Imaging prices at Monroe County Hospital
Forsyth, GA · every code in this section with a posted price and a Medicare benchmark.
172 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $70.95 | $94.60 | 0.9× |
| Abdomen 2 views (74019) | $223.23 | $297.64 | 2.4× |
| Ankle 2 views (73600) | $193.50 | $258 | 2.5× |
| Bone age studies (77072) | $180.75 | $241 | 1.9× |
| Bone Imaging Whole Body (78306) | $728.25 | $971 | 2.0× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$63.94–$93.75 | $85.25–$125 | varies |
| Chest 2 views (71046) | $370.50 | $494 | 4.8× |
| Clavicle complete (73000) | $214.50 | $286 | 2.8× |
| CT abdomen and pelvis without and with contrast (74178) | $1,445.25 | $1,927 | 4.6× |
| CT abdomen and pelvis without contrast (74176) | $1,247.66 | $1,663.54 | 5.8× |
| CT abdomen w contrast (74160) | $1,206 | $1,608 | 7.7× |
| CT abdomen w wo contrast (74170) | $1,430.25 | $1,907 | 9.1× |
| CT abdomen w/o contrast (74150) | $1,101 | $1,468 | 11.8× |
| CT Angio Abdomen and Pelvis (74174) | $981.75 | $1,309 | 3.1× |
| CT Angio Chest (71275) | $1,168 | $1,557.33 | 7.4× |
| CT Angio Head (70496) | $1,544.25 | $2,059 | 9.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $822.75 | $1,097 | 5.2× |
| CT Angio Neck (70498) | $1,476.75 | $1,969 | 9.4× |
| CT cervical spine w/ contrast (72126) | $720 | $960 | 2.3× |
| CT cervical spine w/o contrast (72125) | $1,363.44 | $1,817.92 | 14.6× |
| CT cervical spine w/wo cont (72127) | $769.50 | $1,026 | 4.9× |
| CT chest w contrast (71260) | $1,585.74 | $2,114.32 | 10.1× |
| CT chest w/wo contrast (71270) | $1,523.25 | $2,031 | 9.7× |
| CT head/brain with contrast (70460) | $1,206 | $1,608 | 7.7× |
| CT head/brain without and with contrast (70470) | $1,541.25 | $2,055 | 9.8× |
| CT iac w contrast (70481) | $584.25 | $779 | 3.7× |
| CT l-spine w&w/o contrast (72133) | $755.25 | $1,007 | 4.8× |
| CT lower ext w/o (73700) | $800.28 | $1,067.04 | 8.5× |
| CT lower extremity w/contrast material (73701) | $825 | $1,100 | 5.3× |
| CT lumbar spine w contrast (72132) | $720 | $960 | 2.3× |
| CT lumbar spine w/o contrast (72131) | $1,289.34 | $1,719.12 | 13.8× |
| CT maxillofacial w contrast (70487) | $652.50 | $870 | 4.2× |
| CT maxillofacial wo contrast (70486) | $748.41 | $997.88 | 8.0× |
| CT neck tissue combo (70492) | $1,031.25 | $1,375 | 6.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $727.50 | $970 | 4.6× |
| CT orbits w/o contrast (70480) | $561 | $748 | 6.0× |
| CT pelvis w&w/o contrast (72194) | $1,020 | $1,360 | 6.5× |
| CT pelvis w/o contrast (72192) | $949.40 | $1,265.87 | 10.1× |
| CT scan of leg combo (73702) | $1,044 | $1,392 | 6.6× |
| CT scans face/jaw combo (70488) | $744 | $992 | 4.7× |
| CT soft tissue neck w contrast (70491) | $1,026.28 | $1,368.38 | 6.5× |
| CT soft tissue neck w/o contrast (70490) | $673.50 | $898 | 7.2× |
| CT thoracic spine w contrast (72129) | $772.50 | $1,030 | 4.9× |
| CT thoracic spine w/o contrast (72128) | $777.13 | $1,036.17 | 8.3× |
| CT thoracic spine w/wo cont (72130) | $1,017 | $1,356 | 6.5× |
| CT thorax w/o contrast (71250) | $1,067.04 | $1,422.72 | 11.4× |
| CT upper ext wo (73200) | $626.25 | $835 | 6.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,080 | $1,440 | 6.9× |
| CT upper extremity with contrast (73201) | $825 | $1,100 | 2.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $870.75 | $1,161 | 5.5× |
| Cta Abdomen (74175) | $945.75 | $1,261 | 6.0× |
| CTA pelvis (72191) | $656.25 | $875 | 4.2× |
| Esophagram (74220) | $399 | $532 | 2.5× |
| Fluoroscopy up to 1 hr (76000) | $587.25 | $783 | 2.7× |
| Foot 2 views (73620) | $270.75 | $361 | 3.5× |
| Forearm 2 views (73090) | $70.95 | $94.60 | 0.9× |
| Hand 2 views (73120) | $214.50 | $286 | 2.3× |
