Imaging prices at North Mississippi Health Services-South Marion

Winfield, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $21.60 $72 0.0×
Abdomen 1 View (74018) $21.60 $72 0.3×
Abdomen 2 views (74019) $21.60 $72 0.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $21.60 $72 0.1×
Basic radiation dosimetry calculation (77300) $88.50 $295 0.8×
Bone age studies (77072) $105.37 $351.24 1.2×
Bone Imaging 3 Phase (78315) $105.37 $351.24 0.3×
Bone Imaging Limited Area (78300) $105.37 $351.24 0.3×
Bone Imaging Whole Body (78306) $105.37 $351.24 0.3×
Cat Scan Follow-Up Study (76380) $108.90 $363 1.5×
Cerebrospinal Fluid Scan (78630) $21.60 $72 0.0×
Chest 1 view (71045) $16.20 $54 0.2×
Chest 2 views (71046) $16.20 $54 0.2×
Chest 3 views (71047) $16.20 $54 0.2×
Clavicle complete (73000) $21.60 $72 0.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $108.90 $363 1.2×
Continuing medical physics consltj pr wk (77336) $22.20 $74 0.2×
CT abdomen and pelvis without and with contrast (74178) $108.90 $363 0.4×
CT abdomen and pelvis without contrast (74176) $108.90 $363 0.5×
CT abdomen w contrast (74160) $108.90 $363 0.7×
CT abdomen w wo contrast (74170) $108.90 $363 0.7×
CT abdomen w/o contrast (74150) $108.90 $363 1.2×
CT Angio Abdomen and Pelvis (74174) $108.90 $363 0.4×
CT Angio Chest (71275) $108.90 $363 0.7×
CT Angio Head (70496) $108.90 $363 0.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $108.90 $363 0.7×
CT Angio Neck (70498) $108.90 $363 0.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $108.90 $363 0.7×
CT bone density (77078) $108.90 $363 1.5×
CT cervical spine w/ contrast (72126) $108.90 $363 0.4×
CT cervical spine w/o contrast (72125) $108.90 $363 1.2×
CT chest w contrast (71260) $108.90 $363 0.7×
CT chest w/wo contrast (71270) $108.90 $363 0.7×
CT head/brain with contrast (70460) $108.90 $363 0.7×
CT head/brain without and with contrast (70470) $108.90 $363 0.7×
CT heart no contrast quant eval coronry calcium (75571) $108.90 $363 1.5×
CT iac w contrast (70481) $108.90 $363 0.7×
CT l-spine w&w/o contrast (72133) $108.90 $363 0.7×
CT lower ext w/o (73700) $108.90 $363 1.2×
CT lower extremity w/contrast material (73701) $108.90 $363 0.7×
CT lumbar spine w contrast (72132) $108.90 $363 0.4×
CT lumbar spine w/o contrast (72131) $108.90 $363 1.2×
CT maxillofacial w contrast (70487) $108.90 $363 0.7×
CT maxillofacial wo contrast (70486) $108.90 $363 1.2×
CT neck tissue combo (70492) $108.90 $363 0.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $108.90 $363 0.7×
CT orbits w/o contrast (70480) $108.90 $363 1.2×
CT pelvis w&w/o contrast (72194) $108.90 $363 0.7×
CT pelvis w/o contrast (72192) $108.90 $363 1.2×
CT scan of leg combo (73702) $108.90 $363 0.7×
CT scans face/jaw combo (70488) $108.90 $363 0.7×
CT soft tissue neck w contrast (70491) $108.90 $363 0.7×
CT soft tissue neck w/o contrast (70490) $108.90 $363 1.2×
CT thoracic spine w contrast (72129) $108.90 $363 0.7×
CT thoracic spine w/o contrast (72128) $108.90 $363 1.2×
CT thorax w/o contrast (71250) $108.90 $363 1.2×
CT upper ext wo (73200) $108.90 $363 1.2×
CT upper extremity with contrast (73201) $108.90 $363 0.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $108.90 $363 0.7×
