Imaging prices at Northwest Florida Community Hospital
Chipley, FL · every code in this section with a posted price and a Medicare benchmark.
227 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) | $308.80 | $386 | 3.4× |
| Abdomen 2 views (74019) | $375.20 | $469 | 3.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $889.60 | $1,112 | 2.1× |
| Ankle 2 views (73600) | $304.80 | $381 | 3.4× |
| Bone age studies (77072) | $198.40 | $248 | 1.8× |
| Bone Imaging 3 Phase (78315) | $1,971.20 | $2,464 | 4.7× |
| Bone Imaging Limited Area (78300) | $680 | $850 | 1.6× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$205.60–$1,874.40 | $257–$2,343 | varies |
| Bone survey infant (77076) | $805.60 | $1,007 | 7.4× |
| Brain Image W/Flow < 4 Views (78601) | $1,823.20 | $2,279 | 4.4× |
| Cat Scan Follow-Up Study (76380) | $618.40 | $773 | 6.8× |
| Chest 1 view (71045) | $268 | $335 | 2.9× |
| Chest 2 views (71046) | $350.40 | $438 | 3.9× |
| Chest 3 views (71047) | $432.80 | $541 | 4.8× |
| Chest 4 or more views (71048) | $515.20 | $644 | 4.7× |
| Cholecystography Oral Contrast (74290) | $187.20 | $234 | 1.0× |
| Clavicle complete (73000) | $420 | $525 | 4.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,160 | $1,450 | 10.6× |
| Contrast X-Ray Bladder (74430) | $308.80 | $386 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,991.20 | $3,739 | 8.2× |
| CT abdomen and pelvis without contrast (74176) | $2,167.20 | $2,709 | 8.7× |
| CT abdomen w contrast (74160) | $2,188 | $2,735 | 11.9× |
| CT abdomen w wo contrast (74170) | $2,422.40 | $3,028 | 13.2× |
| CT abdomen w/o contrast (74150) | $1,812.80 | $2,266 | 16.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,167.20 | $2,709 | 5.9× |
| CT Angio Chest (71275) | $3,131.20 | $3,914 | 17.1× |
| CT Angio Head (70496) | $2,453.60 | $3,067 | 13.4× |
| CT Angio Neck (70498) | $2,453.60 | $3,067 | 13.4× |
| CT bone density (77078) | $151.20 | $189 | 1.7× |
| CT cervical spine w/ contrast (72126) | $2,451.20 | $3,064 | 6.7× |
| CT cervical spine w/o contrast (72125) | $2,451.20 | $3,064 | 22.5× |
| CT cervical spine w/wo cont (72127) | $2,451.20 | $3,064 | 13.4× |
| CT chest w contrast (71260) | $3,008 | $3,760 | 16.4× |
| CT chest w/wo contrast (71270) | $2,884 | $3,605 | 15.7× |
| CT head/brain with contrast (70460) | $2,636.80 | $3,296 | 14.4× |
| CT head/brain without and with contrast (70470) | $2,636.80 | $3,296 | 14.4× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,032–$2,397.60 | $2,540–$2,997 | varies |
| CT lower ext w/o (73700) | $1,341.60 | $1,677 | 12.3× |
| CT lower extremity w/contrast material (73701) | $1,331.20 | $1,664 | 7.3× |
| CT lumbar spine w contrast (72132) | $2,451.20 | $3,064 | 6.7× |
| CT lumbar spine w/o contrast (72131) | $2,431.20 | $3,039 | 22.3× |
| CT maxillofacial w contrast (70487) | $2,032 | $2,540 | 11.1× |
| CT maxillofacial wo contrast (70486) | $1,747.20 | $2,184 | 16.0× |
| CT neck tissue combo (70492) | $2,442.40 | $3,053 | 13.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,421.60 | $3,027 | 13.2× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$1,747.20–$2,224.80 | $2,184–$2,781 | varies |
| CT pelvis w&w/o contrast (72194) | $2,686.40 | $3,358 | 14.7× |
| CT pelvis w/o contrast (72192) | $1,990.40 | $2,488 | 18.2× |
| CT scan of leg combo (73702) | $2,357.60 | $2,947 | 12.9× |
| CT scans face/jaw combo (70488) | $2,281.60 | $2,852 | 12.5× |
| CT soft tissue neck w contrast (70491) | $2,224.80 | $2,781 | 12.1× |
| CT soft tissue neck w/o contrast (70490) | $2,068 | $2,585 | 18.9× |
| CT thoracic spine w contrast (72129) | $2,451.20 | $3,064 | 13.4× |
| CT thoracic spine w/o contrast (72128) | $2,636.80 | $3,296 | 24.2× |
| CT thorax w/o contrast (71250) | $2,286.40 | $2,858 | 20.9× |
| CT upper ext wo (73200) | $1,874.40 | $2,343 | 17.2× |
