Imaging prices at Macon Community Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $191.40 $319 1.9×
Acute gastrointestinal blood loss imaging (78278) $964.38 $1,607.30 2.5×
Ankle 2 views (73600) $158.52 $264.20 1.9×
Bone &/Joint Imaging Limited Area (78300) $964.38 $1,607.30 2.5×
Bone &/Joint Imaging Multiple Areas (78305) $964.38 $1,607.30 2.5×
Bone &/joint imaging whole body (78306) $964.38 $1,607.30 2.5×
Bone age studies (77072) $191.40 $319 1.9×
Bone Imaging 3 Phase (78315) $964.38 $1,607.30 2.5×
Bone survey complete (77075) $191.40 $319 1.9×
Cervical spine 2 or 3 views (72040) $158.52 $264.20 1.9×
Chest 1 view (71045) $158.52 $264.20 1.9×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $320.46 $534.10 1.9×
Clavicle complete (73000) $158.52 $264.20 1.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $142.62 $237.70 1.4×
CT abdomen and pelvis without and with contrast (74178) $857.10 $1,428.50 2.6×
CT abdomen and pelvis without contrast (74176) $580.14 $966.90 2.5×
CT abdomen w contrast (74160) $496.38 $827.30 2.9×
CT abdomen w wo contrast (74170) $528 $880 3.1×
CT abdomen w/o contrast (74150) $296.64 $494.40 3.0×
CT angio hrt w/3d image (75574) $857.10 $1,428.50 2.6×
CT angiography upper extremity lt (73206) $569.64 $949.40 3.4×
CT c-spine w/o contrast (72125) $282.18 $470.30 2.8×
CT cervical spine w&w/o contrast (72127) $427.26 $712.10 2.5×
CT cervical spine with contrast (72126) $857.10 $1,428.50 2.6×
CT chest w/wo contrast (71270) $427.26 $712.10 2.5×
CT chest with contrast (71260) $427.26 $712.10 2.5×
CT head/brain with contrast (70460) $427.26 $712.10 2.5×
CT head/brain without and with contrast (70470) $427.26 $712.10 2.5×
CT heart no contrast quant eval coronry calcium (75571) $36 $60 0.4×
CT iac w contrast (70481) $427.26 $712.10 2.5×
CT lower ext w/o (73700) $281.46 $469.10 2.8×
CT lower extremity w wo contrast (73702) $427.26 $712.10 2.5×
CT lower extremity with contrast (73701) $427.26 $712.10 2.5×
CT lumbar spine w & w/o contrast (72133) $427.26 $712.10 2.5×
CT lumbar spine w/o contrast (72131) $280.80 $468 2.8×
CT lumbar spine with contrast (72132) $857.10 $1,428.50 2.6×
CT maxillofacial w contrast (70487) $427.26 $712.10 2.5×
CT maxillofacial w/o contrast (70486) $276.78 $461.30 2.8×
CT maxillofacial w/wo contrast (70488) $427.26 $712.10 2.5×
CT neck soft tissue w contrast (70491) $427.26 $712.10 2.5×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $452.52 $754.20 2.7×
CT orbits w/o contrast (70480) $344.82 $574.70 3.4×
CT pelvis w & w/o contrast (72194) $509.46 $849.10 3.0×
CT pelvis w/o contrast (72192) $288.84 $481.40 2.9×
CT soft tissue neck w/o & w/contrast material (70492) $478.08 $796.80 2.8×
CT soft tissue neck w/o contrast (70490) $326.28 $543.80 3.3×
CT thoracic spine w/contrast (72129) $427.26 $712.10 2.5×
CT thoracic spine w/o contrast (72128) $281.46 $469.10 2.8×
CT thoracic spine w/wo contrast (72130) $428.88 $714.80 2.5×
CT thorax w/o contrast (71250) $288.78 $481.30 2.9×
CT upper extremity w/o & w/contrast material (73202) $509.16 $848.60 3.0×
CT upper extremity w/o contrast rt (73200) $332.64 $554.40 3.3×
CT upper extremity with contrast (73201) $857.10 $1,428.50 2.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $630.18 $1,050.30 3.7×
Cta Abdomen (74175) $572.04 $953.40 3.4×
CTA abdomen pelvis (74174) $857.10 $1,428.50 2.6×
CTA chest (71275) $427.26 $712.10 2.5×
Cta Head (70496) $565.50 $942.50 3.4×
CTA lwr ext w&w/o contrast (73706) $579.36 $965.60 3.4×
Cta Neck (70498) $565.50 $942.50 3.4×
Dxa bone density study 1/> sites axial skel (77080) $122.70 $204.50 1.2×
Fetal biophysical profile non-stress testing (76818) $255.24 $425.40 2.5×
Foot 2 views (73620) $158.52 $264.20 1.9×
Forearm 2 views (73090) $158.52 $264.20 1.9×
Gated Heart Planar Single (78472) $964.38 $1,607.30 2.5×
Hand 2 views (73120) $191.40 $319 1.9×
Hand 3 views (73130) $158.52 $264.20 1.9×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,291.86 $2,153.10 2.5×
Hepatobiliary syst imaging including gallbladder (78226) $964.38 $1,607.30 2.5×
Ht muscle image spect sing (78451) $3,133.14 $5,221.90 2.5×
