Imaging prices at Madison County Memorial Hospital
Madison, FL · every code in this section with a posted price and a Medicare benchmark.
119 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $135.94 | $271.89 | 1.2× |
| Ankle 2 views (73600) | $109.70 | $219.39 | 1.2× |
| Bone age studies (77072) | $75.39 | $150.78 | 0.7× |
| Bone survey infant (77076) | $267.90 | $535.79 | 2.5× |
| Cervical spine 2 or 3 views (72040) | $133.52 | $267.02 | 1.5× |
| Chest 1 view (71045) | $102.55 | $205.10 | 1.1× |
| Clavicle complete (73000) | $149.28 | $298.55 | 1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,339 | $2,678 | 12.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $98.58 | $197.14 | 0.5× |
| CT abdomen and pelvis without and with contrast (74178) | $366.53 | $733.05 | 1.0× |
| CT abdomen and pelvis without contrast (74176) | $1,347.50 | $2,695 | 5.4× |
| CT abdomen w contrast (74160) | $165.83 | $331.66 | 0.9× |
| CT abdomen w wo contrast (74170) | $519.12 | $1,038.24 | 2.8× |
| CT angio lwr extr w/o&w/dye (73706) | $333.72 | $667.44 | 1.8× |
| CT c-spine w/o contrast (72125) | $251.32 | $502.64 | 2.3× |
| CT chest w/wo contrast (71270) | $919.18 | $1,838.34 | 5.0× |
| CT head/brain with contrast (70460) | $897.13 | $1,794.26 | 4.9× |
| CT head/brain without and with contrast (70470) | $904.08 | $1,808.16 | 4.9× |
| CT iac w contrast (70481) | $830.36 | $1,660.72 | 4.5× |
| CT limited/localized follow up study (76380) | $220.68 | $441.36 | 2.4× |
| CT lower ext w/o (73700) | $828.75 | $1,657.50 | 7.6× |
| CT lower extremity w wo contrast (73702) | $78.80 | $157.59 | 0.4× |
| CT lower extremity w/contrast material (73701) | $527.88 | $1,055.75 | 2.9× |
| CT lumbar spine w/contrast (72132) | $837.33 | $1,674.66 | 2.3× |
| CT lumbar spine w/o contrast (72131) | $142.66 | $285.31 | 1.3× |
| CT maxillofacial w contrast (70487) | $710.45 | $1,420.90 | 3.9× |
| CT maxillofacial w/wo contrast (70488) | $109.18 | $218.36 | 0.6× |
| CT maxillofacial wo contrast (70486) | $261.54 | $523.08 | 2.4× |
| CT orbits w/o contrast (70480) | $769.41 | $1,538.82 | 7.0× |
| CT pelvis w/o contrast (72192) | $451.92 | $903.82 | 4.1× |
| CT pelvis w/wo contrast (72194) | $487.45 | $974.90 | 2.7× |
| CT scan of arm combo (73202) | $816.28 | $1,632.55 | 4.5× |
| CT soft tissue neck w contrast (70491) | $776.62 | $1,553.24 | 4.2× |
| CT soft tissue neck w/o & w/contrast material (70492) | $850.28 | $1,700.57 | 4.6× |
| CT soft tissue neck w/o contrast (70490) | $267.28 | $534.57 | 2.4× |
| CT thoracic spine w/contrast (72129) | $502.13 | $1,004.25 | 2.7× |
| CT thoracic spine w/o contrast (72128) | $156.05 | $312.09 | 1.4× |
| CT upper ext wo (73200) | $566.50 | $1,133 | 5.2× |
| CT upper extremity with contrast (73201) | $554.14 | $1,108.28 | 1.5× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $1,004.25 | $2,008.50 | 5.5× |
| Cta Abdomen (74175) | $676.20 | $1,352.39 | 3.7× |
| CTA chest (71275) | $391.04 | $782.08 | 2.1× |
| Cta Head (70496) | $916.10 | $1,832.20 | 5.0× |
| Cta Neck (70498) | $676.20 | $1,352.39 | 3.7× |
| Cystography minimum 3 views rs&i (74430) | $8.24 | $16.48 | 0.0× |
| Esophagus (74220) | $46.12 | $92.24 | 0.3× |
| Fluoroscopy up to 1 hr (76000) | $282.60 | $565.18 | 1.1× |
| Foot 2 views (73620) | $108 | $216 | 1.2× |
| Forearm 2 views (73090) | $134.80 | $269.60 | 1.5× |
| Hand 2 views (73120) | $97.43 | $194.86 | 0.9× |
| Knee 3 views (73562) | $172.52 | $345.05 | 1.9× |
| Neck soft tissue (70360) | $123.50 | $247 | 1.4× |
| Pelvis 1 or 2 views (72170) | $154.22 | $308.42 | 1.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $64.38 | $128.75 | 0.1× |
| Radex Ankle Compl Minimum 3 Views (73610) | $152.50 | $304.99 | 1.7× |
| Radex Elbw Compl Minimum 3 Views (73080) | $163.59 | $327.18 | 1.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $103.90 | $207.78 | 1.0× |
| Radex fingr minimum 2 views (73140) | $122.33 | $244.66 | 1.3× |
| Radex Foot Compl Minimum 3 Views (73630) | $148.63 | $297.26 | 1.6× |