| CT upper extremity w/o & w/contrast material (73202) | $2,949.60 | $3,687 | 16.1× |
| CT upper extremity with contrast (73201) | $1,544.80 | $1,931 | 4.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,131.20 | $3,914 | 17.1× |
| Dxa Bone Density Axial (77080) | $220.80 | $276 | 2.0× |
| Echo exam of fetal heart (76825) | $100 | $125 | 0.2× |
| Esophagram (74220) | $597.60 | $747 | 3.3× |
| Fetal Biophys Profile W/Nst (76818) | $859.20 | $1,074 | 7.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $654.40 | $818 | 6.0× |
| Fluoroscopy up to 1 hr (76000) | $839.20 | $1,049 | 3.4× |
| Foot 2 views (73620) | $351.20 | $439 | 3.9× |
| Forearm 2 views (73090) | $371.20 | $464 | 4.1× |
| Gastric emptying imaging study (78264) | $1,277.60 | $1,597 | 3.1× |
| Gated Heart Planar Single (78472) | $1,343.20 | $1,679 | 3.2× |
| Gated Heart, Multiple (78473) | $2,084.80 | $2,606 | 5.0× |
| Hand 2 views (73120) | $272.80 | $341 | 2.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,044.80 | $1,306 | 1.8× |
| Hepatobiliary System Imaging (78226) | $763.20 | $954 | 1.8× |
| Ht Musc Image Planar Mult (78454) | $2,917.60 | $3,647 | 2.2× |
| Ht Muscle Image Spect Sing (78451) | $2,219.20 | $2,774 | 1.6× |
| K Flow/Funct Image W/Drug (78708) | $1,417.60 | $1,772 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,848.80 | $2,311 | 3.3× |
| Knee 3 Views (73562) | $369.60 | $462 | 4.1× |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$83.20–$910.40 | $104–$1,138 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,000 | $1,250 | 2.4× |
| Lymph System Imaging (78195) | $1,114.40 | $1,393 | 2.0× |
| Magnetic Image Jaw Joint (70336) | $2,482.40 | $3,103 | 10.0× |
| Meckels Divert Exam (78290) | $1,347.20 | $1,684 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $3,220.80 | $4,026 | 8.8× |
| MRA head w/o contrast (70544) | $2,484.80 | $3,106 | 10.0× |
| MRA head with contrast (70545) | $2,636.80 | $3,296 | 7.2× |
| MRA neck w contrast (70548) | $2,636.80 | $3,296 | 7.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,220.80 | $4,026 | 8.8× |
| MRA neck w/o contrast (70547) | $2,484.80 | $3,106 | 10.0× |
| MRI abdomen w contrast (74182) | $2,636.80 | $3,296 | 7.2× |
| MRI abdomen w/o contrast (74181) | $2,482.40 | $3,103 | 10.0× |
| MRI any jt lower extrem w/contrast material (73722) | $2,636.80 | $3,296 | 3.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,220.80 | $4,026 | 8.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,636.80 | $3,296 | 3.2× |
| MRI brain functional w/o physician admnistration (70554) | $2,732.80 | $3,416 | 11.0× |
| MRI cervical spine w contrast (72142) | $2,636.80 | $3,296 | 7.2× |
| MRI cervical spine w/o cont (72141) | $2,482.40 | $3,103 | 10.0× |
| MRI chest w/o contrast (71550) | $1,780 | $2,225 | 7.1× |
| MRI chest with contrast (71551) | $2,636.80 | $3,296 | 3.2× |
| MRI chest wo w contrast (71552) | $3,220.80 | $4,026 | 8.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,636.80 | $3,296 | 7.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,220.80 | $4,026 | 8.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,484.80 | $3,106 | 10.0× |
| MRI lumbar spine w contrast (72149) | $3,090.40 | $3,863 | 8.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,220.80 | $4,026 | 8.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,484.80 | $3,106 | 10.0× |
| MRI orbit face neck w contrast (70542) | $2,636.80 | $3,296 | 7.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,220.80 | $4,026 | 8.8× |
| MRI pelvis w contrast (72196) | $2,636.80 | $3,296 | 7.2× |
| MRI pelvis w/o & w contrast (72197) | $3,220.80 | $4,026 | 8.8× |
| MRI pelvis w/o contrast (72195) | $2,484.80 | $3,106 | 10.0× |
| MRI thoracic spine w/o contrast (72146) | $2,482.40 | $3,103 | 10.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $742.40 | $928 | 2.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,484.80 | $3,106 | 10.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,389.60 | $2,987 | 6.6× |
