Imaging prices at Methodist Rehabilitation Center

Jackson, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $111.80 $260 1.2×
Ankle 2 views (73600) $60.20 $140 0.8×
Antegrade urography radiological supvj & interpj (74425) $245.10 $570 0.8×
Bone age studies (77072) $111.80 $260 1.2×
Cervical spine 2 or 3 views (72040) $60.20 $140 0.8×
Chest 1 view (71045) $60.20 $140 0.8×
Chest 3 views (71047) $60.20 $140 0.8×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $111.80 $260 0.7×
Clavicle complete (73000) $60.20 $140 0.8×
Cystography minimum 3 views rs&i (74430) $245.10 $570 0.8×
Esophagus (74220) $245.10 $570 1.5×
Fluoroscopy up to 1 hr (76000) $225.75 $525 1.0×
Foot 2 views (73620) $60.20 $140 0.8×
Forearm 2 views (73090) $60.20 $140 0.8×
Hand 2 views (73120) $86 $200 0.9×
Hand 3 views (73130) $86 $200 1.1×
Humerus Min 2 Views Left (73060) $60.20 $140 0.8×
Joint Survey, Single View - Xr Joint Anteroposterior 2+ Joints (77077) $111.80 $260 1.2×
Knee 3 views (73562) $60.20 $140 0.8×
Manual appl stress pfrmd phys/qhp joint films (77071) $60.20 $140 0.8×
Myelogram Cervical (72240) $660.05 $1,535 0.9×
Myelogram Lumbar (72265) $660.05 $1,535 0.9×
Myelogram thoracic (72255) $660.05 $1,535 0.9×
Neck soft tissue (70360) $60.20 $140 0.8×
Osseous survey limited (77074) $111.80 $260 1.2×
Pelvis 1 or 2 views (72170) $111.80 $260 1.2×
Radex abscess/fistula/sinus tract rs&i (76080) $225.75 $525 0.5×
Radex hips bilateral with pelvis 2 views (73521) $111.80 $260 1.2×
Radiolog exam mandible compl minimum 4 views (70110) $111.80 $260 1.2×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $60.20 $140 0.8×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $60.20 $140 0.8×
Radiologic exam colon single contrast study (74270) $245.10 $570 1.5×
Radiologic exam upr gi trc single contrast study (74240) — $570 —
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $60.20 $140 0.8×
Ribs bilateral 3 views (71110) $111.80 $260 1.2×
Sacroiliac Joints < 3 Views (72200) $111.80 $260 1.2×
Scanogram (77073) $111.80 $260 1.2×
Scapula complete (73010) $111.80 $260 1.2×
Shuntogram indwelling nonvascular shunt rs&i (75809) $111.80 $260 1.2×
Small bowel series (74250) $111.80 $260 0.7×
Spine thoracic 3 views (72072) $111.80 $260 1.2×
Thoracolumbar 2 views (72080) $60.20 $140 0.8×
Tmj unilateral (70328) $60.20 $140 0.8×
Ultrasound, abdomen limited (76705) $111.80 $260 1.2×
Urethrocystography retrograde rs&i (74450) $225.75 $525 1.0×
Urethrocystography voiding (74455) $225.75 $525 1.0×
Us abdl aorta screen aaa (76706) $111.80 $260 1.2×
Us chest (76604) $111.80 $260 1.2×
Us pelvic non ob complete (76856) $111.80 $260 1.2×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $111.80 $260 1.2×
Us retroperitoneal complete (76770) $111.80 $260 1.2×
Us retroperitoneal limited (76775) $111.80 $260 1.2×
Us scrotum and contents (76870) $111.80 $260 1.2×
Us soft tissue head/neck (76536) $111.80 $260 1.2×
Us transrectal (76872) $111.80 $260 1.2×
Us xtr non-vasc lmtd (76882) $111.80 $260 1.2×
Wrist 2 views (73100) $60.20 $140 0.8×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $111.80 $260 1.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $60.20 $140 0.8×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $60.20 $140 0.8×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $245.10 $570 1.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $60.20 $140 0.8×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $60.20 $140 0.8×
X-ray exam hip uni 1 view (73501) $60.20 $140 0.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $60.20 $140 0.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $60.20 $140 0.6×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $111.80 $260 1.2×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $60.20 $140 0.8×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $60.20 $140 0.8×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $60.20 $140 0.8×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $60.20 $140 0.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $60.20 $140 0.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $111.80 $260 1.2×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $111.80 $260 1.2×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $60.20 $140 0.8×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $111.80 $260 1.2×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $111.80 $260 1.2×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $60.20 $140 0.8×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $111.80 $260 1.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $111.80 $260 1.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $111.80 $260 1.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $60.20 $140 0.8×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $60.20 $140 0.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $60.20 $140 0.8×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $60.20 $140 0.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $111.80 $260 1.2×
X-Ray Spine One View - Xr Spine (72020) $60.20 $140 0.8×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $60.20 $140 0.8×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $60.20 $140 0.8×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $111.80 $260 1.2×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $111.80 $260 1.2×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $60.20 $140 0.8×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $60.20 $140 0.8×
Xr c-spine 6 or more views (72052) $111.80 $260 1.2×
Xr Cholecystography Oral Contrast (74290) $245.10 $570 1.5×
Xr finger(s) 2+ views (73140) $60.20 $140 0.8×
Xr internal auditory meati complete (70134) $225.75 $525 0.5×
Xr optic foramina (70190) $60.20 $140 0.8×
Xr shoulder 1 view (73020) $60.20 $140 0.8×
Xr spine cervical 4 or 5 views (72050) $111.80 $260 1.2×
Xr tibia/fibula 2 views (73590) $60.20 $140 0.8×
Xr tmj bilateral (70330) $60.20 $140 0.8×
Xray knee 1 or 2 views rt (73560) $60.20 $140 0.8×