Imaging prices at Memorial Health Meadows Hospital

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

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

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ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $6,828.23 $6,828.23 5.6×
Abdomen 2 views (74019) $714.47 $714.47 7.8×
Acute gastrointestinal blood loss imaging (78278) $4,121.64 $4,121.64 11.7×
Angiography extremity bilateral rs&i (75716) $7,068.75 $7,068.75 2.6×
Angiography extremity unilateral rs&i (75710) $5,081.50 $5,081.50 1.8×
Angiography pulmonary bilateral slctv rs&i (75743) $14,597.46 $14,597.46 5.3×
Angiography pulmonary unilateral slctv rs&i (75741) $13,922.81 $13,922.81 5.0×
Ankle 2 views (73600) $447.31 $447.31 5.9×
Aortogram thoracic (75605) $10,042.73 $10,042.73 2.1×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $13,471.30 $13,471.30 4.9×
Aortography abdominal serialography rs&i (75625) $7,224.90 $7,224.90 2.6×
Arthrogram elbow (73085) $1,075.86 $1,075.86 3.5×
Arthrogram hip (73525) $1,853.04 $1,853.04 6.1×
Arthrogram shoulder (73040) $1,491.21 $1,491.21 4.9×
Arthrogram wrist (73115) $901.97 $901.97 2.9×
Arthrography knee lt (73580) $1,717.08 $1,717.08 5.6×
Basic radiation dosimetry calculation (77300) $232.84 $232.84 2.0×
Bone &/Joint Imaging Limited Area (78300) $1,913.05 $1,913.05 5.5×
Bone &/joint imaging whole body (78306) $3,699.54 $3,699.54 10.5×
Bone age studies (77072) $900.88 $900.88 9.8×
Bone Imaging 3 Phase (78315) $3,902.47 $3,902.47 11.1×
Bone survey complete (77075) $1,585.50 $1,585.50 17.3×
Brain image w/flow 4 + views (78606) $2,745.35 $2,745.35 5.8×
Cervical spine 2 or 3 views (72040) $877.61 $877.61 11.5×
Chest 1 view (71045) $578.94 $578.94 7.6×
Chest 3 views (71047) $722.37 $722.37 9.5×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $953.93 $953.93 6.2×
Clavicle complete (73000) $540.78 $540.78 7.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $500.15 $500.15 5.5×
Continuing medical physics consltj pr wk (77336) $522.68 $522.68 4.4×
CT abdomen and pelvis without and with contrast (74178) $11,280.45 $11,280.45 36.8×
CT abdomen and pelvis without contrast (74176) $8,971.19 $8,971.19 42.8×
CT abdomen w contrast (74160) $6,065.55 $6,065.55 39.4×
CT abdomen w wo contrast (74170) $7,111.88 $7,111.88 46.2×
CT abdomen w/o contrast (74150) $5,689.49 $5,689.49 62.0×
CT angiography upper extremity lt (73206) $4,084.45 $4,084.45 26.5×
CT c-spine w/o contrast (72125) $4,889.53 $4,889.53 53.3×
CT cervical spine w&w/o contrast (72127) $5,570.96 $5,570.96 36.2×
CT cervical spine with contrast (72126) $5,191.20 $5,191.20 17.0×
CT chest w/wo contrast (71270) $5,941.44 $5,941.44 38.6×
CT chest with contrast (71260) $5,652.30 $5,652.30 36.7×
CT head/brain with contrast (70460) $5,001.54 $5,001.54 32.5×
CT head/brain without and with contrast (70470) $6,074.37 $6,074.37 39.5×
CT heart no contrast quant eval coronry calcium (75571) $184.06 $184.06 2.4×
CT iac w contrast (70481) $4,147.66 $4,147.66 26.9×
CT lower ext w/o (73700) $4,126.74 $4,126.74 45.0×
CT lower extremity w wo contrast (73702) $5,421.29 $5,421.29 35.2×
CT lower extremity with contrast (73701) $4,481.88 $4,481.88 29.1×
CT lumbar spine w & w/o contrast (72133) $6,700.50 $6,700.50 43.5×
CT lumbar spine w/o contrast (72131) $3,190.80 $3,190.80 34.8×
CT lumbar spine with contrast (72132) $5,296.72 $5,296.72 17.3×
