70481) $504.36 $672.48 3.0×
CT l-spine w&w/o contrast (72133) $981.24 $1,308.32 5.8×
CT lower ext w/o (73700)
range across 12 matching MRF lines
$2,335.55–$2,722.46 $3,114.06–$3,629.95 varies
CT lower extremity w/contrast material (73701) $930.48 $1,240.64 5.5×
CT lumbar spine w contrast (72132) $352.44 $469.92 1.0×
CT lumbar spine w/o contrast (72131) $2,664.75 $3,553 26.4×
CT maxillofacial w contrast (70487) $3,588.49 $4,784.65 21.2×
CT maxillofacial wo contrast (70486)
range across 3 matching MRF lines
$1,125.86–$1,384.88 $1,501.15–$1,846.50 varies
CT neck tissue combo (70492) $433.81 $578.41 2.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $558.99 $745.32 3.3×
CT orbits w/o contrast (70480) $1,457.40 $1,943.20 14.4×
CT pelvis w&w/o contrast (72194) $2,742.60 $3,656.80 16.2×
CT pelvis w/o contrast (72192) $338.25 $451 3.3×
CT scan of leg combo (73702) $823.35 $1,097.80 4.9×
CT scans face/jaw combo (70488) $436.74 $582.32 2.6×
CT soft tissue neck w contrast (70491) $1,144.88 $1,526.50 6.8×
CT soft tissue neck w/o contrast (70490) $411.38 $548.50 4.1×
CT thoracic spine w contrast (72129) $796.86 $1,062.48 4.7×
CT thoracic spine w/o contrast (72128) $3,655.88 $4,874.50 36.2×
CT thoracic spine w/wo cont (72130) $889.11 $1,185.48 5.2×
CT thorax w/o contrast (71250) $244.88 $326.50 2.4×
CT upper ext wo (73200)
range across 4 matching MRF lines
$1,498.13–$2,340.78 $1,997.50–$3,121.04 varies
CT upper extremity w/o & w/contrast material (73202) $823.35 $1,097.80 4.9×
CT upper extremity with contrast (73201) $2,363.16 $3,150.88 7.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $996 $1,328 5.9×
Cta Abdomen (74175) $733.65 $978.20 4.3×
CTA pelvis (72191) $1,016.64 $1,355.52 6.0×
Echo exam uterus (76831) $219.75 $293 1.0×
Esophagram (74220)
range across 2 matching MRF lines
$652.88–$1,020.32 $870.50–$1,360.43 varies
Fetal Biophys Profile W/Nst (76818) $204 $272 2.0×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$676.59–$1,197.50 $902.12–$1,596.67 varies
Foot 2 views (73620) $226.34 $301.78 2.7×
Forearm 2 views (73090)
range across 3 matching MRF lines
$313.88–$330.05 $418.50–$440.07 varies
Gastric emptying imaging study (78264) $3,348 $4,464 8.7×
Gated Heart Planar Single (78472) $416.25 $555 1.1×
Gated Heart, Multiple (78473) $772.50 $1,030 2.0×
Hand 2 views (73120) $731.25 $975 7.2×
Heart first pass single,planar (78481) $772.50 $1,030 1.5×
Hepatobil Syst Image W/Drug (78227) $2,863.50 $3,818 5.5×
Hepatobiliary System Imaging (78226) $684.45 $912.60 1.8×
Ht Musc Image Planar Mult (78454) $1,138.50 $1,518 0.9×
Ht Muscle Image Spect Sing (78451) $1,138.50 $1,518 0.9×
Hysterosalpingogram (74740) $219.75 $293 1.0×
Infant hip ultrasound with hip movement (dynamic) (76885) $124.73 $166.31 1.5×
K Flow/Funct Image Multiple (78709) $429 $572 0.8×
K Flow/Funct Image W/Drug (78708) $1,097.25 $1,463 2.1×
K Flow/Funct Image W/O Drug (78707) $429 $572 0.8×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $343.50 $458 0.9×
Knee 3 Views (73562)
range across 5 matching MRF lines
$693.22–$863.63 $924.29–$1,151.50 varies
Liver & Spleen Imaging Static Only (78215) $498.75 $665 1.3×
Liver imaging static only (78201) $1,138.50 $1,518 2.2×
Liver imaging w/vascular flow (78202) $1,138.50 $1,518 2.2×
Lung Perf&Ventilat Diferentl (78598) $1,542 $2,056 2.9×
Lung Ventilat&Perfus Imaging (78582) $1,317 $1,756 2.5×
Lung Ventilation Imaging (78579) $343.50 $458 0.9×
Lymph System Imaging (78195) $2,137.96 $2,850.61 4.1×
Magnetic Image Jaw Joint (70336) $513.66 $684.88 2.2×
Mammary ductogram or galactogram multiple (77054) $219.75 $293 1.0×
Mammary ductogram or galactogram single (77053) $219.75 $293 1.0×
Meckels Divert Exam (78290) $356.25 $475 0.9×
Mra Head W/O & W/Contrast Material (70546) $2,428.65 $3,238.20 7.2×
MRA head w/o contrast (70544)
range across 2 matching MRF lines
$3,098.63–$4,678.20 $4,131.50–$6,237.60 varies
MRA neck w contrast (70548) $1,106.28 $1,475.04 3.3×
Mra Neck W/O &W/Contrast Material (70549) $1,202.43 $1,603.24 3.6×
MRA neck w/o contrast (70547) $636.24 $848.32 2.8×
MRI abdomen w/o contrast (74181) $1,205.05 $1,606.73 5.2×
