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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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $158.52 $264.20 1.9×
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)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
Bone age studies (77072) $191.40 $319 1.9×
Bone Imaging 3 Phase (78315) $964.38 $1,607.30 2.5×
Bone Imaging Limited Area (78300) $964.38 $1,607.30 2.5×
Bone Imaging Multiple Areas (78305) $964.38 $1,607.30 2.5×
Bone Imaging Whole Body (78306) $964.38 $1,607.30 2.5×
Chest 1 view (71045) $158.52 $264.20 1.9×
Chest 2 views (71046) $158.52 $264.20 1.9×
Clavicle complete (73000)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines
$30–$255.24 $50–$425.40 varies
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 Abdomen and Pelvis (74174) $857.10 $1,428.50 2.6×
CT Angio Chest (71275) $427.26 $712.10 2.5×
CT Angio Head (70496) $565.50 $942.50 3.4×
CT angio hrt w/3d image (75574) $857.10 $1,428.50 2.6×
Ct Angio Lwr Extr W/O&W/Dye (73706) $579.36 $965.60 3.4×
CT Angio Neck (70498) $565.50 $942.50 3.4×
Ct Angio Upr Extrm W/O&W/Dye (73206) $569.64 $949.40 3.4×
CT cervical spine w/ contrast (72126) $857.10 $1,428.50 2.6×
CT cervical spine w/o contrast (72125) $282.18 $470.30 2.8×
CT cervical spine w/wo cont (72127) $427.26 $712.10 2.5×
CT chest w contrast (71260) $427.26 $712.10 2.5×
CT chest w/wo contrast (71270) $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 l-spine w&w/o contrast (72133) $427.26 $712.10 2.5×
CT lower ext w/o (73700)
range across 18 matching MRF lines
$281.46–$422.22 $469.10–$703.70 varies
CT lower extremity w/contrast material (73701)
range across 18 matching MRF lines
$427.26–$640.86 $712.10–$1,068.10 varies
CT lumbar spine w contrast (72132) $857.10 $1,428.50 2.6×
CT lumbar spine w/o contrast (72131) $280.80 $468 2.8×
CT maxillofacial w contrast (70487) $427.26 $712.10 2.5×
CT maxillofacial wo contrast (70486) $276.78 $461.30 2.8×
CT neck tissue combo (70492) $478.08 $796.80 2.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (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 scan of leg combo (73702)
range across 18 matching MRF lines
$427.26–$640.86 $712.10–$1,068.10 varies
CT scans face/jaw combo (70488) $427.26 $712.10 2.5×
CT soft tissue neck w contrast (70491) $427.26 $712.10 2.5×
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 cont (72130) $428.88 $714.80 2.5×
CT thorax w/o contrast (71250) $288.78 $481.30 2.9×
CT upper ext wo (73200)
range across 18 matching MRF lines
$332.64–$499.02 $554.40–$831.70 varies
CT upper extremity w/o & w/contrast material (73202)
range across 18 matching MRF lines
$509.16–$763.80 $848.60–$1,273 varies
CT upper extremity with contrast (73201)
range across 18 matching MRF lines
$857.10–$1,285.68 $1,428.50–$2,142.80 varies
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×
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines
$54–$191.40 $90–$319 varies
Fetal Biophys Profile W/Nst (76818) $255.24 $425.40 2.5×
Foot 2 views (73620)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
Gastric emptying imaging study (78264) $964.38 $1,607.30 2.5×
Gated Heart Planar Single (78472) $964.38 $1,607.30 2.5×
Hand 2 views (73120)
range across 3 matching MRF lines
$191.40–$287.10 $319–$478.50 varies
Hepatobil Syst Image W/Drug (78227) $1,291.86 $2,153.10 2.5×
Hepatobiliary System Imaging (78226) $964.38 $1,607.30 2.5×
Ht Muscle Image Spect Sing (78451) $3,133.14 $5,221.90 2.5×
K Flow/Funct Image W/O Drug (78707) $1,291.86 $2,153.10 2.5×
Knee 3 Views (73562)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
Lung Ventilat&Perfus Imaging (78582) $1,291.86 $2,153.10 2.5×
Lung Ventilation Imaging (78579) $964.38 $1,607.30 2.5×
Magnetic Image Jaw Joint (70336) $725.16 $1,208.60 3.2×
Mra Head W/O & W/Contrast Material (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 contrast (74181) $725.16 $1,208.60 3.2×
MRI any jt lower extrem w/contrast material (73722)
range across 9 matching MRF lines
$2,370.18–$3,555.30 $3,950.30–$5,925.50 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 9 matching MRF lines
$1,071.42–$1,607.10 $1,785.70–$2,678.50 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 9 matching MRF lines
$2,370.18–$3,555.30 $3,950.30–$5,925.50 varies
MRI cervical spine w contrast (72142) $1,071.42 $1,785.70 3.2×
MRI cervical spine w/o cont (72141) $725.16 $1,208.60 3.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 9 matching MRF lines
$1,071.42–$1,607.10 $1,785.70–$2,678.50 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 9 matching MRF lines
$1,071.42–$1,607.10 $1,785.70–$2,678.50 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 9 matching MRF lines
$725.16–$1,087.74 $1,208.60–$1,812.90 varies
MRI lumbar spine w contrast (72149) $1,071.42 $1,785.70 3.2×
Mri Neck Spine W/O & W/Dye (72156) $1,071.42 $1,785.70 3.2×
MRI orbit face &/neck w/o contrast (70540) $725.16 $1,208.60 3.2×
MRI orbit face neck w contrast (70542) $1,071.42 $1,785.70 3.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $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 (72197) $1,071.42 $1,785.70 3.2×
MRI pelvis w/o contrast (72195) $725.16 $1,208.60 3.2×
MRI thoracic spine w/o contrast (72146) $725.16 $1,208.60 3.2×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 9 matching MRF lines