| Radex Hand Minimum 3 Views (73130) | $153.74 | $307.49 | 1.7× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $84.64 | $169.28 | 0.8× |
| Radex Humerus Minimum 2 Views (73060) | $128.60 | $257.18 | 1.4× |
| Radex Kne 1/2 Views (73560) | $113.18 | $226.36 | 1.2× |
| Radex Kne Compl 4/More Views (73564) | $172.52 | $345.05 | 1.6× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $136.06 | $272.12 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $121 | $242 | 1.3× |
| Radex Sho Compl Minimum 2 Views (73030) | $69.20 | $138.38 | 0.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $133.03 | $266.06 | 1.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $174.10 | $348.19 | 1.9× |
| Radex Toe Minimum 2 Views (73660) | $89.38 | $178.76 | 1.0× |
| Radex Wrst Compl Minimum 3 Views (73110) | $141.24 | $282.49 | 1.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $109.25 | $218.50 | 1.2× |
| Radiologic exam chest 2 views (71046) | $32.70 | $65.40 | 0.4× |
| Radiologic exam colon single contrast study (74270) | $255.82 | $511.64 | 1.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $297.41 | $594.82 | 1.6× |
| Radiologic exam upr gi trc single contrast study (74240) | $161.97 | $323.94 | 0.9× |
| Ribs bilateral 3 views (71110) | $82.15 | $164.29 | 0.8× |
| Sacroiliac Joints < 3 Views (72200) | $63.45 | $126.90 | 0.6× |
| Scapula (73010) | $164.60 | $329.18 | 1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $12.50 | $25 | 0.5× |
| Shoulder 1 view (73020) | $63.24 | $126.49 | 0.7× |
| Spine thoracic 3 views (72072) | $132.26 | $264.52 | 1.2× |
| Ultrasound breast complete (76641) | $253.28 | $506.56 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) | $85.57 | $171.14 | 0.8× |
| Ultrasound, abdomen limited (76705) | $227 | $454 | 2.1× |
| Unlisted Diagnostic Radiographic Procedure (76499) | $3.61 | $7.21 | 0.0× |
| Unlisted ultrasound procedure (76999) | $178.98 | $357.94 | 2.0× |
| Urethrocystogram voiding (74455) | $99.22 | $198.42 | 0.4× |
| Us chest (76604) | $120.51 | $241.02 | 1.1× |
| Us compl joint r-t w/image documentation (76881) | $185.81 | $371.62 | 1.7× |
| Us hips infant static (76886) | $91.42 | $182.82 | 1.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $55.10 | $110.21 | 0.5× |
| Us ob detailed single fetus (76811) | $161.46 | $322.90 | 0.6× |
| Us ob limited (76815) | $93.12 | $186.22 | 0.9× |
| Us ob transvaginal (76817) | $224.79 | $449.58 | 2.1× |
| Us pelvic non ob complete (76856) | $250.18 | $500.34 | 2.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $146.68 | $293.34 | 1.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $154.12 | $308.23 | 1.4× |
| Us retroperitoneal complete (76770) | $362.62 | $725.25 | 3.3× |
| Us retroperitoneal limited (76775) | $168.40 | $336.81 | 1.5× |
| Us scrotum and contents (76870) | $218.09 | $436.18 | 2.0× |
| Us soft tissue head/neck (76536) | $168.92 | $337.84 | 1.5× |
| Us transrectal (76872) | $391.50 | $783 | 3.6× |
| Wrist 2 views (73100) | $111.96 | $223.92 | 1.2× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $216.20 | $432.38 | 2.0× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $339.32 | $678.64 | 1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $111.88 | $223.76 | 1.2× |
| X-ray exam of femur 2/> (73552) | $136.13 | $272.26 | 1.5× |
| X-ray eye for foreign body (70030) | $101.39 | $202.78 | 1.1× |
| X-ray IV pyelogram (ivp) (74400) | $23.18 | $46.35 | 0.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $91.14 | $182.29 | 0.8× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $148.24 | $296.48 | 1.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $193.42 | $386.82 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $88.65 | $177.30 | 0.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $80.60 | $161.20 | 0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $123.94 | $247.89 | 1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $166.98 | $333.96 | 1.8× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $88.03 | $176.06 | 1.0× |
| Xr c-spine 6 or more views (72052) | $212.51 | $425.02 | 1.9× |