CT maxillofacial w contrast (70487) $4,147.66 $4,147.66 26.9×
CT maxillofacial w/o contrast (70486) $2,720.41 $2,720.41 29.6×
CT maxillofacial w/wo contrast (70488) $4,295.47 $4,295.47 27.9×
CT neck soft tissue w contrast (70491) $5,170.28 $5,170.28 33.6×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $5,068.02 $5,068.02 32.9×
CT orbits w/o contrast (70480) $4,464.21 $4,464.21 48.7×
CT pelvis w & w/o contrast (72194) $5,983.26 $5,983.26 38.9×
CT pelvis w/o contrast (72192) $4,820.27 $4,820.27 52.5×
CT soft tissue neck w/o & w/contrast material (70492) $6,845.52 $6,845.52 44.5×
CT soft tissue neck w/o contrast (70490) $4,648.74 $4,648.74 50.7×
CT thoracic spine w/contrast (72129) $6,377.91 $6,377.91 41.4×
CT thoracic spine w/o contrast (72128) $4,982.48 $4,982.48 54.3×
CT thoracic spine w/wo contrast (72130) $6,848.78 $6,848.78 44.5×
CT thorax w/o contrast (71250) $4,985.76 $4,985.76 54.3×
CT upper extremity w/o & w/contrast material (73202) $6,733.03 $6,733.03 43.7×
CT upper extremity w/o contrast rt (73200) $3,981.71 $3,981.71 43.4×
CT upper extremity with contrast (73201) $4,219.25 $4,219.25 13.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $8,355.28 $8,355.28 54.3×
Cta Abdomen (74175) $6,065.55 $6,065.55 39.4×
CTA abdomen pelvis (74174) $10,538.59 $10,538.59 34.4×
CTA chest (71275) $4,632.01 $4,632.01 30.1×
Cta Head (70496) $4,636.66 $4,636.66 30.1×
CTA lwr ext w&w/o contrast (73706) $4,753.33 $4,753.33 30.9×
Cta Neck (70498) $5,170.28 $5,170.28 33.6×
Cta Pelvis (72191) $4,820.27 $4,820.27 31.3×
Cystography minimum 3 views rs&i (74430) $787.27 $787.27 2.6×
Dxa bone density study 1/> sites axial skel (77080) $1,073.66 $1,073.66 11.7×
Echoencephalography real time imaging (76506) $1,224.67 $1,224.67 13.3×
Esophagus (74220) $1,035.09 $1,035.09 6.7×
Fetal biophysical profile non-stress testing (76818) $1,517.32 $1,517.32 16.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,335.72 $1,335.72 14.6×
Fluoroscopy up to 1 hr (76000) $1,534.84 $1,534.84 7.3×
Foot 2 views (73620) $500.44 $500.44 6.6×
Forearm 2 views (73090) $513.14 $513.14 6.7×
Gated Heart Planar Single (78472) $3,249.95 $3,249.95 9.3×
Hand 2 views (73120) $523.73 $523.73 5.7×
Hand 3 views (73130) $653.07 $653.07 8.6×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $3,527.29 $3,527.29 7.4×
Hepatobiliary syst imaging including gallbladder (78226) $3,443.41 $3,443.41 9.8×
Ht muscle image spect sing (78451) $4,752.50 $4,752.50 4.2×
Humerus Min 2 Views Left (73060) $514.48 $514.48 6.7×
Hysterosalpingogram (74740) $1,385.51 $1,385.51 6.6×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $4,145.52 $4,145.52 8.7×
Kidney img morphology vascular flow 1 w/rx (78708) $3,632.36 $3,632.36 7.6×
Kidney Img Morphology Vascular Flow Multiple (78709) $4,615.09 $4,615.09 9.7×
Knee 3 views (73562) $594.72 $594.72 7.8×
Liver & spleen imaging static only (78215) $3,259.05 $3,259.05 9.3×
Liver imaging w/vascular flow (78202) $2,436.13 $2,436.13 5.1×
Lung perf&ventilat diferentl (78598) $2,003.99 $2,003.99 4.2×
Lymphoscintigraphy (78195) $2,387.30 $2,387.30 5.0×
Mammary ductogram or galactogram single (77053) $986.84 $986.84 4.7×
Meckels Diverticulum (78290) $2,557.31 $2,557.31 7.3×
Mlc imrt design & construction per imrt plan (77338) $1,886.15 $1,886.15 5.7×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $107.76 $107.76 4.2×