Cta Abdomen (74175) $108.90 $363 0.7×
CTA pelvis (72191) $108.90 $363 0.7×
Dxa Bone Density Axial (77080) $108.90 $363 1.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $108.90 $363 1.5×
Echograp Trans R Pros Study (76873) $22.20 $74 0.2×
Esophagram (74220) $395.40 $1,318 2.6×
Fluoroscopy up to 1 hr (76000) $29.69 $98.98 0.1×
Foot 2 views (73620) $29.69 $98.98 0.4×
Forearm 2 views (73090) $29.69 $98.98 0.4×
Gastric emptying imaging study (78264) $29.69 $98.98 0.1×
Gated Heart Planar Single (78472) $16.20 $54 0.0×
Hepatobil Syst Image W/Drug (78227) $29.69 $98.98 0.1×
Hepatobiliary System Imaging (78226) $29.69 $98.98 0.1×
Hyperthermia generated by intracavitary probe(s) Non-Facility (77620) $203.36 $677.88 0.4×
Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) $203.36 $677.88 0.3×
Hysterosalpingogram (74740) $203.36 $677.88 1.0×
Image fusion (77399) $86.10 $287 0.7×
Interstitial radiation source applic complex (77778) $6.60 $22 0.0×
K Flow/Funct Image W/Drug (78708) $44.10 $147 0.1×
K Flow/Funct Image W/O Drug (78707) $44.10 $147 0.1×
Knee 3 Views (73562) $2.40 $8 0.0×
Liver & Spleen Imaging Static Only (78215) $1.80 $6 0.0×
Lymph System Imaging (78195) $1.80 $6 0.0×
Meckels Divert Exam (78290) $5.40 $18 0.0×
Mlc imrt design & construction per imrt plan (77338) $108.90 $363 0.3×
Mra Head W/O & W/Contrast Material (70546) $85.05 $283.50 0.3×
MRA head w/o contrast (70544) $85.05 $283.50 0.4×
MRA head with contrast (70545) $85.05 $283.50 0.3×
MRA neck w contrast (70548) $85.05 $283.50 0.3×
Mra Neck W/O &W/Contrast Material (70549) $85.05 $283.50 0.3×
MRA neck w/o contrast (70547) $85.05 $283.50 0.4×
MRI abdomen w contrast (74182) $85.05 $283.50 0.3×
MRI abdomen w/o contrast (74181) $85.05 $283.50 0.4×
MRI any jt lower extrem w/contrast material (73722) $85.05 $283.50 0.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $85.05 $283.50 0.3×
MRI any jt upper extremity w/contrast matrl (73222) $6.60 $22 0.0×
MRI cervical spine w contrast (72142) $85.05 $283.50 0.3×
MRI cervical spine w/o cont (72141) $85.05 $283.50 0.4×
MRI chest w/o contrast (71550) $85.05 $283.50 0.4×
MRI chest with contrast (71551) $85.05 $283.50 0.1×
MRI chest wo w contrast (71552) $85.05 $283.50 0.3×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $85.05 $283.50 0.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $85.05 $283.50 0.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $85.05 $283.50 0.4×
MRI lumbar spine w contrast (72149) $85.05 $283.50 0.3×
Mri Neck Spine W/O & W/Dye (72156) $85.05 $283.50 0.3×
MRI orbit face &/neck w/o contrast (70540) $85.05 $283.50 0.4×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $85.05 $283.50 0.3×
MRI pelvis w contrast (72196) $85.05 $283.50 0.3×
MRI pelvis w/o & w contrast (72197) $85.05 $283.50 0.3×
MRI pelvis w/o contrast (72195) $6.60 $22 0.0×
MRI thoracic spine w/o contrast (72146) $6.60 $22 0.0×
MRI upper extremity oth than jt w/contr matrl (73219) $6.60 $22 0.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $6.60 $22 0.0×
Mri Uppr Extremity W/O&W/Dye (73220) $6.60 $22 0.0×
MRI, abdomen, combo (74183) $85.05 $283.50 0.3×