$1,071.42–$1,607.10 $1,785.70–$2,678.50 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 9 matching MRF lines
$807–$1,210.50 $1,345–$2,017.50 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 9 matching MRF lines
$1,096.98–$1,645.50 $1,828.30–$2,742.50 varies
MRI, abdomen, combo (74183) $1,071.42 $1,785.70 3.2×
MRI, dorsal spine combo (72157) $1,071.42 $1,785.70 3.2×
MRI, dorsal spine contrast (72147) $1,071.42 $1,785.70 3.2×
MRI, joint upper extrem (73221)
range across 9 matching MRF lines
$725.16–$1,087.74 $1,208.60–$1,812.90 varies
MRI, joint upper extrem combo (73223)
range across 9 matching MRF lines
$1,071.42–$1,607.10 $1,785.70–$2,678.50 varies
MRI, lumbar spine combo (72158) $1,071.42 $1,785.70 3.2×
Myocardial Spect Multiple Studies (78452) $3,133.14 $5,221.90 2.5×
N-invas est c ffr sw aly CTA (75580) $1,831.32 $3,052.20 2.2×
Neck soft tissue (70360) $158.52 $264.20 1.9×
Parathyroid Planar Imaging (78070) $964.38 $1,607.30 2.5×
Pelvis 1 or 2 views (72170) $191.40 $319 1.9×
Pulmonary Perfusion Imaging Particulate (78580) $964.38 $1,607.30 2.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $191.40 $319 1.9×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $191.40 $319 1.9×
Radex fingr minimum 2 views (73140) $158.52 $264.20 1.9×
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $191.40 $319 1.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $158.52 $264.20 1.9×
Radex Ribs Unilateral 2 Views (71100) $158.52 $264.20 1.9×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
Radex Sinuses Paransl < 3 Views (70210) $158.52 $264.20 1.9×
Radex Spine 1 View Specify Level (72020) $158.52 $264.20 1.9×
Radex Sternum Minimum 2 Views (71120) $158.52 $264.20 1.9×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $158.52 $264.20 1.9×
Radex Toe Minimum 2 Views (73660) $158.52 $264.20 1.9×
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
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 3+ Views - Xr Abdomen 3+ Views (74021) $191.40 $319 1.9×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$191.40–$287.10 $319–$478.50 varies
Radiologic exam swallow function contrast study (74230) $320.46 $534.10 1.9×
Radiologic examination femur 1 view (73551) $158.52 $264.20 1.9×
Radiologic examination femur minimum 2 views (73552) $158.52 $264.20 1.9×
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
Radiologic Examination Osseous Survey Limited (77074) $191.40 $319 1.9×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
Ribs bilateral 3 views (71110) $191.40 $319 1.9×
Scapula (73010)
range across 3 matching MRF lines
$191.40–$287.10 $319–$478.50 varies
Screening Digital Breast Tomosynthesis Bi (77063) $113.22 $188.70 4.8×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
Skull less than 4 views (70250) $191.40 $319 1.9×
Sternoclavicular joints (71130) $158.52 $264.20 1.9×
Thoracic spine 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 Breast Limited (76642)
range across 3 matching MRF lines
$211.32–$316.98 $352.20–$528.30 varies
Ultrasound Exam Aaa Screen (76706) $255.24 $425.40 2.5×
Ultrasound, abdomen limited (76705) $255.24 $425.40 2.5×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$255.24–$382.80 $425.40–$638 varies
Us chest (76604) $255.24 $425.40 2.5×
Us complete joint (76881)
range across 3 matching MRF lines
$255.24–$382.80 $425.40–$638 varies
Us exam, pelvic, limited (76857) $255.24 $425.40 2.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$255.24–$382.80 $425.40–$638 varies
Us ob limited 1 or more fetuses (76815) $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 pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $255.24 $425.40 2.5×
Us preg uterus real time f/u trnsabdl per fetus (76816) $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 thyroid (76536) $255.24 $425.40 2.5×
Wrist 2 views (73100)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $158.52 $264.20 1.9×
X-Ray Bend Only L-S Spine (72120) $191.40 $319 1.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
X-Ray Exam Entire Spi 1 Vw (72081) $158.52 $264.20 1.9×
X-Ray Exam Entire Spi 2/3 Vw (72082) $191.40 $319 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 2 Views (73521) $287.10 $478.50 2.9×
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 L-S Spine Bending (72114) $191.40 $319 1.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $158.52 $264.20 1.9×
X-Ray Exam Neck Spine 6/>Vws (72052) $191.40 $319 1.9×
X-Ray Exam Unilat Ribs/Chest (71101) $191.40 $319 1.9×
X-ray humerus (73060)
range across 3 matching MRF lines
$158.52–$237.72 $264.20–$396.20 varies
X-ray IV pyelogram (ivp) (74400) $320.46 $534.10 1.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $158.52 $264.20 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 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 Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $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 Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $158.52 $264.20 1.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $191.40 $319 1.9×
X-Rays Bone Length Studies (77073) $191.40 $319 1.9×
X-Rays Bone Survey Complete (77075) $191.40 $319 1.9×
Xr c-spine 4 or 5 views (72050) $191.40 $319 1.9×
Xr facial bones less than 3 views (70140) $158.52 $264.20 1.9×
Xr orbits complete 4 views (70200) $191.40 $319 1.9×

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.