MRA head w/o contrast (70544) $4,703.10 $4,703.10 22.5×
Mra Neck W/O &W/Contrast Material (70549) $6,161.63 $6,161.63 20.1×
MRA neck w/o contrast (70547) $4,271.48 $4,271.48 20.4×
MRI abdomen w contrast (74182) $4,490.02 $4,490.02 14.7×
MRI abdomen w/o & w/contrast material (74183) $7,677.45 $7,677.45 25.1×
MRI abdomen w/o contrast (74181) $5,595.96 $5,595.96 26.7×
MRI any jnt lwr ext with con lt (73722) $6,505.40 $6,505.40 9.5×
MRI any jt upper extremity w/contrast matrl (73222) $6,522.82 $6,522.82 9.5×
MRI breast w/o contrast bilateral (77047) $1,236.36 $1,236.36 5.9×
MRI c-spine with contrast (72142) $5,903.36 $5,903.36 19.3×
MRI cervical spine w/o contrast (72141) $6,073.83 $6,073.83 29.0×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $6,160.43 $6,160.43 20.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $6,000.34 $6,000.34 19.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $6,234.62 $6,234.62 29.8×
MRI orbit face &/neck w/o contrast (70540) $6,229.21 $6,229.21 29.7×
MRI orbit/face/neck w&w/o cont (70543) $7,239.29 $7,239.29 23.6×
MRI pelvis w contrast (72196) $5,517.80 $5,517.80 18.0×
MRI pelvis w/o & w/contrast material (72197) $7,393.24 $7,393.24 24.1×
MRI pelvis w/o contrast (72195) $5,892.52 $5,892.52 28.1×
MRI scan of arm joint before and after contrast (73223) $8,244.11 $8,244.11 26.9×
MRI scan of leg joint before and after contrast (73723) $8,130.90 $8,130.90 26.6×
MRI spinal canal cervical w/o & w/contr matrl (72156) $8,421.04 $8,421.04 27.5×
MRI spinal canal lumbar w/contrast material (72149) $6,477.66 $6,477.66 21.2×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $8,232.08 $8,232.08 26.9×
MRI spinal canal thoracic w/contrast matrl (72147) $6,994.31 $6,994.31 22.8×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $8,339.03 $8,339.03 27.2×
MRI thoracic spine w/o contrast (72146) $6,022.50 $6,022.50 28.8×
MRI upper ext joint w/o contrast (73221) $5,548.97 $5,548.97 26.5×
MRI upper extrem other than jt w/o & w/contras (73220) $8,350.82 $8,350.82 27.3×
MRI upper extremity oth than jt w/o contr matrl (73218) $4,963.67 $4,963.67 23.7×
Myocardial Spect Multiple Studies (78452) $8,640.54 $8,640.54 7.6×
Neck soft tissue (70360) $471.48 $471.48 6.2×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $992.07 $992.07 2.8×
Nm gastric emptying study (78264) $2,703.86 $2,703.86 7.7×
Ntsty modul radthx pln dose-vol histos (77301) $2,611.53 $2,611.53 2.1×
Nuclear Rx Oral Admin (79005) $2,967.20 $2,967.20 14.5×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $909.56 $909.56 9.9×
Parathyroid imaging (78070) $3,614.76 $3,614.76 10.3×
Pelvis 1 or 2 views (72170) $596.48 $596.48 6.5×
PET image w/CT, skull-thigh (78815) $12,798.33 $12,798.33 10.2×
PET imaging CT for attenuation limited area (78814) $8,547.36 $8,547.36 6.8×
PET imaging for CT attenuation whole body (78816) $12,565.32 $12,565.32 10.0×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $7,821.53 $7,821.53 25.5×
Pulmonary Perfusion Imaging Particulate (78580) $2,386.40 $2,386.40 6.8×
Pulmonary Ventilation & Perfusion Imaging (78582) $4,882.37 $4,882.37 10.2×
Radex abscess/fistula/sinus tract rs&i (76080) $1,457.44 $1,457.44 3.0×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $829.83 $829.83 9.0×
Radex hips bilateral with pelvis 2 views (73521) $827.17 $827.17 9.0×