MRI, dorsal spine combo (72157) $6.60 $22 0.0×
MRI, dorsal spine contrast (72147) $6.60 $22 0.0×
MRI, joint upper extrem (73221) $6.60 $22 0.0×
MRI, joint upper extrem combo (73223) $6.60 $22 0.0×
MRI, lumbar spine combo (72158) $85.05 $283.50 0.3×
Myelogram cervical (72240) $6.60 $22 0.0×
Myelogram Lumbar (72265) $6.60 $22 0.0×
Myelography thoracic (72255) $6.60 $22 0.0×
Myocardial Spect Multiple Studies (78452) $6.60 $22 0.0×
Neck soft tissue (70360) $6.60 $22 0.1×
Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) $2.40 $8 0.0×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $2.40 $8 0.0×
Ntsty modul radthx pln dose-vol histos (77301) $88.50 $295 0.1×
Nuclear Rx Oral Admin (79005)
range across 3 matching MRF lines		 $22.20–$2,085 $74–$6,950 varies
Parathyroid Planar Imaging (78070) $9.90 $33 0.0×
Pelvis 1 or 2 views (72170) $9.90 $33 0.1×
Pulmonary Perfusion Imaging Particulate (78580) $1.80 $6 0.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $21.60 $72 0.2×
Radex Ankle Complete Minimum 3 Views (73610) $140.25 $467.50 1.9×
Radex Calcaneus Minimum 2 Views (73650) $105.37 $351.24 1.4×
Radex elbow complete minimum 3 views (73080) $108.90 $363 1.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $86.10 $287 1.0×
Radex fingr minimum 2 views (73140) $86.10 $287 1.1×
Radex foot complete minimum 3 views (73630) $29.69 $98.98 0.4×
Radex Hand Minimum 3 Views (73130) $29.69 $98.98 0.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $6.60 $22 0.1×
Radex shoulder complete minimum 2 views (73030) $4.35 $14.50 0.1×
Radex Spine 1 View Specify Level (72020)
range across 3 matching MRF lines		 $16.20–$2,085 $6–$6,950 varies
Radex Sternum Minimum 2 Views (71120) $9 $30 0.1×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $2,085 $6,950 27.8×
Radex Toe Minimum 2 Views (73660) $2,085 $6,950 27.8×
Radex Wrist Complete Minimum 3 Views (73110) $395.40 $1,318 5.3×
Radiolog exam mandible compl minimum 4 views (70110) $1.80 $6 0.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $21.60 $72 0.2×
Radiologic exam colon double contrast study (74280) $15.60 $52 0.1×
Radiologic exam colon single contrast study (74270) $15.60 $52 0.1×
Radiologic exam knee complete 4/more views (73564) $2.40 $8 0.0×
Radiologic Exam Small Int Single Contrast Study (74250) $4.35 $14.50 0.0×
Radiologic exam swallow function contrast study (74230) $9 $30 0.1×
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines		 $46.50–$847.50 $155–$2,825 varies
Radiologic examination femur 1 view (73551) $395.40 $1,318 5.3×
Radiologic examination femur minimum 2 views (73552) $86.10 $287 1.1×
Radiologic examination knee 1/2 views (73560) $2.40 $8 0.0×
Radiologic examination tibia & fibula 2 views (73590) $2,085 $6,950 27.8×
Rp loclzj tum plnr 1 area single day imaging (78800) $847.50 $2,825 2.5×
Rp Therapy Intravenous Administration (79101) $22.20 $74 0.1×
Scapula (73010) $8.55 $28.50 0.1×
Screening Digital Breast Tomosynthesis Bi (77063) $4.35 $14.50 0.2×
Skull less than 4 views (70250) $4.35 $14.50 0.0×
Special dosimetry (77331) $88.50 $295 0.8×
Special Physics Consult (77370) $9 $30 0.1×
Special teletherapy port plan (77321) $9 $30 0.0×