Humerus Min 2 Views Left (73060) $158.52 $264.20 1.9×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,291.86 $2,153.10 2.5×
Knee 3 views (73562) $158.52 $264.20 1.9×
Lung Ventilation Imaging (78579) $964.38 $1,607.30 2.5×
MRA head w & w/o contrast (70546) $1,071.42 $1,785.70 3.2×
MRA head w/o contrast (70544) $725.16 $1,208.60 3.2×
MRA head with contrast (70545) $1,071.42 $1,785.70 3.2×
MRI abdomen w contrast (74182) $1,071.42 $1,785.70 3.2×
MRI abdomen w/o & w/contrast material (74183) $1,071.42 $1,785.70 3.2×
MRI abdomen w/o contrast (74181) $725.16 $1,208.60 3.2×
MRI any jnt lwr ext with con lt (73722) $2,370.18 $3,950.30 3.2×
MRI any jt upper extremity w/contrast matrl (73222) $2,370.18 $3,950.30 3.2×
MRI c-spine with contrast (72142) $1,071.42 $1,785.70 3.2×
MRI cervical spine w/o contrast (72141) $725.16 $1,208.60 3.2×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $1,071.42 $1,785.70 3.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,071.42 $1,785.70 3.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $725.16 $1,208.60 3.2×
MRI orbit face &/neck w/o contrast (70540) $725.16 $1,208.60 3.2×
MRI orbit/face/neck w&w/o cont (70543) $1,071.42 $1,785.70 3.2×
MRI orbit/face/neck w/contrast (70542) $1,071.42 $1,785.70 3.2×
MRI pelvis w contrast (72196) $1,071.42 $1,785.70 3.2×
MRI pelvis w/o & w/contrast material (72197) $1,071.42 $1,785.70 3.2×
MRI pelvis w/o contrast (72195) $725.16 $1,208.60 3.2×
MRI scan of arm joint before and after contrast (73223) $1,071.42 $1,785.70 3.2×
MRI scan of leg joint before and after contrast (73723) $1,071.42 $1,785.70 3.2×
MRI spinal canal cervical w/o & w/contr matrl (72156) $1,071.42 $1,785.70 3.2×
MRI spinal canal lumbar w/contrast material (72149) $1,071.42 $1,785.70 3.2×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $1,071.42 $1,785.70 3.2×
MRI spinal canal thoracic w/contrast matrl (72147) $1,071.42 $1,785.70 3.2×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,071.42 $1,785.70 3.2×
MRI thoracic spine w/o contrast (72146) $725.16 $1,208.60 3.2×
MRI tmj (70336) $725.16 $1,208.60 3.2×
MRI upper ext joint w/o contrast (73221) $725.16 $1,208.60 3.2×
MRI upper extrem other than jt w/o & w/contras (73220) $1,096.98 $1,828.30 3.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $807 $1,345 3.5×
Myocardial Spect Multiple Studies (78452) $3,133.14 $5,221.90 2.5×
N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) $1,831.32 $3,052.20 2.2×
Neck soft tissue (70360) $158.52 $264.20 1.9×
Nm gastric emptying study (78264) $964.38 $1,607.30 2.5×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $255.24 $425.40 2.5×
Osseous survey limited (77074) $191.40 $319 1.9×
Parathyroid imaging (78070) $964.38 $1,607.30 2.5×
Pelvis 1 or 2 views (72170) $191.40 $319 1.9×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $1,071.42 $1,785.70 3.2×
Pulmonary Perfusion Imaging Particulate (78580) $964.38 $1,607.30 2.5×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,291.86 $2,153.10 2.5×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $158.52 $264.20 1.9×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $191.40 $319 1.9×
Radex hips bilateral with pelvis 2 views (73521) $287.10 $478.50 2.9×
Radex mastoids compl minimum 3 views pr side (70130) $191.40 $319 1.9×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $191.40 $319 1.9×
Radiolog exam mandible compl minimum 4 views (70110) $191.40 $319 1.9×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $158.52 $264.20 1.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $191.40 $319 1.9×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $158.52 $264.20 1.9×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $158.52 $264.20 1.9×
Ribs bilateral 3 views (71110) $191.40 $319 1.9×
Sacroiliac Joints < 3 Views (72200) $191.40 $319 1.9×
Scanogram (77073) $191.40 $319 1.9×
Scapula complete (73010) $191.40 $319 1.9×
Screening digital breast tomosynthesis (77063) $113.22 $188.70 4.8×
Spine thoracic 3 views (72072) $191.40 $319 1.9×
Thyroid Imaging With Vascular Flow (78013) $964.38 $1,607.30 2.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $964.38 $1,607.30 2.5×