Radiation treatment delivery 1 mev >= complex (77412) $1,801.36 $1,801.36 3.7×
Radiation treatment delivery 1 mev >= simple (77402) $668.62 $668.62 7.5×
Radiolog exam mandible compl minimum 4 views (70110) $853.06 $853.06 9.3×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $553.94 $553.94 7.3×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $736.82 $736.82 9.6×
Radiologic exam colon single contrast study (74270) $1,872.78 $1,872.78 12.2×
Radiologic exam upr gi trc double contrast study (74246) $2,011.96 $2,011.96 13.1×
Radiologic exam upr gi trc single contrast study (74240) $1,157.87 $1,157.87 7.5×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $590.33 $590.33 7.7×
Radiological examination surgical specimen (76098) $2,418.14 $2,418.14 5.0×
Ribs bilateral 3 views (71110) $1,502.24 $1,502.24 16.4×
Rp loclzj tum plnr whole body single day imaging (78802) $1,079.25 $1,079.25 2.3×
Rp loclzj tum spect 1 area single day imaging (78803) $6,915.98 $6,915.98 14.5×
Scanogram (77073) $757.21 $757.21 8.3×
Scapula complete (73010) $617.54 $617.54 6.7×
Screening digital breast tomosynthesis (77063) $182.04 $182.04 7.8×
Shuntogram indwelling nonvascular shunt rs&i (75809) $544.84 $544.84 5.9×
Simulation intermediate (77285) $1,890.18 $1,890.18 5.8×
Small bowel series (74250) $1,360.94 $1,360.94 8.8×
Spec medical radj physics consltj (77370) $804.47 $804.47 6.8×
Spec telethx port pln parts hemibdy tot bdy (77321) $1,890.18 $1,890.18 5.8×
Special dosimetry (77331) $708.24 $708.24 6.0×
Special treatment procedure (77470) $270.53 $270.53 0.6×
Spine thoracic 3 views (72072) $887.71 $887.71 9.7×
Telethx isodose pln cplx w/basic dosimetry (77307) $915.80 $915.80 2.8×
Telethx isodose pln smpl w/dosimetry calculation (77306) $1,890.18 $1,890.18 5.8×
Ther rad simulaj-aided field setting complex (77290) $2,878.10 $2,878.10 8.8×
Ther rad simulaj-aided field setting simple (77280) $236.34 $236.34 2.0×
Thyroid uptake measurement (78012) $1,493.31 $1,493.31 4.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $2,452.69 $2,452.69 7.0×
Treatment device intermediate (77333) $708.24 $708.24 6.0×
Treatment devices simple (77332) $346.27 $346.27 2.9×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $3,356.53 $3,356.53 9.6×
Tx devices design & construction complex (77334) $1,832.42 $1,832.42 5.6×
Ultrasound, abdomen limited (76705) $1,667.92 $1,667.92 18.2×
Umbilical-artery Doppler (OB) (76820) $921.13 $921.13 10.0×
Urethrocystography retrograde rs&i (74450) $1,118.83 $1,118.83 5.3×
Urethrocystography voiding (74455) $982 $982 4.7×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $1,964.88 $1,964.88 12.8×
Us abdl aorta screen aaa (76706) $816.46 $816.46 8.9×
Us breast unilateral complete (76641) $999.40 $999.40 10.9×
Us breast unilateral limited (76642) $420.03 $420.03 5.5×
Us chest (76604) $1,149.13 $1,149.13 12.5×
Us compl joint r-t w/image documentation (76881) $865.16 $865.16 9.4×
Us infant hips dynamic (76885) $464.15 $464.15 6.1×
Us ob transvaginal (76817) $1,173.35 $1,173.35 12.8×
Us pelvic non ob complete (76856) $1,677.05 $1,677.05 18.3×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $1,661.12 $1,661.12 18.1×
Us pregnancy ltd (76815) $1,148.23 $1,148.23 12.5×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $1,125.01 $1,125.01 12.3×
Us retroperitoneal complete (76770) $1,236.96 $1,236.96 13.5×