| MRI, abdomen, combo (74183) | $3,220.80 | $4,026 | 8.8× |
| MRI, dorsal spine combo (72157) | $3,220.80 | $4,026 | 8.8× |
| MRI, dorsal spine contrast (72147) | $2,610.40 | $3,263 | 7.2× |
| MRI, joint upper extrem (73221) | $2,484.80 | $3,106 | 10.0× |
| MRI, joint upper extrem combo (73223) | $3,220.80 | $4,026 | 8.8× |
| MRI, lumbar spine combo (72158) | $3,220.80 | $4,026 | 8.8× |
| Myelogram cervical (72240) | $600.80 | $751 | 0.7× |
| Myelogram Lumbar (72265) | $600.80 | $751 | 0.7× |
| Myelography thoracic (72255) | $600.80 | $751 | 0.7× |
| Myelograpy 2/more regions rs&i (72270) | $869.60 | $1,087 | 1.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,976 | $2,470 | 1.5× |
| Myocardial Spect Multiple Studies (78452) | $3,223.20 | $4,029 | 2.4× |
| Neck soft tissue (70360) | $354.40 | $443 | 3.9× |
| Nonvascular Shunt X-Ray (75809) | $1,452 | $1,815 | 13.3× |
| Optic foramina (70190) | $352 | $440 | 3.9× |
| Parathyroid Planar Imaging (78070) | $822.40 | $1,028 | 2.0× |
| Pelvis 1 or 2 views (72170) | $453.60 | $567 | 4.2× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$164–$1,572.80 | $205–$1,966 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $618.40 | $773 | 5.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $420 | $525 | 4.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $337.60 | $422 | 3.7× |
| Radex elbow complete minimum 3 views (73080) | $404 | $505 | 4.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $540 | $675 | 4.9× |
| Radex fingr minimum 2 views (73140) | $341.60 | $427 | 3.8× |
| Radex foot complete minimum 3 views (73630) | $404 | $505 | 4.4× |
| Radex Hand Minimum 3 Views (73130) | $424 | $530 | 4.7× |
| Radex lower extremity infant minimum 2 views (73592) | $319.20 | $399 | 3.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $546.40 | $683 | 5.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $341.60 | $427 | 3.8× |
| Radex shoulder complete minimum 2 views (73030) | $412 | $515 | 4.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $309.60 | $387 | 3.4× |
| Radex Spine 1 View Specify Level (72020) | $235.20 | $294 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $360.80 | $451 | 4.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $500 | $625 | 5.5× |
| Radex Toe Minimum 2 Views (73660) | $255.20 | $319 | 2.8× |
| Radex upper extremity infant minimum 2 views (73092) | $314.40 | $393 | 2.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $384 | $480 | 4.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$129.60–$379.20 | $162–$474 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $441.60 | $552 | 4.0× |
| Radiologic exam colon double contrast study (74280) | $927.20 | $1,159 | 5.1× |
| Radiologic exam colon single contrast study (74270) | $700.80 | $876 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) | $456 | $570 | 4.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $426.40 | $533 | 3.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $808.80 | $1,011 | 4.4× |
| Radiologic exam swallow function contrast study (74230) | $793.60 | $992 | 4.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $838.40 | $1,048 | 4.6× |
| Radiologic examination femur minimum 2 views (73552) | $364 | $455 | 4.0× |
| Radiologic examination knee 1/2 views (73560) | $296 | $370 | 3.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $391.20 | $489 | 4.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $448.80 | $561 | 0.8× |
| Scapula (73010) | $461.60 | $577 | 4.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $105.60 | $132 | 4.5× |
| Shoulder 1 view (73020) | $148 | $185 | 1.6× |
| Skull less than 4 views (70250) | $347.20 | $434 | 3.2× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$76–$226.40 | $95–$283 | varies |