MRI any jt lower extrem w/contrast material (73722) $1,007.16 $1,342.88 1.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,299.37 $1,732.49 3.9×
MRI any jt upper extremity w/contrast matrl (73222) $1,310.86 $1,747.81 1.7×
MRI cervical spine w contrast (72142) $519.59 $692.78 1.5×
MRI cervical spine w/o cont (72141) $771.38 $1,028.50 3.3×
MRI chest w/o contrast (71550) $928.02 $1,237.36 4.0×
MRI chest wo w contrast (71552) $1,562.07 $2,082.76 4.6×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,006.29 $1,341.72 3.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $4,872.69 $6,496.92 14.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,140.10 $1,520.13 4.9×
MRI lumbar spine w contrast (72149) $514.48 $685.97 1.5×
Mri Neck Spine W/O & W/Dye (72156) $5,230.58 $6,974.10 15.5×
MRI orbit face &/neck w/o contrast (70540) $969.36 $1,292.48 4.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,155.56 $1,540.75 3.4×
MRI pelvis w contrast (72196) $505.53 $674.04 1.5×
MRI pelvis w/o & w contrast (72197) $1,840.88 $2,454.50 5.5×
MRI pelvis w/o contrast (72195) $1,389.32 $1,852.42 6.0×
MRI thoracic spine w/o contrast (72146) $1,924.13 $2,565.50 8.3×
MRI upper extremity oth than jt w/contr matrl (73219) $1,007.16 $1,342.88 3.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,135.37 $4,180.49 13.6×
Mri Uppr Extremity W/O&W/Dye (73220) $3,039.84 $4,053.12 9.0×
MRI, abdomen, combo (74183) $906 $1,208 2.7×
MRI, dorsal spine combo (72157) $5,383.99 $7,178.65 16.0×
MRI, dorsal spine contrast (72147) $1,028.67 $1,371.56 3.0×
MRI, joint upper extrem (73221)
range across 8 matching MRF lines
$961.13–$1,501.58 $1,281.50–$2,002.11 varies
MRI, joint upper extrem combo (73223) $1,559.46 $2,079.28 4.6×
MRI, lumbar spine combo (72158) $995.50 $1,327.33 3.0×
Myelogram Lumbar (72265) $1,190.97 $1,587.96 1.6×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $2,515.50 $3,354 6.5×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $1,138.50 $1,518 0.9×
Myocardial Spect Multiple Studies (78452)
range across 2 matching MRF lines
$1,043.45–$1,846.80 $1,391.26–$2,462.40 varies
Neck soft tissue (70360) $64.88 $86.50 0.8×
Nonvascular Shunt X-Ray (75809) $163.78 $218.37 1.6×
Optic foramina (70190) $60 $80 0.7×
Parathyroid Planar Imaging (78070) $724.34 $965.79 1.9×
Pelvis 1 or 2 views (72170) $508.50 $678 5.0×
Pulmonary Perfusion Imaging Particulate (78580) $999.90 $1,333.20 2.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $238.16 $317.55 2.4×
Radex Ankle Complete Minimum 3 Views (73610) $859.88 $1,146.50 10.2×
Radex Calcaneus Minimum 2 Views (73650) $389.69 $519.58 4.6×
Radex elbow complete minimum 3 views (73080) $136.13 $181.50 1.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $553.19 $737.59 5.5×
Radex fingr minimum 2 views (73140) $390.75 $521 4.6×
Radex foot complete minimum 3 views (73630) $414 $552 4.9×
Radex Hand Minimum 3 Views (73130) $562.88 $750.50 6.7×
Radex lower extremity infant minimum 2 views (73592) $77.25 $103 0.9×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $117.75 $157 1.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $80.53 $107.37 1.0×
Radex Ribs Unilateral 2 Views (71100) $74.34 $99.12 0.9×
Radex shoulder complete minimum 2 views (73030) $1,014.30 $1,352.40 12.1×
Radex Spine 1 View Specify Level (72020) $58.50 $78 0.7×
Radex Sternum Minimum 2 Views (71120) $149.47 $199.29 1.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $94.50 $126 1.1×
Radex Toe Minimum 2 Views (73660) $189.62 $252.82 2.3×
Radex upper extremity infant minimum 2 views (73092) $60 $80 0.6×
Radex Wrist Complete Minimum 3 Views (73110) $961.88 $1,282.50 11.4×
Radiolog exam mandible compl minimum 4 views (70110) $36.80 $49.06 0.4×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $78.75 $105 0.8×
Radiologic exam colon double contrast study (74280) $690 $920 4.1×
Radiologic exam colon single contrast study (74270) $523.96 $698.61 3.1×
Radiologic exam knee complete 4/more views (73564) $91.50 $122 0.9×
Radiologic Exam Small Int Single Contrast Study (74250) $307.51 $410.01 1.8×
Radiologic exam swallow function contrast study (74230) $402.80 $537.06 2.4×