Ultrasound, abdomen limited (76705) $255.24 $425.40 2.5×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $320.46 $534.10 1.9×
Us abdl aorta screen aaa (76706) $255.24 $425.40 2.5×
Us breast unilateral complete (76641) $255.24 $425.40 2.5×
Us breast unilateral limited (76642) $211.32 $352.20 2.5×
Us chest (76604) $255.24 $425.40 2.5×
Us compl joint r-t w/image documentation (76881) $255.24 $425.40 2.5×
Us ob transvaginal (76817) $255.24 $425.40 2.5×
Us pelvic non ob complete (76856) $255.24 $425.40 2.5×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $255.24 $425.40 2.5×
Us pregnancy ltd (76815) $255.24 $425.40 2.5×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $255.24 $425.40 2.5×
Us retroperitoneal complete (76770) $255.24 $425.40 2.5×
Us retroperitoneal limited (76775) $255.24 $425.40 2.5×
Us scrotum and contents (76870) $255.24 $425.40 2.5×
Us soft tissue head/neck (76536) $255.24 $425.40 2.5×
Us xtr non-vasc lmtd (76882) $255.24 $425.40 2.5×
Wrist 2 views (73100) $158.52 $264.20 1.9×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $191.40 $319 1.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $158.52 $264.20 1.9×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $158.52 $264.20 1.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $158.52 $264.20 1.9×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $158.52 $264.20 1.9×
X-ray exam entire spi 4/5 vw (72083) $191.40 $319 1.9×
X-ray exam hip uni 1 view (73501) $158.52 $264.20 1.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $158.52 $264.20 1.9×
X-ray exam hip uni 4/> views (73503) $191.40 $319 1.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $287.10 $478.50 2.9×
X-Ray Exam Hips Bi 5/> Views (73523) $287.10 $478.50 2.9×
X-ray exam of femur 1 (73551) $158.52 $264.20 1.9×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $191.40 $319 1.9×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $158.52 $264.20 1.9×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $158.52 $264.20 1.9×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $158.52 $264.20 1.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $158.52 $264.20 1.9×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $191.40 $319 1.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $158.52 $264.20 1.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $191.40 $319 1.9×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $191.40 $319 1.9×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $191.40 $319 1.9×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $158.52 $264.20 1.9×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $191.40 $319 1.9×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $158.52 $264.20 1.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $191.40 $319 1.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $191.40 $319 1.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $191.40 $319 1.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $158.52 $264.20 1.9×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $158.52 $264.20 1.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $158.52 $264.20 1.9×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $158.52 $264.20 1.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $191.40 $319 1.9×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $191.40 $319 1.9×
X-Ray Spine One View - Xr Spine (72020) $158.52 $264.20 1.9×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $158.52 $264.20 1.9×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $158.52 $264.20 1.9×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $158.52 $264.20 1.9×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $158.52 $264.20 1.9×
Xr c-spine 6 or more views (72052) $191.40 $319 1.9×
Xr finger(s) 2+ views (73140) $158.52 $264.20 1.9×
Xr shoulder 1 view (73020) $158.52 $264.20 1.9×
Xr spine cervical 4 or 5 views (72050) $191.40 $319 1.9×
Xr tibia/fibula 2 views (73590) $158.52 $264.20 1.9×
Xr tmj bilateral (70330) $158.52 $264.20 1.9×
Xray knee 1 or 2 views rt (73560) $158.52 $264.20 1.9×