| Knee 3 Views (73562) | $99.41 | $132.55 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $2,724.75 | $3,633 | 8.7× |
| MRA head w/o contrast (70544) | $3,000 | $4,000 | 14.0× |
| MRA neck w contrast (70548) | $1,729.50 | $2,306 | 5.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,997 | $3,996 | 9.6× |
| MRA neck w/o contrast (70547) | $1,447.50 | $1,930 | 6.8× |
| MRI abdomen w contrast (74182) | $959.25 | $1,279 | 3.1× |
| MRI abdomen w/o contrast (74181) | $755.25 | $1,007 | 3.5× |
| MRI any jt lower extrem w/contrast material (73722) | $1,075.50 | $1,434 | 1.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,880.25 | $2,507 | 6.0× |
| MRI cervical spine w contrast (72142) | $959.25 | $1,279 | 3.1× |
| MRI cervical spine w/o cont (72141) | $3,000 | $4,000 | 14.0× |
| MRI chest w/o contrast (71550) | $878.25 | $1,171 | 4.1× |
| MRI chest with contrast (71551) | $1,075.50 | $1,434 | 1.5× |
| MRI chest wo w contrast (71552) | $1,804.50 | $2,406 | 5.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,000 | $4,000 | 9.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,625 | $3,500 | 12.3× |
| MRI lumbar spine w contrast (72149) | $1,084.50 | $1,446 | 3.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,187.50 | $4,250 | 10.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,258.50 | $1,678 | 5.9× |
| MRI orbit face neck w contrast (70542) | $1,572 | $2,096 | 5.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,724.75 | $3,633 | 8.7× |
| MRI pelvis w contrast (72196) | $959.25 | $1,279 | 3.1× |
| MRI pelvis w/o & w contrast (72197) | $3,187.50 | $4,250 | 10.2× |
| MRI pelvis w/o contrast (72195) | $3,000 | $4,000 | 14.0× |
| MRI thoracic spine w/o contrast (72146) | $3,000 | $4,000 | 14.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $755.25 | $1,007 | 3.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,635 | $2,180 | 5.2× |
| MRI, abdomen, combo (74183) | $3,000 | $4,000 | 9.6× |
| MRI, dorsal spine combo (72157) | $3,187.50 | $4,250 | 10.2× |
| MRI, dorsal spine contrast (72147) | $959.25 | $1,279 | 3.1× |
| MRI, joint upper extrem (73221) | $3,000 | $4,000 | 14.0× |
| MRI, lumbar spine combo (72158) | $3,187.50 | $4,250 | 10.2× |
| Neck soft tissue (70360) | $129 | $172 | 1.7× |
| Pelvis 1 or 2 views (72170) | $300 | $400 | 3.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $112.50 | $150 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $159.32 | $212.42 | 2.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $214.50 | $286 | 2.8× |
| Radex elbow complete minimum 3 views (73080) | $264.91 | $353.21 | 3.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $340.50 | $454 | 3.6× |
| Radex fingr minimum 2 views (73140) | $165 | $220 | 2.1× |
| Radex foot complete minimum 3 views (73630) | $264.91 | $353.21 | 3.4× |
| Radex Hand Minimum 3 Views (73130) | $159.32 | $212.42 | 2.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $180.75 | $241 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $300 | $400 | 3.8× |
| Radex Ribs Unilateral 2 Views (71100) | $204 | $272 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) | $264.91 | $353.21 | 3.4× |
| Radex Spine 1 View Specify Level (72020) | $300 | $400 | 3.8× |
| Radex Sternum Minimum 2 Views (71120) | $129 | $172 | 1.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $129 | $172 | 1.7× |
| Radex Toe Minimum 2 Views (73660) | $219 | $292 | 2.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $264.91 | $353.21 | 3.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $204 | $272 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $399 | $532 | 2.5× |
| Radiologic exam colon single contrast study (74270) | $399 | $532 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) | $129.52 | $172.70 | 1.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $180.75 | $241 | 1.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $228.75 | $305 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $228.75 | $305 | 1.5× |