Radiologic exam upr gi trc double contrast study (74246) $1,168.25 $1,557.67 6.9×
Radiologic examination femur minimum 2 views (73552) $151.13 $201.50 1.8×
Radiologic examination knee 1/2 views (73560) $64.88 $86.50 0.8×
Radiologic Examination Osseous Survey Limited (77074) $171 $228 1.7×
Radiologic examination tibia & fibula 2 views (73590) $901.88 $1,202.50 10.7×
Ribs bilateral 3 views (71110) $90.14 $120.18 0.9×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $2,820.17 $3,760.23 7.3×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $1,416.75 $1,889 2.7×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 5 matching MRF lines
$450.75–$3,360 $601–$4,480 varies
Scapula (73010) $131.40 $175.20 1.3×
Sella turcica (70240) $60 $80 0.7×
Shoulder 1 view (73020) $44.82 $59.76 0.5×
Shoulder Arthrography (73040) $772.50 $1,030 2.3×
Skull less than 4 views (70250) $85.50 $114 0.8×
Sternoclavicular joints (71130) $34.58 $46.11 0.4×
Thoracic spine 3 views (72072) $896.63 $1,195.50 8.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,192.50 $1,590 3.1×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines
$874.23–$1,155.75 $1,165.64–$1,541 varies
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$924.30–$961.50 $1,232.40–$1,282 varies
Urethrocystography retrograde (74450) $219.75 $293 1.0×
Us bone density measurement (76977) $174.75 $233 1.7×
Us breast unilateral complete (76641) $495.49 $660.65 4.9×
Us chest (76604) $389.27 $519.03 3.9×
Us complete joint (76881) $819.11 $1,092.15 8.1×
Us exam, pelvic, limited (76857) $586 $781.33 5.8×
Us head (76506) $100.32 $133.76 1.0×
Us kidney transplant (76776) $258 $344 2.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $477.75 $637 4.7×
Us ob limited 1 or more fetuses (76815)
range across 4 matching MRF lines
$78.75–$85.60 $105–$114.13 varies
Us ob transvaginal (76817) $67.40 $89.87 0.7×
Us pelvic non ob complete (76856) $196.13 $261.50 1.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $217.88 $290.50 2.2×
Us retroperitoneal complete (76770) $298.13 $397.50 2.9×
Us retroperitoneal limited (76775) $125.39 $167.19 1.2×
Us scrotum and contents (76870) $656.25 $875 6.5×
Us spinal canal and contents (76800) $126.23 $168.31 1.2×
Us thyroid (76536) $2,060.10 $2,746.80 20.4×
Wrist 2 views (73100) $209.29 $279.05 2.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $27.75 $37 0.3×
X-Ray Bend Only L-S Spine (72120) $128.25 $171 1.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $139.58 $186.10 1.7×
X-Ray Exam Breast Specimen (76098) $460.50 $614 0.9×
X-Ray Exam Entire Spi 4/5 Vw (72083) $126.75 $169 1.3×
X-Ray Exam Hip Uni 1 View (73501) $27.52 $36.69 0.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $565.50 $754 6.7×
X-Ray Exam Hip Uni 4/> Views (73503) $117.75 $157 1.2×
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines
$288.43–$521.63 $384.57–$695.50 varies
X-Ray Exam L-S Spine Bending (72114) $168.11 $224.14 1.7×
X-Ray Exam Neck Spine 2-3 Vw (72040) $843.75 $1,125 10.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $275.94 $367.92 2.7×
X-Ray Exam Unilat Ribs/Chest (71101) $500.25 $667 4.9×
X-ray eye for foreign body (70030) $89.25 $119 1.1×
X-ray humerus (73060) $198.38 $264.50 2.4×
X-ray IV pyelogram (ivp) (74400) $239.25 $319 1.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $47.25 $63 0.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
$729.27–$804.75 $972.36–$1,073 varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $123.75 $165 1.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $379.50 $506 3.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $78.75 $105 0.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $68.63 $91.50 0.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $38.42 $51.22 0.4×
X-Ray Tmj Unilat (70328) $60 $80 0.7×
X-Rays Bone Length Studies (77073)
range across 2 matching MRF lines
$108–$108.75 $144–$145 varies
X-Rays Bone Survey Complete (77075) $198.74 $264.99 2.0×
Xr c-spine 4 or 5 views (72050) $1,437.30 $1,916.40 14.2×
Xr orbits complete 4 views (70200) $11.25 $15 0.1×

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.