Us retroperitoneal limited (76775) $1,463.61 $1,463.61 16.0×
Us scrotum and contents (76870) $1,393.52 $1,393.52 15.2×
Us soft tissue head/neck (76536) $1,350.73 $1,350.73 14.7×
Us spinal canal and contents (76800) $819.18 $819.18 8.9×
Us transrectal (76872) $1,426.73 $1,426.73 15.5×
Us xtr non-vasc lmtd (76882) $1,181.90 $1,181.90 12.9×
Venogram extremity bilateral (75822) $7,194.78 $7,194.78 5.2×
Venography caval inferior serialography rs&i (75825) $14,597.46 $14,597.46 5.3×
Venography extremity unilateral rs&i (75820) $7,094.60 $7,094.60 5.1×
Wrist 2 views (73100) $736.47 $736.47 9.6×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $863.14 $863.14 9.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $371.15 $371.15 4.9×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $587.71 $587.71 7.7×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $2,050.40 $2,050.40 13.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $530.26 $530.26 6.9×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $702.63 $702.63 9.2×
X-ray exam hip uni 1 view (73501) $689.47 $689.47 9.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $689.47 $689.47 9.0×
X-ray exam hip uni 4/> views (73503) $689.47 $689.47 7.5×
X-Ray Exam Hips Bi 3-4 Views (73522) $827.17 $827.17 9.0×
X-Ray Exam Hips Bi 5/> Views (73523) $1,073.66 $1,073.66 11.7×
X-ray exam of femur 1 (73551) $590.33 $590.33 7.7×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $964.88 $964.88 10.5×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $712.71 $712.71 9.3×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $495.60 $495.60 6.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $678.93 $678.93 8.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $813.15 $813.15 8.9×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $1,112.25 $1,112.25 12.1×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $657.46 $657.46 8.6×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $998.28 $998.28 10.9×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $1,089.46 $1,089.46 3.6×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $755.69 $755.69 9.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $1,276.85 $1,276.85 13.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $1,595.99 $1,595.99 17.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $529.81 $529.81 5.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $869.73 $869.73 11.4×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $697.36 $697.36 9.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $879.38 $879.38 11.5×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $501.30 $501.30 6.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $1,268.84 $1,268.84 13.8×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $507.88 $507.88 5.5×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $243.15 $243.15 3.2×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $550.43 $550.43 7.2×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $442.97 $442.97 5.8×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $972.44 $972.44 12.7×
Xr c-spine 6 or more views (72052) $1,166.64 $1,166.64 12.7×
Xr finger(s) 2+ views (73140) $488.14 $488.14 6.4×
Xr spine cervical 4 or 5 views (72050) $480.26 $480.26 5.2×
Xr tibia/fibula 2 views (73590) $621.92 $621.92 8.1×
Xray knee 1 or 2 views rt (73560) $574.56 $574.56 7.5×