| Radiologic examination femur 1 view (73551) | $116.25 | $155 | 1.5× |
| Radiologic examination femur minimum 2 views (73552) | $129 | $172 | 1.7× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$70.95–$112.50 | $94.60–$150 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $678 | $904 | 7.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $159.32 | $212.42 | 2.0× |
| Ribs bilateral 3 views (71110) | $340.50 | $454 | 3.6× |
| Scapula (73010) | $180.75 | $241 | 1.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $131.25 | $175 | 5.6× |
| Shoulder 1 view (73020) | $116.25 | $155 | 1.5× |
| Skull less than 4 views (70250) | $180.75 | $241 | 1.9× |
| Sternoclavicular joints (71130) | $214.50 | $286 | 2.8× |
| Ultrasound Breast Limited (76642) | $351.04 | $468.06 | 4.5× |
| Ultrasound Exam Aaa Screen (76706) | $472.50 | $630 | 5.0× |
| Ultrasound, abdomen limited (76705) | $800.28 | $1,067.04 | 8.5× |
| Unlisted us procedure (76999) | $202.50 | $270 | 2.6× |
| Us breast unilateral complete (76641) | $713.25 | $951 | 7.6× |
| Us chest (76604) | $302.25 | $403 | 3.2× |
| Us complete joint (76881) | $337.50 | $450 | 3.6× |
| Us exam, pelvic, limited (76857) | $202.50 | $270 | 2.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $300 | $400 | 3.2× |
| Us ob limited 1 or more fetuses (76815) | $504 | $672 | 5.4× |
| Us ob transvaginal (76817) | $504 | $672 | 5.4× |
| Us pelvic non ob complete (76856) | $504 | $672 | 5.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $504 | $672 | 5.4× |
| Us retroperitoneal complete (76770) | $388.16 | $517.55 | 4.1× |
| Us retroperitoneal limited (76775) | $272.25 | $363 | 2.9× |
| Us scrotum and contents (76870) | $504 | $672 | 5.4× |
| Us spinal canal and contents (76800) | $202.50 | $270 | 2.2× |
| Us thyroid (76536) | $622.44 | $829.92 | 6.6× |
| Wrist 2 views (73100) | $193.50 | $258 | 2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $129 | $172 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $116.25 | $155 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $135 | $180 | 1.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $378 | $504 | 4.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $238.97 | $318.63 | 3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $129 | $172 | 1.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $117.98 | $157.30 | 1.3× |
| X-Ray Exam L-S Spine Bending (72114) | $405 | $540 | 4.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $264.91 | $353.21 | 3.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $340.50 | $454 | 3.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $340.50 | $454 | 3.6× |
| X-ray eye for foreign body (70030) | $300 | $400 | 3.8× |
| X-ray humerus (73060) | $300 | $400 | 3.8× |
| X-ray IV pyelogram (ivp) (74400) | $579.75 | $773 | 3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $251.94 | $335.92 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $477 | $636 | 5.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $300 | $400 | 3.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $300 | $400 | 3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $129 | $172 | 1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $477 | $636 | 5.1× |
| X-ray thoracic spine 4 vw (72074) | $264.91 | $353.21 | 2.8× |
| X-Rays Bone Length Studies (77073) | $406.50 | $542 | 4.3× |
| X-Rays Bone Survey Complete (77075) | $1,125 | $1,500 | 12.0× |
| Xr c-spine 4 or 5 views (72050) | $420.52 | $560.69 | 4.5× |
| Xr facial bones less than 3 views (70140) | $129 | $172 | 1.7× |
| Xr orbits complete 4 views (70200) | $180.75 | $241 | 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.