| Thoracic spine 2 views (72070) | $207.20 | $259 | 1.9× |
| Thoracic spine 3 views (72072) | $375.20 | $469 | 3.4× |
| Thyroid Imaging With Vascular Flow (78013) | $1,009.60 | $1,262 | 2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,652.80 | $2,066 | 4.0× |
| Ultrasound Breast Limited (76642) | $557.60 | $697 | 6.1× |
| Ultrasound Exam Aaa Screen (76706) | $412 | $515 | 3.8× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$224.80–$683.20 | $281–$854 | varies |
| Unlisted fluoroscopic procedure (76496) | $280 | $350 | 3.1× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $448.80 | $561 | 1.1× |
| Us breast unilateral complete (76641) | $557.60 | $697 | 5.1× |
| Us chest (76604) | $278.40 | $348 | 2.6× |
| Us complete joint (76881) | $484.80 | $606 | 4.4× |
| Us exam, pelvic, limited (76857) | $457.60 | $572 | 4.2× |
| Us head (76506) | $763.20 | $954 | 7.0× |
| Us ob limited 1 or more fetuses (76815) | $94.40 | $118 | 0.9× |
| Us ob transvaginal (76817) | $588.80 | $736 | 5.4× |
| Us pelvic non ob complete (76856) | $680 | $850 | 6.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $792.80 | $991 | 7.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $148 | $185 | 1.4× |
| Us retroperitoneal complete (76770) | $891.20 | $1,114 | 8.2× |
| Us retroperitoneal limited (76775) | $412 | $515 | 3.8× |
| Us scrotum and contents (76870) | $572.80 | $716 | 5.2× |
| Us spinal canal and contents (76800) | $763.20 | $954 | 7.0× |
| Us thyroid (76536) range across 2 matching MRF lines |
$470.40–$568.80 | $588–$711 | varies |
| Us transrectal (76872) | $626.40 | $783 | 5.7× |
| Venogram Sinus/Jugular (75860) | $1,500.80 | $1,876 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $799.20 | $999 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $799.20 | $999 | 0.5× |
| Wrist 2 views (73100) | $304.80 | $381 | 3.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $268 | $335 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $286.40 | $358 | 3.2× |
| X-Ray Exam Breast Specimen (76098) | $156.80 | $196 | 0.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $259.20 | $324 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $244.80 | $306 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $416.80 | $521 | 4.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $486.40 | $608 | 4.5× |
| X-Ray Exam L-S Spine Bending (72114) | $679.20 | $849 | 6.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $379.20 | $474 | 4.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $618.40 | $773 | 5.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $560 | $700 | 5.1× |
| X-ray eye for foreign body (70030) | $281.60 | $352 | 3.1× |
| X-ray humerus (73060) | $346.40 | $433 | 3.8× |
| X-ray IV pyelogram (ivp) (74400) | $851.20 | $1,064 | 4.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$108.80–$332.80 | $136–$416 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $403.20 | $504 | 3.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $618.40 | $773 | 5.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $288.80 | $361 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $350.40 | $438 | 3.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $473.60 | $592 | 5.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $426.40 | $533 | 3.9× |
| X-Ray Tmj Unilat (70328) | $91.20 | $114 | 1.0× |
| X-Rays Bone Length Studies (77073) | $156.80 | $196 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $1,311.20 | $1,639 | 12.0× |
| Xr c-spine 4 or 5 views (72050) | $514.40 | $643 | 4.7× |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$62.40–$286.40 | $78–$358 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $360.80 | $451 | 3.3× |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$141.60–$420.80 | $177–$526 | varies |
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.