Special treatment procedure (77470) $9 $30 0.0×
Stereotactic Body Radiation Delivery (77373) $8.55 $28.50 0.0×
Surface Applic Low Dose Rate Radionuclide Source (77789) $9 $30 0.1×
Telethx isodose pln smpl w/dosimetry calculation (77306) $4.35 $14.50 0.0×
Thoracic spine 3 views (72072) $9 $30 0.1×
Thyroid Imaging With Vascular Flow (78013) $2,085 $6,950 6.1×
Thyroid Met Imaging Body (78018) $2,085 $6,950 4.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $2,085 $6,950 6.1×
Tx Devices Design & Construction Complex (77334) $847.50 $2,825 2.6×
Tx devices design & construction intermediate (77333) $847.50 $2,825 7.3×
Tx devices design & construction simple (77332) $847.50 $2,825 7.3×
Ultrasound Breast Limited (76642) $46.50 $155 0.6×
Ultrasound Exam Aaa Screen (76706)
range across 2 matching MRF lines		 $21.60–$46.50 $72–$155 varies
Ultrasound, abdomen limited (76705) $46.50 $155 0.5×
Unlisted Procedure Clinical Brachytherapy (77799) $6.60 $22 0.1×
Urethrocystogram voiding (74455) $395.40 $1,318 1.9×
Us breast unilateral complete (76641) $46.50 $155 0.5×
Us chest (76604) $46.50 $155 0.5×
Us complete joint (76881) $46.50 $155 0.5×
Us exam, pelvic, limited (76857) $46.50 $155 0.5×
Us ob limited 1 or more fetuses (76815) $46.50 $155 0.5×
Us pelvic non ob complete (76856) $46.50 $155 0.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $46.50 $155 0.5×
Us preg uterus real time f/u trnsabdl per fetus (76816) $46.50 $155 0.5×
Us retroperitoneal complete (76770) $46.50 $155 0.5×
Us scrotum and contents (76870) $46.50 $155 0.5×
Us thyroid (76536) $46.50 $155 0.5×
Us transrectal (76872) $46.50 $155 0.5×
Venography extremity unilateral rs&i (75820) $395.40 $1,318 0.3×
Wrist 2 views (73100) $395.40 $1,318 5.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $21.60 $72 0.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $108.90 $363 1.5×
X-Ray Exam Breast Specimen (76098) $105.37 $351.24 0.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $8.55 $28.50 0.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $203.36 $677.88 2.7×
X-Ray Exam Hips Bi 2 Views (73521) $15.60 $52 0.2×
X-Ray Exam Hips Bi 3-4 Views (73522) $15.60 $52 0.2×
X-Ray Exam Hips Bi 5/> Views (73523) $15.60 $52 0.2×
X-Ray Exam L-S Spine Bending (72114) $1.80 $6 0.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $9 $30 0.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $9 $30 0.1×
X-Ray Exam Unilat Ribs/Chest (71101) $44.10 $147 0.5×
X-ray humerus (73060) $203.36 $677.88 2.7×
X-ray IV pyelogram (ivp) (74400) $2.40 $8 0.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $1.80 $6 0.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $44.10 $147 0.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $8.55 $28.50 0.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $8.55 $28.50 0.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $4.35 $14.50 0.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $4.35 $14.50 0.0×
X-Rays Bone Length Studies (77073) $105.37 $351.24 1.2×
X-Rays Bone Survey Complete (77075) $9.90 $33 0.1×
Xr c-spine 4 or 5 views (72050) $9 $30 0.1×
Xr orbits complete 4 views (70200) $9.90 $33 0.1×

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.